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6.16.200213 2.46PM464ORPEX ENVIROTECH,INC. E�WIR]NMENTAL HEALTH NO 085 P.2AGE 02 <br /> SAAMAQUIN COUNTYPUBLIC HEALT RVICE <br /> ENVIRONMENTAL WEALTH DIVISION 5o (��JFJ� 0)304 EAST WEBER AVENUE,THIRD FLOOtk �`` <br /> STOCKTON CA 95202 <br /> (209)468.3420 AUG 18 2002 <br /> OU§— M —.11446404-4-T.-H-1�,- <br /> PUBLIC RECORDS RELEASE APPLICAT1 <br /> APPLICANT�< 1t�VlACr r�l�719uslNEss/AGENCY C ltrro T�SERVICES T^ <br /> ADDRESS t i <br /> PHONE.Jito 2551—01-7q FACSIMILE 2jS 1-0 <br /> TENTAYIVE,.APPOINTMENT DATE ?lME <br /> IPI® o W T to 10 bus end [tom da oT appileallon submlteall <br /> CHECK BOX To ExPPDrrE REqu6sT•589.00 FEE—REq()ES p SM M 3 0USINE5S DAYS . <br /> SIGNATURE OF APPLICAN DATE a— --- <br /> FILE ADDRESS T HIS 510E END 5TAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> .y- <br /> Q-ja 1141 <br /> � 2 q Lrncol of <br /> \j 1 ra <br /> oftn <br /> v �v rl <br /> w i 7'r <br /> EA IRONMENTAL HEALTH DMSION FILES . <br /> e <br /> eUNPERmtouNo TANK(UST)memuP 517E(L.QP) Q HOUSING ABATEMENT A SOLID WASTE FACILITY <br /> ® OTHER CLEANUP SITE(NON4.OP) ® FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) La DOG KENNEL. 0 DAIRY <br /> .e HAZARDOUS WASTE GENERATOR a CHICKEN RANCH CI PKG TREATMENT PLANT <br /> Q TIERED PFRMf17ED FACILITY CI MOTEL MOTEL 0 PUMPER TRUCXMARDICHEM TOILETS <br /> 0 TATTOO/BOpY PEIRCING O POOLISPA 0 LAND USE APPLICA=N SITES <br /> 0 MEI3ICAL WASTE FACILITY , ® PUBLIC WAT$R SYSTEM D OTHER(PLEASE SPECIFY AIaOVE) <br /> 1. List up to ten addresses in the splice above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Pax to(200,_464.0138 or mail to the <br /> adgress indin above. <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 ten(10) days after receipt of Application. The tiles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A film that Js activelq bWng worked on by EHP staff May not be immediately available for reviow. A new <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 EMD staff at the expense <br /> of the applicant Futu>'e File reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EMD staff. <br /> .6. Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INMALi <br /> REVIEWED YES NO REVIEW DATE '"` <br />