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MODESTO ATC J AGE 01 <br /> 89/11/2662 16:07 209-X79-2225 <br /> N � I <br /> ��� L��L� } 5 IN COUNTYPUBLIC HEALTH SERVICES (r (����,/](�(� <br /> �L� L 1 L ENVIRONMENTAL HEALTH DIVISION i ``� V t ���/ <br /> 301 EAST WEBER AVENUE,THIRD FLOOD <br /> SEP 2 2002 STOCKTON CA 05202 SEP 12 2002 <br /> (209)468-3420 <br /> EIVT HEAl3N PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> QERM1 - <br /> APPLICANT 0 SUSINESSIAGEHCY �• <br /> ADDRESS I t�1 � f 'B <br /> PHONE `J — FACSIMILE 01 3Q0—] _ w <br /> G1 -t <br /> TENTATIVE'APPOINTMENT DATr _ -/ �/ TIMI. <br /> �ry (Please viva 7-to 19 buni�ic i da trot C oV13 <br /> ICstion 3Ubnili(al) <br /> y , <br /> CHECK BOX TQ, XPkAITE ItEQUCST- 7.4 QUVS PftOC• kD Bt1SINE$5 PAYS <br /> SIGNATURE OF APPLICANT DATE= 7 k t11� <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMCNTS SEARCH <br /> L4imn.+-i fir. 2 1;7C, <br /> t& r, <br /> 4 <br /> 13 - <br /> 14 w a r <br /> O G"S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �i"NnCRGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON•LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> ❑ UNDaRGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL. a. DAIRY <br /> 0 HAZARDOUS WASTIC GENERATOR ❑ CHIMN RANCH ❑ PKG TRFATMENTPtANT <br /> ❑ TIERED PERMIaFACILITY 0 MOTELIHIDTI;L ❑ PUMPER TRUCK/YARDICHEMTOIL&S <br /> Pj1 <br /> 0 TATTOOIBODY IACING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE`FACILITY 0 PUBLIC WATER SYSXI!M 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. list up to ton addresses in the space above. Select the typc(s) of files from the list above by checking <br /> ttie appropriate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mpii to the <br /> address indicated a ove. 1 <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than tbn (10) days after receipt of application.The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> aCCordinroly. <br /> 3. A file that is actively being worked on by END staff may not,be immediately available for review_ . A now <br /> application may be submittect when the file i5 availablo. <br /> 4. Any file not returned in the same condition as rcleasod will be reorganized by EHD staff at the expense <br /> Of the applicant. Future file reviews by the same applicant may require a;87.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EKD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATF_ TIME <br /> DATE CONFIRMED, PHONE FAX INITIALS <br /> REViEWI~D .+ YES NO REVIEW DATE . <br />