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vs�U4d� �i _2U:1& FAX. 213 680 6499 BINGHAM McCUTCHEN LA 5 Vj002 M <br /> 09/06/2082 11.47 464013-' ENVIRnNMENT'AL ,LTH PAGE 51 <br /> rnl w n�+.cnzv EMD�00 HUMAER <br /> AQUIN COUNTYPUBLiC HEAL'14 ERVICES <br /> ENVIRONMENTAL HFALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 1 �- <br /> STOCKTON CA 8520 n ` - <br /> 02 <br /> SEP PH 4: l; f (3t19)458.3420 ;' <br /> PUBLIC RECORDS RELEASE APPL.�CATION SEP 0 9 20DZ <br /> APPUcAMSte-Phanie A,. Jones,' E8craugrNEgsIAGENCY_Pingham McCutcherfNMENT HEALTH <br /> n•iT rnre-a r nr.. <br /> ADDRass_ 355 South Grand Avenue, #4400 , Los AUeJ.es, California 90071 __ <br /> PHONE.(,21.3) 680-6638 --- --FACSUAI E (213) 6806499 <br /> A <br /> TENTATIVE"APPOINTMENT DATE TIME <br /> (Please give 7 to 10 buw*Loss cUrjs&Qm date pplication subMitt&I) <br /> �-+ CHECK BOX TO EXP EorrE 94QUEST• - n�USIMNE AYS <br /> SIGNATURE OF.APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHP STA:F US6 ONLY <br /> PROGRAM ELEMENTS Sam= <br /> Beacon #641 1210 Hammer an <br /> Stockton . California 9521.0 <br /> it <br /> .I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(115'1')CLEANUP SIVE(LOP) Q HOUSING ABATEMENT ' 0 SOLID WASTE FACILITY <br /> b OTHFR cLEANup srm INON-LOP) 13 FOOT]FACILITY t7 SOLID WASTE VEHICLt <br /> 17 UNDERGROUND TANK(MONITORIMGIREMOVAI.) M DOG KENNEL 10 DAIRY <br /> XX HArAPPOUS WASTE GENERATOR C] CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 17 TIERS PERMITTED FACILCCy M MOTELIHOTEL M PUMPER TRUCK/YARDICHEM TOMETS <br /> D TATTOOIBODYYEiRCING ❑ POOL/SPA C7 LAND USE ApPT.ICA-nON SITES <br /> U MEDICAL WASTE FACILITY , XX PUBLIC wAWR SYSTEMS C1 OTHER(PLEASE SPECIFY ABOVE) <br /> z. List up to tan addresses itt the space above. Select the type(S) of flies from the list above by Checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (2091464-0138.or mail to the <br /> address Indicated above. <br /> 2, EHO Will notify the applicant 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 fvr a Maximum of five business days for review. Appointments should be scheduled <br /> accordingly. it <br /> 3. A file that is actively being Worked on by EHD staff may not be immediately available for review. A now <br /> applicatian may be submitted when thO file is available. <br /> 4. Any file not returned in the sante condition os released will be rreorganlzed by EHD staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EMD staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINT —�- <br /> DATE CONFIRMED -•-- <br /> REVIEWED Yf <br /> •.MAW <br /> 1 <br />