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05/14/2003 10:01 ., 209-579-22-?5 MODESTO ATC PPGE 01 <br /> SAN JOAQUIN COUNTY <br /> MAY 14 2003 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ? r:': STOCKTON CA 85202 <br /> (200)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICNI'ION <br /> APPLICANT LJf l,u+! a.n )kkk'L^ SUSINESSlAaGENCY Arc <br /> ADDRESS {Wt PtL�w+ AMA,^ S-4 i+t B. . Ak w"US f0 _. <br /> PHONE ��9 5�^'ZZZ 1 �.1FAi StM1U' z<']� s��' " �L t:••� <br /> TENTATIVE*APPOINTMENT DATE r 7 �a Timm: <br /> (pINOO give T to 10 buelnow drys from data of application eulsmitt ) <br /> CHECK BOX To EXPEDITE REQUEST-US.00 FE -REQUES T PROCESSED IN s sUSINEZS DAYS <br /> SIGNATURE OF APPLICANT /V�lw IJ �- �-""1 `` DATE 5!I t4(0� <br /> FILE ADDRESS THIS 5101:E_HC STAFF USE OKY <br /> PROGRAii eLtMENTS SEARCH <br /> Z.'�S3 r4ti�-c. Ana Trac <br /> C..f.w+li S <br /> S t C-4►��•� CCa If(.rtl. 5�-D C ti4o.� � � �� <br /> y /Aac c d o 1-L S-iY-ate+ Lc,4AA V",fl — <br /> {�� M �c.. i i, a4�t�••'c 1a f-o c It ., _f4e ._._ <br /> ENVIRONMENTAL.HEALTH DIVISION FILES <br /> "PeUNDERGROUND TANK(WT)CLEANUP SITE(LOP) Q HOUSIHO ABATEMENT ❑ !>OI.ID WASTE FACILITY <br /> t5 OTHER CLEMUP SITE(NON-LOP) 0 FOOD FAcLrrY ❑ SOM W, 'It 11EHICLE <br /> C3 UNDERGROUND TANK(MONITORINGMEMOVAL) t] DOG KHNNEL 0 L1M?t7 <br /> O HAZARDOUS WASTE GENERATOR O CHICIG N RANCH ❑ I10I TRENTME1,1T PLANT <br /> O TIERED PERMITTED FACILITY M MOTEL?IOTEL O PtAIPER TRUCK YARDICHItM TOILETS <br /> d TATTOOJBODY PEIRCING 0 POOUSPA ❑ LANU U4 E APPLICATM SITES <br /> MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY)__ <br /> 1 <br /> 1. List up to ton addresses In the space above. Select the type(s)of flier from the haat above by checking <br /> the appropriate box(os). At least one filo typs MUST be selected, fWjq, s:.Z.4 3�4-0138 or Ma.11�t �h2 <br /> addresl indicated above, <br /> 2. EHD Will notify the applicant If any EHD files exist. An appointment for revicriv will be confirmed <br /> approximately five business days but no later than ten(10)days after rer.91W.of application. The flat <br /> will be held for a maximum cf five business days for review. Appointments aihould be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be ImmediaAt,31y Ilvallable for review. A new <br /> application may be submitted when the file let available. <br /> 4. Any file not returned In the same condition as released will be reorgaratziW b..�EMG Staffat the expense <br /> Of the applicant. Future file reviews by the srlme applicant may rc qulrn ata SW AD diDposit prior to review. <br /> 6. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> s• Applications received after 3:00 pm will be processed the next businens day. <br /> IMWIFMW AFPOINTIIIfENT-DA7f <br /> DATEDiFWOED _ - -PHONE VAX Il31i ALAI <br /> R YI S NO R N11WY"TIE <br /> xnrtow <br />