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AUG-26-2002 15:47 MONTGOMERY WATSON 925 975 3412 2.01101 <br /> V ew tiw xyre�+ <br /> 5 OAQUIN COUNTYPU13LIC HEALT --'ERVICEsd <br /> ENVIRONMENTAL HEALTH DIVISION ;or,! 9 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 9 <br /> STOCKTON CA 95202 <br /> (209)466-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT I'o bP LT V V t I lW I517"Y BU INES3lAGENCY <br /> ADDRESS L O//�� '"� t1'L v� Cj lM 1 L ;300 <br /> PHONEi25 -"1�.�- I'T I /iY�y3�r FACSIMILE _-t2�- I�.�� <br /> TENTATIVE*APPOINTMENT DATE � va �'ERMIT HEALTH <br /> (Please glue T to 10 I days r date appllcatloE Submittal)6 �,,,� , /SERVICES <br /> CHECK BOX TO EXPEDITE REQU4I�0E �BUS ESS BAYS <br /> SIGNATURE OF APPLICANT DATE PJ h v <br /> FILE ADDRESS ` THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> D �2 )otn tN cu <br /> '31 <br /> to 3 <br /> b0 NfA <br /> S" %L}1" �LI/D. MA'f1z�GA � Pil-7 gdvli-3(o <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Pill UNDERGROUND TANK(USTI CLEANUP Srm(LOP) ❑ HOUSING ABATEMENT 'M SOLID WASTE FACILITY <br /> X OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY 1)�V SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGA(EMOVAL) Q DOG KENNEL 4 DAIRY <br /> HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH �O PKG TREATMENT PLANT <br /> P'TIERED PERMITTED FACILITY O MOTELIHOTEL >7 PUMPER TRUCKtYARDICHEM TOILETS <br /> 13 TATTOOIBODY PEIRCING ❑ POOLrSPA .Pb LAND USE APPLICATION SITES <br /> 4 MEDICAL WASTE FACILITY 1,41 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addresses in the space above. Select the type(s) of files from the list above by checking <br /> the approprlate box(es); At (east one file type MUST be Selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHCI will notify the appl cant If any EHD 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 files <br /> will be held for a maxirlium Of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively bring worked on by EHD staff may not be immediately available.for review. A new <br /> app4cation may be sulimittod when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of Itfe applicant. Futu?6 file reviews by the same applicant may require a $89.00 deposit prior to review. <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 day. <br /> [1) <br /> ONFIRMED APPOINTMENT DATE. TIME <br /> ATECONFIRMED PHONE FAX INITIALS <br /> cv�anrCn vcc .�n nm%nm Ar nA7C <br /> TOTAL P.01 <br />