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2 16:18 FAX 213 680 6499 BINGHAM McCUTCHEN LA 5 Q00?. <br /> 92 11.47 464013AQUIN <br /> EhNIRMMQ�[TAL H AGE 131Era <br /> V COUNTYPUBLIC HEALTH SERVICES S <br /> �00�,1 1'; ENVIRONMENTAL HEALTH DIVISION <br /> "° 304 EAST WEBER AVENUE,THIRD FLOORe (� '- <br /> STOCKTON CA 95202 n- � �- -- <br /> 04 SEP _ p1 4: I; S {209)468 3420 <br /> PUBLIC RSC®RDS RELEASE APPLICATION SEP 0 9 2002 <br /> McCutcherf LAMEN <br /> Bingham T HEALTH <br /> APPt�ICANTSte>,hanie A. Jonesi Esg.gust�tsssraceNCY Bin g <br /> ADDREss 355 South Grand Avenue, #4400, LOS Angeles, California 90I L11 <br /> 071 <br /> PHONe (,213) 680-6638 FACSIMILE (213) 680--6499 <br /> bb <br /> TENTATIVE"APPOINTMENT RATE L TIME - 9 00 <br /> (Please give 7 to I business days date p0cation submitfat) <br /> u CHECK BOX TO EXPEDITE REQUEST• - "on <br /> S <br /> SIGNATURE OF APPLICANT DATE J <br /> FILE ADDRESS THIS SIPE EHD STAF9 uS6 ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> vV Beacon #641 1210 Hammer Lane E <br /> Stockton California 95210 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> XX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 17 HOUSING ABATEMENT ' 0 SOLID WASTE FACILITY <br /> b OTHER CLEANUP SITE(NON4.OP) ❑ FOOD FACILITY G soUO WASTE VEHICLE" <br /> E3 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNE=L O DAIRY <br /> XX HAMAR=U9 WASTE GENERATOR ID CRICKEN RANCH Q PKG TREATMENT PLANT <br /> D TIERED PERMITTED FACILITY O MOTELIHOTEL ID PUMPER TRUCKIYARDICHEM TOM ETS <br /> G TATTOOIBODY PEIRCING Q POOUSPA t7 (,AND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY , XX PUBLIC WATER SYSTEM EJ OTHER(PLEASE SPECIFY ABO <br /> 1. Lest up to ten addresses in the space abova. Select the type(s) of flies from the list above by cheak)ng <br /> the appropriate box(es). At(east one fife type MUST be selected. Fax to (209)464 0 38 or mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD tiles exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (90)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 /> applicatian may be Submitted when tate 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 3:04 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX -INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> •R MAW <br />