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U1N COUNTYPUBLiC HEALTH <br /> SE" <br /> \\t APR 0 7 2003 ENVIRONMENTAL�EAST EAAVENUE,THIRD DIVISION <br /> STOCKTON CA 05702 ' <br /> ENVIRONMENT (209)46&3420— �P ,P L►.�l� rnR i iRECORS RELEASE APPLiCA'TION <br /> �APPLICANT SILT �mo w, BUSINESS/AGRNCY <br /> ADDRESS_S00 12,11 �. �[t(��k.✓+sr�C,¢ <br /> It-PHONE -10 <br /> _��1�� �!� >'( FACSIMILE� 107y- 3 �6� /fin; Toea��a� <br /> TENTATIVE'APP oiiiTmENT DATE a's snn„ 4-6 egffzile ME 41+y�- <br /> (Pleaia give T to 70 hus{neve d" r.m d2ta Or iPPUcadon suismlaal) <br /> C 48cK SOX 10 EM101Y9.REQUEST-S89.00 FEE-REQUESTPROCESSED IN 3 BU /iSM33 DAYS 'r �ar>� iv w S 4rbtA 441e, 4�d,1 <br /> SIGNATURE OF A.PPLICAHT y�C,� DATE •15 <br /> TH13 SID SN NL <br /> F'�ADORE°ii PROGRAM tiLElrtEiM's SFARCH <br /> AP 17 2M 3 <br /> ENVIRONMENTAL HEALTH UIVISION FINES �► <br /> O UHDEAGROUNO TANK(USTI CLEANUP SITE(LOP) M HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> M OTHER CLEANUP SfM(NC4e-LCP) C3 FOOD FACILITY ❑ BOLID WASTE VEHICLE <br /> ❑ UNDERGROUND TANK @ICJNITCRINGIRENOVAL) Ca Doe KENNEL O DAIRY <br /> O HAZARDOUS WASTE GENGFiATDR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O TIEJCED PE:RMrrTkD FACILr1-e ❑ MOT01JW7EL d PUt1PErt TRUCK/YAROICHEN TOILETS <br /> ❑ TATTDOleODY PCRWNG ❑ POOIJSPA d LAND USE APPWCATiON SITES01 <br /> O NEDICAL WASTE I=ACiLiTY C) O OTHER(PLEASE Sp£CiFY ABOVE) <br /> last zip to ten addrest4+E in the spaCe above. $elect the typo(s)of tiles from the list;aboveobmal ackinting <br /> the approprlat4 @)OX(es). At least one file type MUST be solectod. F <br /> add rosa'i ice°1SIJ&2ve. <br /> 2. EHD-wT notify tits.applicant If any EHD files exist. An appointmont for review will bs confirmed <br /> approxii'lAtely flu• business days but no later than ten('i 0)days after receipt of application. The flies <br /> will be hold for at rrLoxlmum of five business days for revises. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> appliclition may be submitted when the flle i$avatilable. I be at the exPAMse <br /> 4. of Any <br /> h el0 not ratu-mcd in the applieant. Futur filesame rvvlows byltion as the same)applicant mareorganized <br /> sgttiri a$89y 0 d*posEHD it prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHI3 staff. <br /> S. Appliaadons rgc:eNsd after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT PATI= TIME <br /> ! DATE CONFIRVE <br /> PHONE PAX INITIALS <br /> wEvi D YES NO REVIEW vn <br /> R10 ,�. <br /> Ed WUSO:OT ;=00Z 1_0 .ad j 'ON Xtid WO8d <br />