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.Tun u5 ue ua: ACa Ina;le RUUr 1 u=� <br /> 06/05/2002 09:22 46407 EWIRONMENTAL HEAL" <br /> Nb►Yl <br /> onfteceerveo <br /> SAN pAQUIN COUNTYPUBLIC HEALTH SEOVEC <br /> ENVIRONMENTAL HEALTH DIVISION IL������D <br /> 304 EAST WEBER AVENUE THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)4ss-3420 JUN 0 5 2002 <br /> PUBLIC RECORDS RELEASE APPLICATIONENVMNMENT HEALTH <br /> APPLICANT 51NESSIAGENCYPERMIT RVICES <br /> ADDRESS - s O'7 ' 2 <br /> PHONE !! 9- �� FACSIMILE : G <br /> TENTATIVE6.APPOINTMENT DATE TIME <br /> (Please olve T'lo S0 busfntss days from d�tq t apSuhmlH <br /> � 3'115-� 6S t <br /> CHECK BOX TO EXPEDITE REOUEST-,MOO 1`44 U AR IN <br /> SIGNATURE OF APPLICANT <br /> DA _j12 /in <br /> 2- J <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH <br /> C' N/X' a 35. Atit s- <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 17 HOUSING ABATEMENT 0 SOLiD WASTE FACILITY <br /> P UNDERGROUND TANK NSY)CLEANUP SITE(LOP) a FOOD FACILITY O SOLID WASTE VEHICLE <br /> D OTHER CLEANUP SiTE(NON-LOP) 0 DAIRY <br /> g UNDERGROUNDtl DOG KENNEL TANK(MC)NMRINGIREMOVAL) a CHICKEN RANCH O PKG TREATMENT PLANT <br /> 1] HAZARDOUS WASTE GENERATOR a cHlcKEt4 RANTEL 0 PUMPER TRUCKIYARDIGHEM TOILETS <br /> 0 TIERED PERMITTED FACILITY 0 poTELIHOOLISPA C] LAND USE APPLICATION SITES <br /> 0 TATTOOlBOOY PE"t"a a PUeLiC WAT ER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 0 MEDICAL WASTE FACILITY <br /> list up to ten,addresses in the space above. Select the types)of files from the fist above by checking <br /> the appropriate box(es). At least one WO type MUST be selected. Fax to 1209)464-0438 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any END files exist. An 10 daysm after receipt f application' The files <br /> approximately five business days but no later than ten( ) after <br /> ret Should-bescheduted <br /> will be held for a maximum of five business days for review. Appointments <br /> accordingly. <br /> �, A cite that.is actively being worked on by END staff may not:be immediately available for review- Anew • <br /> application may be submitted when the file Is available. nized by E})p staff at the eXpense <br /> 4, Any file not returned in the same condition <br /> the as releasedpiantlbe mar require a 509.00 deposit prior to review. <br /> of the applicant. Future file reviews by the same app <br /> 5 •TFNTATIVF appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:40 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. _ <br /> TIME <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED _ <br /> REV1t_WED YES NO REVIEW DATE <br /> �_�. <br /> •�A1.M� <br />