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f 1-03 13:43 from-TTI TETRA TE INC +81685203070 <br /> T-507 P.02/03 F-803 <br /> l �AN 4OAQUIN COUNTYPUBLIC HEALTH SF-RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> SEP 1 1 2003 304 EAST WEBER AVENUE,THIRD FLOOR I G <br /> STOCKTON CA 95202 4 <br /> ENVIRONMENT HEALTH (209) 468.3424 <br /> ERMITISERVICES PUBLIC RECORDS RELEA`SFE='1 APPLICATION <br /> �� <br /> rd h tJ3INE AtV I enb2j..,�,L E7� e <br /> HPPLICAN7 //,,,, BUSINESSIA NCY <br /> ADDRESS �O'D QD hli-C 0 /00 7��C•10 �or'do� Gly 9tS , <br /> FACSIMILESLP - 5 <br /> TENTATIVE"APPOINTMENT DATE TIMC ftr <br /> (PIC:=Uiva 7 Z010 Dusincss aiystclirn clam of appbcaGon sunmival) <br /> XCHECK BOX TO EXPEDITE IREQUE Sa7.00 FEE-RE ST PROCESSED IN 3 BUSINESS DAYS \ A I r <br /> SIGNATURE OFAPPLICAN' na_L �� DATE ' I-03 A (�;c�" r <br /> F LE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM EL-EMENTSSEARCH <br /> Of7 <br /> (? C 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES P € <br /> UNDERGROUND TANK tUSTt CLEANUP SITE(LOP) O HQUSING ABATEMENT SOLIP wdSTE <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOUP WASTE VEHICLE <br /> UNDERGROUND TANK IMONITORING/REMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Cr PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACII-n ❑ MOTEtIHOTEL ❑ PUMPER TRUCKPfARDICHEMTOtLETt <br /> ❑ TATTOOIBOPY PEIRCING 11 POOt/5PA - ' ❑ LANG USE APPLICATION SRES <br /> O MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of files from the list.above by checkil <br /> the appropriate 6ox(es). At least one file type MUST be selected. Eax to 1209) 464-0136 or mail to Th <br /> pdress indicatetl above. n <br /> 2. EHE) will notify tlpe applicant if any EMD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The file <br /> will be held for almaximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively Doing worked on by EHD staff may not be immediately available for review. A n <br /> application may pe submitted when the file is available. <br /> 4. Any the not retuerleo in the same condition as released will be reorganized by EHd staff at the expen <br /> of the applicant. Future file reviews by the same applicant may require a $67.00 deposit prior to revi, <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 PATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> �i'iI_�7. Lc%N UIYL -Pr-l-'r"G�l�'fL1. �Cr7 <br />