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,.....�S�3uu d3:57(•>s� Fh -i-D lri:l �'L'�iiuki'('r' r�. ue <br />AN.IOOAQUIN COUNTYPUBLIC HEALTH beR.VIGES LtwLoc«tea <br />SEP 1 $ ENVIRONMENTAL HEALTH DIVISION <br />2000 304 EAST WEBER AVENUE, THIRD FLOOR <br />ENVIRONMENT HEALTH STOCKTON CA 95202 <br />�j� PERMIT/SERVICES (209)468.3426 <br />_ PUBLIC RECORDS RELEASEAPPLICAXION <br />APPLICANT (2HAiztE5 Iv,CGuk?-C sWiKEMAGeNcY PHASE CWC TNC. <br />ADDRESS3ijl AIR -wAy 844),4 E,�T-E.-6-7, , 0 -0 -5 -re, MESA, L'P. 1Z626 <br />PHONE .(800) 5 .,Z y -^ BS -7-7 FACSLUIL'I (7 14) % 08 - 607-7 •� <br />TENTATIVE* APPOwTMEN7 DATE TIME <br />(PI088o glvo 7 [O 76 6usinvss days Erwin dols ofapPlicatlon su4r❑that) •• <br />© CHECK BOX TO .WGDRE REQUEST- S97.00 FEE - REQUEST PROCESSED IN S BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />..• <br />• MR1PEN ® <br />ENVIRONMENTAL HE ALTH. DIVISION FILES <br />;o UNDERGROUND TANK (UST) CLEANUP-31TE (LOP) <br />❑ HOUSINGABATEAENT - <br />❑ . SOLID WASTE FACILITY <br />R OTHERCLEANUP SITE (NON-LOF) ' <br />17 FOM FACIUIY <br />17 SOLID WASTE VEHICLE <br />0 UNDERGROUND TANK(MONFTORWGIREMOVAL) <br />U DOG KENNEL <br />Q DAIRY <br />$1 HAzmwous WASTE GENERATOR <br />O CHICKEN RANCH <br />O PKG TREATMENT PLANT <br />0 TIERED PERMTTTED FACILITY <br />❑ MOTEUHOTEL_- <br />G PUMPER YRUCK'IYARDICHEM--OILETS <br />❑ TATTOOISODY PEIRCING <br />❑ POOLISPA - • <br />❑ LAND USE APPLICATION SMS <br />M MEDICAL WASTE FA=TY <br />❑ PUBLIC WATER SYSTEM <br />❑ OTHEfi (PLEASE SPECIFY AB.ME) <br />1. List up to ten addresses in the space above. Select the type(s) of files,from the Sst above by :hecking <br />the appropriate box(es). At least one file type MUST be selected. Eax to {268) 404-0138 or nta i l to the <br />address indicated above. <br />2. EHQ will AOtifythe applicant if any EHb files exist_ An appointment for review will be confirm. id <br />approximately five business days but no later than ten (10) -days after rece)ptof application. 1'ie flies <br />will be held for a maximum Of five business days for review. Appointments should be schsciL led <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immedieltely available for reviie it. A new <br />application Irlay be submitted whaniho file is available. <br />4. Any file not ratumed In the same eandhion AS releasW will be rearganl rod by EHO Staff at the expense <br />of the applicant. Future fife reviews by the same applicant may regu)re a $87.00 deposit prior to review. <br />5. "TENTATIVE appointment dates must be confirmed with END staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE � TIME. .� <br />DATE CONFIRMW PHONE FAX INITIALS _ <br />