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p-11-03 13:43 From-TTI TETRA. €II EM INC +9{68520307 7-507 P.02/03 F-803 <br /> - Liµ.tutu 71lMVl-F. <br /> AN j&AQUIN COUNTYPUBI-IC- HF-AI~TH St RVICES <br /> � i <br /> ENVIRONMENTAL. HF-ALTH DIVISION <br /> SEP I 1 2003 304 EAST WEBER AVE NUF;.THIRL) FLOOR <br /> STOC KTON CA 9524? <br /> -ENVIRONMENT HEALTH (209) 468.3426 <br /> ERMIT/SERVICES PUBLIC RECORDS RELEAaE APPLICATION <br /> tipPLII~ANT - <br /> ADORES-4L 1 IDQ .-Rc,4►c i,,o f2ordoc Gff- <br /> PFtONE L& Q— ( —��FS57p FACSIMIL F: <br /> TENTATIVE'APPOINTMENT DATE Uied YIMF ftr <br /> (PiGas�Siva 7 Ln 7a pusinc5s IS�ys aatc of appl�c�Gan auam;uaq <br /> ` <br /> X cnECK I3OX TO EXPz01TE i zQWE 3B7.oa FEE-RE ST PROCESSED Iri 313USINFSS RAYS i ' 1117'� <br /> c� <br /> SIGNATURE OFAPPL.iCANT <br /> ' I <br /> FILE ADDRESS TXS SIDE EHO STAFF PSE ONLY <br /> PR¢GRAM ELEMENTSpSEARCt1 <br /> A? <br /> i <br /> I <br /> ENVIRONMENTAL HEAL-TH DIVISION PILES <br /> UI�t7IwRGROL3Ti0 TANK(UST CLEANUP SITE(LOP) p tiOLISINiG ABATEMI ENT 5Qt_ID WAS I=ACILITY <br /> OTHER CLEANUP SITE(NOWLaP) ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MOI 4TORINGIRF-MOVAL) 0 POG KI=NNf-L ❑ DAIRY <br /> HAZARDOUS WASTE GENE TOR ❑ CHICKEN RANCIi r'PKG TREATMOXY PLANT <br /> C TIEFLED PERMITTED FACiW* ❑ MOTF.JHQTI=L 1 ❑ PUMPER TRUCWARPICk1F-M TOII.T=7: <br /> 0 TATTOOISQPY PEIRCINlG M POOLAPA " ' 1 C3 LAND USI:AP?WC;ATIRN SITES <br /> ❑ MEDICAL WASTE FACIWTY s 13 PUBLIC WATER SYSTgm Q OTHER(PRASE 5P9QFY A91QY9) <br /> 'I. List up to ten ad4resses in the space above. Select the type(s)of files from the list.above by checkil <br /> the appropriate 60x(es). At least one file type MUST pe Selected, fax to (209) 464-Di38'ormail;o thI <br /> Pdgrass indicated above, n <br /> 2. l~HA will notify t" applicant if any E11D files exist. An app' i Itment for review will be confirmed <br /> approximaEely five 13u5iness days but no later than ton (10) days after receipt of application.-The file <br /> will tie nelq for aimaxirnwm of five business days for r2 view. Appointments should be scheduled <br /> aerGurdingly. <br /> 3. A file that is actively Doing worked on by E110 staff may not be immediately available for review. A n <br /> application may pe 5abminea when the file is availaple. <br /> 4. Any the not mtutnecl in the same. condition as reiease6 wii11 he reorganized JayEhp staff at the expen <br /> of lyse applicant.:Future file revisw5 by the same app;leant may require a 07.00 deposit prior to revio <br /> S. "TENTATIVE apppintment hates must be Confirmed with 1=HD staff. <br /> 6. Applications received!after 3:00 pm will be processed the next husiness day. <br /> Zp <br /> CONFIRMED APPOINTMENT DATETIME <br /> SATE CONFIRMED PtIDN1= FAX INITIALS <br /> Z 110'73. U&I Pry'rLI1 <br />