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.-- -�6.16.200213 2:46PM 4648nPEX ENVIROTECH,INC. EWIR"ENTAL HEALTH N0.085 P.2AGE 02 <br /> ""ttwrr�dlvCM�O �Y p /�/'� *� /�/�g�p�� p�®®p (y�/� �}+*.. <br /> ®®� p� <br /> SA AQUIN COUNTYFUBLIC HEALT. RVICE <br /> ENVIRONMENTAL HEALTH DIVISION Fo-) �/ (rr <br /> 304 EAST WESER AVENUF,THiPW FLOOR \" l <br /> STTOCKTON CA 95202 <br /> (209)4684420 AUG 18 2002 <br /> PUBLIC RECORDS RELEASE APPLICAT[ <br /> APPLICANT<JJG V1_IRK t5Ie-j BUSiNESS/AceNCY aC �cr� T/SERVICES <br /> ADDRESS t <br /> PHONE FAdsiMtLE 61 k,0 - %-51-t1 <br /> TENTATiVE".APPOiN'TMRNT®ATE TlAOL _ <br /> (Fla e W T to 10 bus an d from da of application subrnittal) <br /> In Iff <br /> CHECK BOX TO FxPtorni REQUEST•Me9,00 PER-REQU p SED N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE —a6 -Aoka, — <br /> FILE ADDRESS T"Is 30E END STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1240 �-, <br /> rht(24 Aft <br /> e-a <br /> t Z2I <br /> nn r n <br /> l000e--ttASAIJ, -Tiro <br /> 15 W f-A <br /> ENV RONMENTAir t1EALTH DIVISION FILES . <br /> e <br /> JeUNDERGROUND TANK(UST)CLEANUP STYE(LOP) Q HOUSING ABATEMENT ❑ SCUD WASTE FACILITY <br /> 13 OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY 0 ;OLID WASTE VEHICLE <br /> ® UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL CI DAiRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C PKG TIMTMEiNT PLAW <br /> 0 TIERED PERMr7TED FACILITY 13 MCTELINOTEL 0 PUMPER TRUCKMARD/CHEM TCt ZTS <br /> 0 TATTOOISOpY PEIRCiNG 0 POCLISPA 0 LAND USE APPLICAT70N SfTES <br /> 0 MEAICAL WASTE FACILITY , CI PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY AQpVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the ilst above by checking <br /> the appropriate box(es). At least one file typa MUST be selected. Fax to(2091464-0138 or mail to the <br /> 0" address indinW 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 Rpplication. The flies <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A filo that,is aetivelybWng worked on by EH13 staff may not be Immediately available for review. A new <br /> application may be submitted when the til4 Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD 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 /> S. "TENTATIVE appointment dgtes frust be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPofNTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE '}1` <br />