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FROM NOA Environmental PHONE NO. : 209 369 4228 Dec. 23 2002 12:25PM P4 <br />J:Aq 4R <br />,SAN s. G?UIN COUNTYPUBLIC HEALTH S RVICES ��. ,W <br />�fI �� ;',i-„�; �� ��''NYIRONMENTAL HEALTH DIVISION <br />v 304 EAST WEBER AVENUE, THIRD FLOOR I <br />DEC 2 3 2002 STOCKTON CA 95202 <br />ra�J(209) 468-3420 <br />^�%UBLi_ EC®RDS RELEASE PLtCATiON <br />APPLICANT ` _ , �t BUSINESSIAGENCY <br />00 <br />M <br />ADDRESS WZ— il[ <br />PHONE20�� 31v7 ^37p r _ FACSIMILE- <br />TENTATIVE” APPoiNTmENT DATE :Z -A. Co, 24d 3 TIME q4Z) A. <br />(Please give 7 to 10 business days from date of applicatim subminaQ <br />® CHECK SOX TD EXPEDITE REQUEST - $89.00 FEE -• RE EST PROCE <br />SIGNATURE OF IM� OAT <br />THIS SIDE F-1-10 STAFF USE ONLYPROGRAM ELEMENTS SEARCH <br />1910 <br />FT <br />0 <br />Waw f &"o c YAK• �Ae" +5 <br />ENVIRONMENTAL, HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT O SOLiD WASTE FACILITY <br />O' OTHER CLEANUP SITE (NON -LOP) 13 FOOD FACILITY II SOLiD WASTE VEHICL9 <br />UNDERGROUND TANK (MONITORINGiREMOVAL) 0 DOG iEgN p DAIRY <br />RfHAzARvous WASTE GENERATOR O CHICKEN RANCH ® PKG TREATMENT PLANT <br />E] TIERED PERMiTrED FACILITY 13MOTEM,/HOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS • ~ <br />13 TATTOOIBODY PEIRCtNG ❑ POOLiSPA D LAND USE APPLICATION SiTES <br />❑ MEDICAL WASTE FACILITY ❑ PUBUC WATER SYSTEM 0- OTHER (PLEAS$° SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to120A) 46"138 or mai! to the <br />address Indicated above. <br />2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly, <br />3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new. <br />application may be submitted when the file is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br />of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br />5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE. TIME <br />DATE CONFIRMED PHONE FAX INITIAL.$ <br />REVIEWED YES NO REVIEW DATE <br />411 — <br />