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i ))lff Zr u,r 4:ZEYM Col P, EARTN�TECNNC�LOGIESCOUNTY 11 . :3 r, <br /> :303" "'P 1,'I i <br /> ��]L ���ll 17'I��� ERUNMENTAL HEALTH DEPARTMtT <br /> 304 EAST WEBER AVENUE,THIRD'I"LOOR i <br /> MAY 2 7 2003 STOCKTON CA-45202 <br /> ' (20C)468r3420 <br /> NVIRONMENT HEALTH i PUBLIC RECORDS RELEASE APPLIGATI4:� <br /> APPLICANT BUSINES5IAGENCY lei <br /> ADDRESS <br /> PHONE PACSIMILl.= <br /> TENTATNE APPOINITM>=NT DATE s 3 TiAm , C?a..7 Oa vi-s <br /> (Please give 7 to 10 business days from data of application suixnittail) <br /> NECK Box TO EXPEDITE REQUEST-$89.00 F!EE REQUE::T PROCESSED IN 3,BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ + � <br /> FILE ADDRESS THIS F31 EHI3TAFi-U$E ONLY. <br /> FROC+RAM EL-JEMICZN S SEARCH. <br /> J AI 4 <br /> i <br /> 40 <br /> n <br /> . - ;�- <br /> —USO 4 <br /> aa" <br /> ENVIRONMENTAL-HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) EI HOUSIPIG ABATEMENT 'POUD WASTE:�FAC1LMY <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY :301.10 4h ASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) M DOG K4 FLNE1- 11i)AIRY <br /> HAZARDOUS WASTE GENERA7on O CHICM N RANCH C3 111<6TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL ❑ PUMPER TRUCWYAI0lCI4EM'TOIL.ETS <br /> TATTOOIBODY PEIRCING Ia POOLASPA .. C1 LAID U;E APPLIcAT1ON srT>w5 <br /> ❑ MEDICAL-WASTE FACILITY ❑ OTHER(PLEASE SPECIFY)_. <br /> 1. List up to ten addresses in the space above. Select the type(s)of Men from the list above by checking <br /> the appropriate box(es). At least one file types MUST be selected. Fax toa0`i't64,-0138.or mail to fife <br /> address Indicated above., <br /> 2. EHD will notify the applicant if any EHD flies sxlsL An appointrhent fa r review will be confirmed <br /> approximately five business days but no later than ten(10) days.after receipt of.tpll'licatia.n. The.files <br /> will be held for a maximum of five business r.�ays for review. Appointments Should bo scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHE)staff may not be immediately available for rwvlow. A new <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned In the same condition a:z released will be reorganiza:d by END stuff at th'd expanse <br /> of the applicant. Future file reviews by the s;lme applicant may requires v $8f).00 deposit pdoj to review. <br /> 5. 'TENTATIVE appointment dates must be con-lirmed with EHD staff. <br /> 6. Applications received)after 3:00 pm will'be processed the next bualneim day. <br /> --- <br /> CONFIRMED APPOINTMENT€TATE . <br /> TIME <br /> DATE CONFIRMED PHONE FAX INJ TIAL:i <br /> REVIEWED YES NO REVIEW DATE <br /> EHD 4"242 <br /> aaarW <br />