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VU <br /> Aug-08-02 04: 15P /� P.O1 <br /> SAAR VW COUNTYPUBL)C M LT CES f <br /> {� ENVIRONMENTAL HEALTH DFVIS16N <br /> I 304 EAST WMW-R AVENUE,THIRD FLOOR L_J, <br /> STOCKTON CA 83202 ` - D <br /> (2M 40-3420 LJ <br /> PUBLIC RECORDS RELEASE APPLICATION 1 <br /> 1sLICANT eu!!tNl3S9/gQ�iCY rQ .� <br /> ADDREli!f Alf C ,15 C' p 7 A <br /> PHOtm SS FACSIMILE <br /> AoilIt <br /> PPOR4TM DytDATE C� t�!S 9E <br /> ` . Co 1 <br /> (Plus"DIVOT to 10bust of rp tits*►aubmi <br /> ,IQTO DCPEt?I)$REQLtES7• 3 BUST MBS DAYS <br /> SIGNATURE OF APPLICANT DATE I <br /> FILE ADDRE34 'THIS FlOt EHD STAWOr.ONLY <br /> AROt3ltAM EL01E81ttTS SEAACH <br /> i <br /> w <br /> v 3 <br /> ENVIRONME <br /> �UND$k4ROU1+Ip TANK(UST)CLEANUP arm(AP) t3 kn XID WASTE FACtL.rTY <br /> 0 RWR CLW"WM(NO"M C1 �_v )LID WASTE VEHICLE <br /> WJ N*7AW*WID TANK WOMM9 Sfi MOVVAW 0 --- — _ _AIRY , <br /> HAZARDOUS WASTE DRIVIRATOR O 328? KG TPWATMENT PLANT <br /> 0 TIEREfl PATTED FACAJTY cl UMPER TRUCKfYAR=W5M T0tLETB <br /> O TATT=DVY PSStCMG O AM)USE APPLICATM SITES <br /> 0 MEDICAL WAX'M FACLfrY 0 MR(PLEASE SPTCWT A>QWM <br /> 1. Las:up to tan addromm In the apace r f M the fist above by checking <br /> the appropflaW btu(eq). At least one i jo(209)464,0138 ar mail m_ft <br /> �� _ - <br /> 2. GHD wig noft the applicant if any EH r review will be confirmed <br /> spprowb"ately F"busk am Afays but %LWPt Df app ization. Th&!ties <br /> will be held for a trawdmum of five business days for review. A-ppointments should be scheduled <br /> a=9rdingty. <br /> 3. A file tint Is actively being worked on by CHO Staff may not be immediately available for roview. A new <br /> application may be submitted wh*n the file Is available. <br /> 4. Any Go not returned M the same condition as released will be reorMized by END staff at the.Vena <br /> of the applicant. Future til*reviews by the same appIitant tiny require a$89.00 deposit prior to review. <br /> 3. TEWATIVE appohnhnent dabs must be confirmed with EHD sb1Y. <br /> G. Appr=Wonc received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> t tIEYVIlD YES NO RP-V=DA'T'E <br /> x-11-2082 MON 10:51AM ID:KRAZAN AND ASSOC Fpr : l <br />