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—' - - irll�c=<< .�O QU1N COUNTYPU6LIC HEALTH c VICES <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> APR 0 7 2003 304 EAST WEBER AV>=NUE,THIRD FLOOR O <br /> STOCKTON CA 95202 I <br /> ENVIRONMEI (209)4W3420 <br /> �..� .-P-ER 191.T � �� lb'RECORDS RELEASE APPLICATION,/ <br /> �APPUGANT T'�L� L�� Lit= 811S1NESS//AGENCY I.1�5 C�,�Otel J7 <br /> ADDRESS ))-�a �� a QIG�It►� C /, <br /> � HONC <br /> 5-10 7:��� l FACSIMILE �� yY- 3 <br /> TEN"!'AT fVE'APF OINTrdENT DATE a,5 snr,� a S £!(l le rimE <br /> (Plea►s ylvs 7 to 10 huslnoss� rom cIIte of�PPUutlon submlt~;a11 j'tOurS .�'v� �•�/!�'f4 <br /> Ilk/i,40,ol-c�✓�iis� <br /> u CHECK SOX T(5 EXPLF:REQUEST-!89.00 FEE-REQUEST PROCESSED IN 3 BUSWC33 DAYS �f 5ar�h';y - �"I- 4/- <br /> 'SIGfJtLTt1RE01=.APPLICAWT DATE + <br /> SE NL 1 <br /> FU ADDRESS PROGRAM rLLEMENTS SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> :3 HOUSING ABATEMENT Co SOLID WASTE FACILrrY <br /> /O UNDERGROUND TANK N3T1(xrA)aUP SfTE(Lop) 0FOOD FACILMY D sOUD WASTE VEHICLE <br /> t 0OTHER CLEANUP SFT (NON-LCP) 0 DAIKY <br /> J) ❑ UNDERGROUND TANK(MCNITCRINGIRELAOVAL) 0 DOQ ICIrNNEL p pKG TREATMENT PLANT <br /> O HAZMDOU9 v+AM CENUFIATOR ❑ CHICKEN KANCH ❑ pUuPER TRUCKrYARD/CHEN TOILETS <br /> 4 O TIERED PERMrriED FACILVY ❑ MOTPUNOTEL <br /> ❑ POOUSP O APPLICATION SITt3 <br /> ❑ TgTTOO/F30dY PBIRC{NC1 q O OTHER <br /> OTHER(p(P LEAS6 SPECIFY A�O�) <br /> n NEDICAL WASTE;i=ACILrTy <br /> List tip to ten ad,drEs0s In tho space above. Select the typos)of files from the Ilst above,J?y i c hag <br /> the apltiroprlata h03:(90. At Iaast one file type MUST be solsctod. F <br /> add rosa {ca; &j bavo-• <br /> 2. F.Hd�wiG;notify t11Y.applicant If any EHD tiles exist. An apQointmont for review will be confirm <br /> t Of <br /> lir-2tion. The <br /> approxIMXt2Iy 11 re buslneas days for revitw. App <br /> days but no later titan tun(10)days after enti should pbe chedvlsd I1ieS <br /> will be r old for a maximum of five buriness <br /> accordingly, <br /> 3, A file Utat is actively being worked on by EHD staff may not be immediately available for review. A new <br /> appiicrltion may ba submitted when the fUa i$aysilabie. reorganized b EHD staN at the expanse . <br /> q any til a not ratumcd in the same conditioa$99•DO deposit prior to review. <br /> n as roloasad will be eeorg Y <br /> of thio applicant. Futuro file rdvlows by the lama rwpp <br /> licitnt may require <br /> 5. 'TENT,4TIVE pis;�oitttmcnt dates must be <br /> P c essad then next bd with EHD uaineas day. <br /> 5. Appl:wtions roeeivecl after 8:00 pm <br /> TIME i <br /> CONFIRMED ApPOINTMf:NT.DAT>c 1 <br /> DATE CONFIRVE:D <br /> F'HOH>r FAX INITIALS <br /> R1=VIEVYI±D <br /> YE NO REVIEW DATE <br /> �.. — <br /> p,o,w.e,-0o. <br /> Ed WUSO:OT ::,0(jE Z0 ady 'ON XdJ W0di <br />