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s <br />ajooz <br />916 988 7019 <br />fiLEINFELDER ncstu to ooa <br />O5/22(41�T>iU.lO; FAX ,.. .. R c a A � <br />,, DUI <br />- <br />SAN JOAQUIP4 C <br />— ENVIRONMENTAL HEALTH DIVISION <br />FLOOR _ <br />304 EAST WEBER AVENUE, THIRD FLOOR 13 <br />jV�/�J <br />STOCKTON GA 99202 <br />MAY 2 2 2003 (209) 468-3420 I <br />PUBLIC RECORDS RELEASE APrPJLIICAII1iI�I�__: -- <br />. <br />vl <br />APPLICANT cirJ-..-------- <br />ADDRESS 3071IK <br />IQI�)21dn'1-f01 FAcsIMILE u.fal^��• 4% <br />PHONE GI. A.v I.i7 ✓lVi. ---��7 <br />T <br />TENTATIVE' ^pPO1NTNlENTDATE �sfr�pliuL nsubmiltdf) <br />�y(Pleat. 9rve 7 W t0 business day _ ■ M <br />IJ CHECK BOX TO E7cPEOffE REQUEST - $a? oil FEE — RE01 T °ROCE88ED IN ] BUSINE:is OAKS <br />SIGNATURE OF APPLICANT <br />wii —3 2H3 ENVIRON <br />X( UNDERGROUND TANK (UM CLEANUP SITE (LOP) <br />TMER CLEANUP SITE -N0141-1-M <br />NOERGROUND TANK (MONROWNCdREMOVAI) <br />Hp,1WOUS WASTE GENERATOR <br />q TIERED PERMIID <br />T <br />❑ TATTOOIBODY PEIRCING <br />WASTE FACILITY <br />.TH <br />❑ HOUSING ABATEMENT <br />❑ POOD PAMI-M <br />O DOG KENNEL <br />❑ CHICKEN RANCH <br />❑ MOTEVHOTEL <br />❑'P6Ousr4 - . <br />O PUpLIC $LATER 5y8TEM <br />i LEM errs SEARCH <br />❑ MEDICAL <br />t. List Up to ton addresses in the st a above. NUSST be solei <br />the appropriate box(es). At feast ane file type -4 . • yV <br />address indicated above. aftrr re c;elpt rn'"application. Vhe files <br />EHD will notify the applicant if any END files r tha to appol <br />2. ointment c stlnuld be scheduled <br />approx)mat®Iy fiva business days but no later than ten (Tl1) days <br />will be held for 9 maximum of five business days for review• pPmmrjdtatnly available for review- A new <br />accordingly. worked on by EHD staff may not be , <br />3. <br />A filo that is actively being aniz zd by f:(HD staff at the eapens = <br />application may be submitted when the file is nvailab e. be r Dire it $87.011 depo,it prior to review. <br />4 Any file not retumed In the some condition as Telcos wntlmay a9 <br />of the applicant- Future file reviews by the some app <br />be <br />Staff - <br />g TENTATIVE appointment dates must confirmed with EHD t business'dry. <br />8 Applications received after 3:00 pm will b 3 processed the nett- busdz,y� <br />CONFIRMED AppoINTMENT DATE <br />DATE CONFIRMED <br />vFS <br />TIME <br />pFIONE FAX <br />NO REVIEW DATE <br />INITIALS _,__1— <br />