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a <br /> 09/11/2002 16:07 20E- -79-2225 MODESTO ATC _PAGE 01. _ <br /> [��(������ �� �} S IN COUNTYPUBLIC HEALTH SERVICES n t=COWED�`� ENVIRONMENTAL HEALTH DIVISION fl 14 <br /> 304 EAST WEBER AVENUE.THIRD F=LOOR <br /> SEP 2 2 02 STOCKTON CA 95202 SEP 12 2002 <br /> (2D9)dB6-3a2Q <br /> ENT HEALTH PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> PERMI <br /> APPLICANT ❑ BUSINESSIAGENCY <br /> ADDRESS )I� I Q Q <br /> PHONE FACSIMILE <br /> TENTATIVE'APPOINTmCNT DATE <br /> TIME <br /> (PlcS49 Diva 7 ko 10 bushlese do Irpl C oI np (Cakion:uqlull(y1) <br /> CHECK 6QX TpwE]CPE03TE REQUE57- 7.0 TIME <br /> PRQC 5 D 1 9 Q S <br /> U51NE$ DAYS <br /> SIGNATURE OF AiPLICANT <br /> DATE b crate <br /> FILE A4 DRESS THIS SIDE EHD STAFF USE ONLY <br /> PRQGRAMCLEMENTS SEARCH <br /> 1144 ri <br /> t s <br /> ll1E 13 E v <br /> G <br /> 31 <br /> I o <br /> 6t.4s <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> "NOCRGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING A13ATF-MENT ❑ SOUD WASTE FACILITY <br /> sX OTHER GLEANUP SITE(NON•LOP) Q FOOD FACILITY ❑ SOLID WASTE vEHimr- <br /> ❑ UNDERGROUND TANK(MONITORING/REMOVAL) ❑ OOG KENNEL a.DAIRY <br /> Q HAZARDOUS wASTC GENERATOR O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ TICREDPERM17T QFACILITY ❑ MOTELIH1bTEL. O PUMPERTRUCKMARDICHEM70ILETS <br /> Q TATTOOISODY PUACING ❑ POOLISPA "' ❑ LAND USE APPLICATION SITES <br /> a MEDICAL WA5'rE FACILITY Q PUBLIC WATER SYSTEM O OTHER(PLEASE SPLCIfY ABOVE) <br /> 1. List up to ton addresses in the space above. Select the typ*) of files from the list above by checking <br /> ttiB appropriate box(es). At least one file type MUST be .elected. Fax to (2091464-0138 or mail to the <br /> addr ss indicated a eve. , <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 On (10) days after receipt of application.-The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by LHD staff may not be immediately avallable for review. A now <br /> application may be submittccl when the file is availablo. <br /> 4. Any filo not raturnod 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 dat¢s must bo confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be procossed the next business clay. <br /> CONFIRMED APPOINTMENT EDA TIM <br /> PATE CONFIRMED PHONE F INITIALS <br /> REVIEWED •+ YES <br /> M up 14 /pp <br />