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NOA Environmental PHONE NO. 209 369 4228 <br /> f. i. 15 2003 10:17AM P2 <br /> EMV1 . HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> j}J I. 1 5 2003 (209)460-3420 <br /> } 13a7 . <br /> PUBLIC RECORDS RELEASE AP <br /> FLICpT10N <br /> APPLICANT S t-) dL" ` �� SttS1 fNt:S51AGENCY U' <br /> AIDORESS G� S� ^-t Lod, ,• <br /> t <br /> rZa-7 FACSIMILE 20 PHONE j � <br /> TENTATIVE'APPOINTMENT DATE <br /> TIME 9.-60- <br /> (Ploase give 7 l014 business UaYs from date of application sulunHtsl) <br /> CHECK BOX TO EXPEDITE BEQUEST- EE- QUM PROCESSED IN 3 BUSINESS DAYS V <br /> DATI- a <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EHiL STAFF SEMCH <br /> PfLOGRAM ELe+II <br /> ENVIRONMENTAL HEALTH DIVISION FILEStr , <br /> ❑ HOUSING ABATEMENT C-SOLID WASTE FAC.LITY <br /> UNDERGROUND TANK(US }CLI=ANUts SITE(Lop) 4 FOOD FACILITY ❑ SCUD WASTE VEHICLE <br /> sr OTHER CLEANUP SITE(NON-LOP) © DOG KENNEL, O DAIRY <br /> eUNDERGROUNO TANK(MONITORINGIREMOVAL) RANCH <br /> PKG TREATMENT PLANT <br /> Illi'HAZARDOUS WASTE GENERATOR p CHICKEN 130TEL a PUMPER rRLlCKIYARpICHElI1 TO{Li:rS <br /> ❑ TIERED PERMITTED FACILiIY p LAND USE APPLICATION SITES <br /> ❑ PdO11SPA <br /> 0 TATTOOIBODY PEIRCING p PUBLIC WATER SYSTEM a oTHCR{PLEASE SPECIFY ABOVE) <br /> Cl MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checlting <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the <br /> address indicated above. confirmed <br /> 2. EHD will notify the applicant If any SHO files exist. An appointment for review Will be cats n. The files <br /> approximately five business days but no later than ten(10) days after receipt of app <br /> well be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. Y 9 y Y available for review. A new <br /> 3. A file that Is actives being worked on b EHD staff may not be immediately <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same Condition as released will be reorganized by VD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g, Applications received after 3:00 pm will be processed the next business day. <br /> j CONFIRMED APPOINTMENT OATE T1MP <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> REVIEWED YES NO OpVIFW narP <br />