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I U ljlb��-�0207 P.01 <br /> NE <br /> t I Q LOG twaZq <br /> N39AQUIN COUTYPUBLIC HALTH SEWCES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST wEsER Avr:NUE,THIRD FLOOR q73 <br /> STOCKTON CA 95202 <br /> MAJ 1 9 2001 P (209)488-U20 <br /> ELIC f(ECIDIWIS RELEASE APPLICATION - <br /> -FIT <br /> Al' - T <br /> )k, 0 N�ro kaA, Tr-, <br /> Li, ��- <br /> FACS1141LE 02,10rZ <br /> TENTATIVE'APPOIATM 14T DATE TIME <br /> '(Fle=x give 7 to iQ ibusinvss Lsaya Iron mw of apprization submmau <br /> cHRr,K nox To ExpEorrE"ou 00 FEE REQL]EST ROCESSED IN 3 JEWSWE$3 DAYS <br /> SIGNATURE OF APPLICAM0 11-7 DATE <br /> -,)Zz <br /> 1�7 <br /> FIS DRESS Dies 50fr EHD STAFF USE ONLY <br /> ee '-Ald ELEMENTZ SFARCK <br /> 67- <br /> '4A I, DM�510N FILES <br /> ENVIRCOMMMEN I HEALTH <br /> JdUK1;PLr,Q?tDUN0TAk4K(U,S-r)(,-L;EMuF:5rff(LOP) 0 iiaLP*mQA,0^TkWENT C3 soup WA3-TE FACILITY <br /> E3 OTHER CLEANUP SITE[NON-LIPP) 0 F000 FACILITY in 501AD WASTE vr=HICL� <br /> UNDUtGROUND TANK IMONITORINWR EMOVAL)• C3 OGG PEENNEL 0 [AIRY <br /> HAZARDOUS WASTE GENFFLAtOK 0 CHICKEK RMCh 0 PKG TREAMWENT PLANT <br /> o T7rtREnP4RmTrrEvFAciuTy f 13 A40TELJHOTr--L 0 PUMPER TRL[r-XffAJROJCHEM TOXATS <br /> IM TATTOOAM)DY PEIRCING 1:3 POOLOSPA '" ' n LAND U3F.APPLJCA710N SITES <br /> 0 C PU13UCWATER Sry;3Trh& 0 OTHERIPI EASE 8PrrCjFYA20VE) <br /> 1. List up to ten addMsses in the space above. Select 1119 type(s)of files from the list above by checking <br /> the appropriate box(vsj. At least one file type UU-ST be selected. E46 tq(JQ21 4%Q 13 Q g.r-m.all tp tft <br /> addm-ss indicated bbavy. <br /> 2. Egli]W1 If notify the;applicant if any ZHD 10aii oxf-it An appointment for ravlaw%Ili be confirmed <br /> approximately fiV*!bUSine55 days but"XaW than tan(10)days after receipt of application. The tiles <br /> will"tee held far b MaXirauM Of Eve lousiness days Fpr review. ApWntmentz should 114 scheduled <br /> accardlngiy. 1 1 <br /> 3. A fila that 13 ;tCtIVEly being workad on by EHD staff may not be immediately available for review. A inew <br /> application may he submitted when the file is avdikAbl®. <br /> 4. A-Y file not returned in the same canditiOn it$ nolipa3ed will be reorganizod lay EHD staff at the expense <br /> ofthe appticant. FiAtwo fl le rovkws by thu'TQma applicant May require a$87.00 deposit priorto evk r W <br /> 5. 'TENTATIVE appo4itment dates must be confirmed wM END staff. <br /> 6- Applications rec,*!,jeo after 3:00 pm will he pro"aQed the n"t business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DA7E CONFIRMED PHONE FAX INITIALS <br /> FWVIEWED YES NO ' REVIEW DATE <br /> A"UO $4 4%WN9 <br /> TOTAL P.01 <br />