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Monday, May 13,2002 11:53 AM Lynn Thiel(209)825-9786 .02 <br /> u <br /> E 95/13/2602 11:21 464013 ENVIRONMENTAL HEALTHPA <br /> GATC acCCNGo EFS� <br /> SAN OENVIRONM NTA HEAL H DIVISION SERVICES IRFV <br /> �E� V ED <br /> 304 EAST WEBER AVENUE.THIRD FLOOR �}�C E <br /> STOCKTON CA 95207 MAY .13 2002 <br /> (209)469-3420 <br /> J6 <br /> y PUBLIC RECORDS RELEASE APPLICATION EALTH <br /> APPLICANT µ4 BUSINESSIAGENCv PEG P �RVIGES <br /> tc.� / ice . <br /> ADDRESS 5 <br /> PHONE <br /> TENTATIVE'.APPOINTMENT DATE TIME - <br /> (PIe9S!give 7 to t US s d fron►date of p' lion aubu lltA) <br /> i <br /> Ct4ECK 80X TO EXPEDITE REQUEST-189.00 RSQ EST ED IN 3 IJSlNESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> F{LE AOCIRESS THIS SIDE EHD STAFF USE'ONLY <br /> pROGRAM ELEMENTS SEARW <br /> ---------------- <br /> ENVIRONMENTAL 14EALTH DIVISION FILES <br /> C3 HOUSING ABATEMENT <br /> SOLID WASTE TACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CZ 0 FOOD FACILITY SOLID WASTE VEHICLE . <br /> OTHER CLEANUP SITE(NON-LOP) O DAIRY <br /> ❑ UNDERGROUND YANK(MONITORINGMEMOVAL) Q DOG KENNEL O CHICKEN RANCH 0 PKO TRr-A rMENT PLANT <br /> ❑ HAZAR6DUS WASTE GENERATOR 0 CHICK IN RAN 1M PUMPER TRUOKIYARP>CHEM TOILETS ; <br /> ❑ TIERED PI;RIIAITTED FACILITY C7 IMOTEUPOOLfSPA 13 LAND USE APPLICA-110M b'ITES <br /> G TATTOOMODY PFIRCING' O PUBLIC WATER SYSTEM O OTHER(PLEASE S CIIiY ABOVE) <br /> 0 MF-MCAL WASTE FACILITY <br /> cl 1. List up to ten addresses in the space above- Select the type(s)of Tis from the fist above by checking <br /> Ile <br />` o the <br /> the appropriate box(ec). At toast one file type MUST be selected. Fa 209 tlti 13E or mail t <br /> address indicated above. ointment for review will be confirmed <br /> 2• IrfiD will notify the applicant If any EHD files exist An app 1 <br /> approximately five business days but no later than tots(10)days after <br /> should be schad ledDles ! <br /> will beheld for a maximum of five business days <br /> for review. APP <br /> accordingly. <br /> ailable far review. A flew <br /> 3, A file that is actively being worked on by EHD staff may not be immediately av <br /> application may be submitted when the file is available. <br /> Any lite not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> 4, <br /> of the applicant. Future file reviews by the'same applicant may require a SBg,DD deposit prior to review. <br /> g *TENTATIVE appointment dates must be confirmed with EHD Staff. ; <br /> .6. Applications received after 3:f -pm will be Processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. <br /> TIME <br /> PHONE <br /> FAX INITIALS <br /> ATE CONFIRMED <br /> D , <br /> REVIEWED YES r <br /> NO REVIEW DATE <br /> .A ePne ��• ' <br /> r , <br />