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04/07/200.3 17.: 11 9252836121 AEI CONSULTANTS (SF;; PAGE 2111 <br /> ; RAQUIN <br /> NVZRONMEyNTAL H -i PAGEEHp LOG NUMBERSAN COUNTYPUBLIC HEALTH SERMES <br /> APR a ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVI ONNIEN� HLF;i�4 Nti STOCKTON CA 95202 <br /> PERS JISERVICES (20 ) 468-3420 IT <br /> PUBLIC RECORDS RELEASE APPILICKNON <br /> kP <br /> PLICANT 4 Yl � BUSINESSIAGENGY ApR o $ zoa3 <br /> DRESSSCCUr,� — -- '= N4 HEALTH <br /> ONE 1 � 2)uu--i FACSIMPLE 11124��" _ PERMS SERVICES <br /> TENTATIVE*APPOINTMENT DATE 11M)S TIME '1�6 <br /> (Please give 7 to tO bLinm days from date of applieatian sut!mY:lnl) <br /> 13 CHECK BOX TO SXPIEDITE REQUEST-359.H FEE-RC UE5T PROCESSED IN 3 aUSW SS DAYS <br /> l� 1 <br /> 'SIGNATURE OF APPLICANT fn�`�" , DATE � l Q -- <br /> FILE ADDRESS THIS 5117E r-HO STAFF USE ONLY — — <br /> PROGRAPI ELEME 141,;SEARCH <br /> �ltr(aTrain S' <br /> t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOLID WASTE;FACILITY <br /> OTHER"AN UP SITIE NQN�LAP) ❑ FOOD FACILITY ❑ SOLID WASTE;VEHICLE <br /> UNDERGROUND TANK(MQNITCRING1REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKrTREATMENJ PLANT <br /> 0 TiEREo I7ERMITTED FAMITY ❑ 140TELlHOTEL IC PUMPER TRUCCKJYARDIGHEi1N TQiL E r <br /> ❑ TATTOOA30DY PEIRCING 0 POOUSPA ❑ LAND USE APPLICATION 5"-S <br /> 0 MEbICAL WASTE FACILITY 0 © C7HI--R(PLEASE SPECIFY ASOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of flies fr;)m the fiat above by checking <br /> the appropriate box(gs). At laws#one file type MUST be selected. Fax to.(209 �n-(L138 or rnclft t8 the <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for rx)iiiew will I)e confirmed <br /> approximately five business days but no later than tori(10)days after receipt of cation. The'ff1Q-%. <br /> will be held for a maximuM of five business day$for review. Appointmel)ts shOUld be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHO staff may not be immediately avallable for review. A nev <br /> application may he submitted when the file is available. <br /> k, Any file not returned in the same condItion as released will be reorgariziXI by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may requite a.$89.00 deposit prior to reviev+ <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3,00 pm will be proceSSed the next business clay. <br /> CONFIRM50 APPOINTMENT DATE TIME Po9t-It"Fax Nate 7671 <br /> DATE CONFIRMED PHONE FAX <br /> REVIEWED YES NO <br /> RE1CIl~VV DATE <br /> - Fax n <br />