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AUG-25-2002 15:47 MONTGOMERY WFtTGON amw JI <br /> w S OAQUIN CWNTYPUBLIC HEALTW,SER%,qr,*' <br /> HEALTH Df� _AON <br /> EN1l�RONMENTAL H , <br /> 304 EAST WIESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)466-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> APPUCAN - <br /> D <br /> ADDRESS O L ;jD 6 <br /> PHONE -I Ll r FACSIUILE - Sr- r �LTN <br /> PER IT/SEIRVICES <br /> TEITrATNIV APPOINTMENT HATE F T I M I E <br /> (Please give 7 to 10 days f date apPlicatia SUbrnitlali. <br /> El C BOX EXPEDITE RF-QU 5agQV - D BUS ESS GAYS a <br /> CHECK ' <br /> DATE _- <br /> SIGNATURE OF APPLICANT <br /> ivE FILE qupEtESS PROGRAM D SF_ ONLY <br /> VELEM NYS SEARCH <br /> t1 �Q. FOIA Q.iA GLt � <br /> i FA <br /> W <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> D ltovst�t7 ABATENIFrNT Jp SOUn WASTE FACILITY <br /> rZ UNDFRGROUND TANK{USTI CLEA up sn 11.OPi ID 1:000 FAGMITY $0 <br /> r SAHZ WASTE VEHICLE . <br /> 1r GWFR CLEANup srrE(NON-LOP) p DWKEWMEL o°� <br /> PKG TIZEATMEW PLANT <br /> UNDERGROUND TANK(MONITOR113Cy1�£MOVAI.} Q GttICtCEtI RANCH *�} Pl1MPF.R TR�SCWYARDfC1'i1rH!Z'OII.ETS <br /> HAZARDOUS WASTE GENERATOR p te47EL1HOTEL .ANO USE APPLICATION SITES <br /> TIERED PERmWMD FACIt.ITY In PODIA ❑ GTHER(PLEASE sPeCIFY ASOV17 <br /> b TATrootlaoDY P> IRCING 1 v pUBLtC WATER SYSTEM <br /> 17 MEDICAL WASTE FACILITY ` <br /> g files from the list above by Check ng <br /> 1, List up to ten addreSseb in the space above. ST be Slect the elected. FDx to of 0g 4�'0f or mail to the <br /> the apPrapriate box[esk At least one file type <br /> address indiced <br /> ated abvu+e. ointment for review will b �onfiThe files <br /> 2. EMCI will notify the app cant if any EHO files exist. to appointment <br /> after receipt of application. <br /> A ointments should be scheduled <br /> approx'smately five business days but na later than ten (�0) days <br /> will be held for a maxltt�urn of five business days for yifyaprpnmedlately available for review. Anew <br /> accordingly. wonted on by EHD staff not <br /> 3. A file that is actively being <br /> application may be suttmitted when the file is be anized by EHD staff at the expense <br /> d Vii may require re a$89.00 deposit prior to review <br /> Any file not returned 16 the same condition a re applicant <br /> Will be reo <br /> of the applicant. Futu�file reviews by the same DPPD staff. <br /> 5. &T914TATIVE appointr4nt dates must be con rcmed with EH essed then xt business day. <br /> 6. Applications received after 3:00 pm will be p <br /> TIME <br /> FDATECONF!IIIMED <br /> D APPOINTMENT vATE. INITIALS ��- <br /> PHONE FAX <br /> TOTAL P.01 <br /> . <br />