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Jun 06 03 05: 23p :, Hanover Inc 530 _3'tz' 1'i90 P. 1 <br /> I rc ,c-.,, .) <br /> j U N 0 9 2003 <br /> Ij <br /> Q�1TE Rs"MM SAN COUNTY <br /> FNilF;JNIMcT HEALTH ENVIRONMENTAL HMTH DEPARTMENT 103R <br /> P� SE <br /> 304 EAST WEBER A-V€NUE,THIRO FLOOR <br /> STOCKTc"CA95202 <br /> (209),=-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLK«� � ' LS✓.�Osn+�s►n.GCNGY <br /> ADDRESS <br /> PH <br /> ONE <br /> /& _ <br /> TENTATIV>r'Ar►rOiNT'u1ENT DATE TIME__�! ieation si�ed1 -l 7�� <br /> (Phk*4 give 7 to 10 b-M.12"(ran def•of aDpl ) F <br /> CHECK BOX TO E,%PED17re REq 189.00 FEE REou l PROCE ED 4 3 BU51rIE f <br /> ;�SIGNATuRE OF APPLICANT rz DATE <br /> _ I <br /> THIS S Df lfiHCr 5TAI I:UseI)I1L�' <br /> PILL ADO1RL.%* P"GiifiAtf Et Eh1FJh $'EaRCN <br /> r � f --- <br /> ENVIRONMENTAL rIEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOPI ❑ hoUSII1G AAATCMENT C1 SOUD>IUIr_S1<1!PIL7LITY t <br /> DTHLR C(kAlfuP stTE(NON-LOP) C3 FOOO r'ACILlTY <br /> CI SOLIDIIIASTi!WLW.�Lf= 1 <br /> UNOF-RGROUNO TANK{MGNITMHGMFMOVAL) Q DOG K=_NNEL CI DAIRY € <br /> HAZARDOUS WASTE GENERATOR 0 CHICK]-24 RANCH CI PKG TN!EATEI ENT'Pf.Arky <br /> N7 TIERED PERN Ir TED FACA JrY 0 rbTEL MOYEL O PUNPIEft IM=CWYAnDA:1fEF4 TCNLJ iS <br /> C1 T/�TT00flRdoY P>=IRGW6 a FOOV-WA G LIwt1 U AIIPUL:ATION`3rT><S <br /> M MEDICAL WASTE,FACILJTY ❑ OT11 (YLwA3aE SPfiC1Flry ._.__ �--- <br /> 9. Liat up to ten addret sos in the space above. Select the type(s)of fifes WWI Ow list abUve by checking ` <br /> the appropriate box(es). At least Oise file tyPNO MUST be roiected. Fax ta,L2il,1f„j_4.-OITl or mail to the + <br /> address Int teal 2ovc. <br /> 2. EMD will notify the applicant d any END fly exist. An appointment for4tivilew If fill bO Co 01711wd <br /> approximately ftvv business dxY&but no Iat�rr than ton (10)clays aTtsr re.-*ipt cd appl'rt:etlon. The files <br /> will be hold for a ma3dmura of five business days for review. Appointm 0 fib;shn uld he sA*eduLed <br /> . i <br /> accordingly. <br /> 3. A file that is activaty beim Wo*ed on by EH 0 Staff may not be Immediahalp"t1 labl'e Tsar review. A now <br /> Application may bo submitted when the flte 4 svailabile. <br /> 4. Any file not returned in the carne GOOOlMon;1:z releasW will be reorg nix d 9. I by C d I -P4athe <br /> of the applicant Future file reviews by the,wav applicant rmy regio qp*altprre maw. i <br /> 5. "YENTATIVE appointment date's roust be co ifirand with EHO staff. r <br /> a. Applleations received aftirr 3:00 pm.will be irrocassed the next busino5z dliy. <br /> CONFIRMED APPOWMENT DATE <br /> DATE-CONFIRMED <br /> FAX IINIT'k hL3 _ <br /> i <br /> REVIEYYEO yes NU RVIEYV DATE <br /> 30MONa f <br /> i0 3Jgd Hi'1v3ri �V1N3WIIpzJYM•3 ACIkob9ti fiD:91 E027,/S0I90 <br />