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AUG-26-2002 15:47 MOMtL*X-1tKT WHiDU-4 ■�;5.,,....,.oV. <br /> �OAQUIN COUNTYPUEIJC HEALT"SERVtC <br /> ENVIRONMENTAL HEALTH DM40!4 , <br /> 304 EAST WEBER AVENUF,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (20)468.3420 <br /> PUBLIC RECORDS RELEASE AP`PUCATIO0MT---MP <br /> APPLICANT 1 O Lt/�T VV l Y USP> ,�SNCY t1 <br /> MOR M a -� a vex GV--t k c. 30 0 <br /> rtloNa - - f�` y r FACSIIAILE.�� ' clS�' «-FN.UlR ¢h fi �vf""ihtq TH <br /> a2 TI><AE 19-'-DCS�m,RM9 SERVICES <br /> TEI�ITATIVE'APPOINTMENT DATE —date sppttcatl submittal] - <br /> (Pbase plve 7 to 10 R"sCHECK BOX TO EXPEDITE RECUM - SUS SS BAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> FILE AOpRESS EMLY <br /> PRWRM�$N'TS SSWte" <br /> • p IOVI � <br /> M rV <br /> W <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> W SOLID WASTE FACILITY <br /> PC�)U41tOUND TANK(USTI CLF-*AUP SITE <br /> (LOP) O FOOD FACRM C3 YAOUMC-ABATEMENT DAIRY WASTE VEHIG'LE <br /> ip OTM1�tR CLXANW SITE <br /> �1!lGAIEMOVAL) O DM KeWEL � PKG�TRS�TMENT PLANT <br /> Q CHICKEN RANCH .)a PUMPER T�WyARpfCFiSM TOILETS <br /> tUq ,RpOUS EWASTE YOR 0 M07EUMML LAND USE APPUW► N SM <br /> 4 TNOtED/EDDY TEPrJD FACILITY <br /> G POOLISPA O OTHER(PLEASE SPECIFY ABOVM <br /> Q MEDICAL WASTE FACILITY ` <br /> PUBLIC WATER SYSTEM <br /> List u to ten addresses in the space above. Select the tyPe(s)of files from the fist 2136v*rbm it to the <br /> 1' the appropriate box(esk At least one file type nwusT be selected. Fax to x09 464-0 a�nfirmed <br /> ad¢rsss a ointment for review will b <br /> z• EHO will noti ththe applicant If any EHO files exist. An app ' atter receipt of application' The lilts <br /> approximately five buslnass days but no later than ten(101 days ointments should be scheduled <br /> vv"11 be held for a maxiMum of five business days for review. PA <br /> accordingly. <br /> Anew <br /> A file that is actively b�ing worked on by EHD�tttablty not be innmedlate►y ava)iabie foraiv�' se <br /> 3• EHD staff �^ <br /> appticstion may be sutltnittQd when the file Is reorganized by <br /> a• Any file not a med IIA the same condition as rel4aaed will be rear0 Ire a 589.00 deposit prior to review <br /> applicant may req <br /> • of the applicant. Futuft rile reviews by tht:same app <br /> 5• &ftNTATIVE appointTktnt dates,tMust be conrmed with nod t to sines day- <br /> 6. Applications received after 3:00 pm will be processed <br /> TIME <br /> FATECONFIRMED <br /> D APPOINTMENT DATE. INITIALS w�-.--- <br /> PHONE FAX <br /> vrc <br /> •gA DC\/1C11V TAT7= TOTAL P.01 <br />