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u4-41-vJ 11:41am From-ENVIRON ENER"VILLE <br /> nenea�ivG . 5106559517 <br /> T-561 P.02/02 F-592 <br /> Jt7Atrt COUNTYPUBLIC HEALTH SERvIc:I_S X121 <br /> kr7 �10P,&1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAR 2 1 2003 301 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON GA 95.202 <br /> ENVIRONMENT HE (209) 468-3420 <br /> PFRMI>„��,1�VIC _ LIC RECORDS RELEASE APPLICATION <br /> PPLICANT EVA. it. MINLSWAGENcy 8t/1 Th4e.�r <br /> DORESS 6001 `y&QQ�IrL:B w�nl, A}f-700 !Fm7,,�t�i <br /> HoNt= S 7AD0 FACSIMILE <br /> _L15-1 L-6-5 5 -ciS l 7. <br /> TENTATIVE"APPOINTMENT BATE pjPtw rev bwL TIME _ <br /> (Pleasa Ift" 7 t4 14 burlrKss cloys from date of application Rubmhtal) <br /> CHECK 13OX TO EXPEDITE REQUEST-$89,00 FEE-REQUEST I-ROC SSFD IN 3 BUSINESS DAYS <br /> yIGNATtJRi» OF APC�LICANT ���"" C;I,AT> <br /> FILE ADDRESS CA THIS SIDE UT STAF to Q�N4 i <br /> PROGRAI4 L 1_EMENTS S6ARCi� t ' <br /> ,�/A+t_iGC� 1% <br /> ,62 <br /> arkvt <br /> ) . <br /> 19,2 <br /> ; si S _.. <br /> ;36 JUI.AXvxk S+To* I'D <br /> / ENVIRONMENTAL HEALTH DIVISION FILI:.'3 <br /> 3 UNDISRGROUND TAMC (LIST)CLIEANUP SITE (LOP) 0 MOUSING ABATEMENT f7 SWU 41'VASTIc FACILITY rep � <br /> ?OTHER CLEANUP o1TR (NON4..0P) C7 FOOD FACII.-ITY 0 %. .ID WASTE VI:NICLIE � <br /> VUNoeRaRouNO TANk (MONITeR1NWRRM0VA4) C7 AOC KENNE=L in nNRY 1 r <br /> a'jJAZA DOWt WASTE oENRRATOR ❑ CHICKEN RANCH n PIUITI' .EATMI::H'rPLANT L F <br /> T1FREo PERMIT'mu FAkCILITY O MOTEWHOTE.L -0 PWIPE IR TRUCKrTARdfCFIE:M TOIL.IETS <br /> TATTOOMODY PaIRCiNG In POOUSPA 0 LAMP 1,131ZE A 1PLICATION SITS <br /> MEDICAL WASTE FACti-ITY 0 Q MIEFP, (Pt_FJ0;E SPECIFY ABOVE) <br /> 6 <br /> List up to ton addresses in the space above. Select the type(s) of files frorrr thta fisc:above by cho,.King <br /> the appropriate box(es), At least one file type MUST be selected, faxo 2_ s 4rj-0 3 n rnliz <br /> ad+dre >D lndi�cated a eve. <br /> L EHD will notify the applicant If any EHD files exist. An appointmentfarlo%d,ii ewmriil be confirmecl <br /> approximately five business days but no later than ten (10) days after rare 4 pt of application. Th:e 111105 <br /> will bo hefts fors maximum of five business days for review, AppefntmMt.f_1:'w Should be schedule! <br /> accordingly. <br /> 1. A fila that is actively being worked an by EH>D Staff may not be lmmediajeJ)(r aval4ahle for rwriew, A now <br /> applicatlotti maybe submitted when the file Is available. <br /> L. Any file nW returned in the carne condition as released will be reorganil,edl lby IDID staff at the expense <br /> of the 4ppl icant. Future file reviews by the same applicant may require a-T�159.00'dopositprior to r o a <br /> i. -TENTATfVE appointment dates must be confirmed with EHO staff. � �� , {y r T -r��� <br /> i. Applicationo received after 3:00 pm will by prormessed the next businns da l y. � <br /> :ONFIRMED AP POIN <br /> )ATE =NFIRME I(NIYI/I�Li9 <br /> ?EVIEWED <br />