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5274U 10 TO <br />!I A "'":Li k''',,1 V LQ ' <br />,y "-,,,, , 06 AO= COUNTXPUBLIC. HEALTH SERN.Fiur.3 mit:, <br />voc, surfteER 12-13-1999 M:3@i-11 FRC ri"ri. <br />ENVIRONMENTAL HEALTH DIVIVON <br />DEC 1 3 1999 3(14 GAST WEBER AVENUE., THIRD FLOOR <br />STOCKTON CA 95202 <br />ENO RONivIENIAL HEALTH <br />(209) 404420 <br />_ILEF-,..n.jasec, <br />,N4VBLIC RECORDS RELEASE APPLICA <br />APPUCANT _jja.h.n--a-L--Lae_n----------BusINESSfAqENcy_Sa <br />1 i f. . G e o p hy sical Gp. <br />ADDREss _f2,0_,.,_-$.p 578341 Mad e s t o C ik 5 7 8 3 4 1 <br />PHONE 5:22_L_-- 1 IL;.-.L______—___ FAOSIM1LE <br />______________---. <br />527-48 10 <br />TE NTATIVV APPOINTMENT <br />(Please WO 7 to 10 business days Ircrr4clate of applicalon submittal) <br />cHEcic SOX To EXPEDITE <br />REQUES $7S.00 FEE - RtCAIEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE or APPLICANT <br />toKit 1Z( 00 9 <br />_ <br />ADDRESs <br />ENVIRONMENTAL HEALTVIrlIVISION FILES <br />01 UNDERGROUND <br />TANK MST) cLEANUP SITE (LOP) El HOUSING ABATEMENT c 30LID WASTE FACILOY <br />Iig• OTHER CLEANUP SITE (N014-1201) <br />0 FOOD FACILITY <br />li SOLID WASTE vEHICLE <br />1=1 UNDERDROUND <br />TANK (MONITORiNtl/REMOVAL) 0 00G KENNEL <br /> El DAIRY <br />El HAZARDOUS WASTE GENERATOR 1:3 CHICKEN RMGH <br />0 MOTEUHOTEL <br />0 P1(0 TREATMENT PlAlir <br />0 IERED PERMITTED FACILITY <br />GI PUMPER TRUCIVAR)/CHEM TOILETS <br />El TATTOOJBODY PEIRONG In POOL/SPA <br />CI LAND USE APPLICATION St/ES <br />0 mEDiCAL WASTE FACIuTY El PUBIJC WATER SYSTEM 0 OTHER (PLEASE SPE ABOVE) <br />T <br />List up to ten addresses In the space above. <br />Seiect the type(s) of files from the lig above by checking <br />the approtiffitg 680). At leaot gov lily bTe <br />MUST be selected. Fax 2 4 Al aS or ail to t e <br />4-11c <br />El-lp will notify the applicant if any EI-10 tiles exist. An appointment for revieW will be confirmed <br />apprOximately five business days but no later <br />than ten (10) days after receipt of application. The files -q----r ate <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />A flie that is actively being worked on by DID staff <br />may not be Immediately available for review. A new <br />accordingly. <br />Any file net returned in the same cOnditiOn aS released WIII <br />be reorganized by ENO staff at the expense <br />application may be Submitted when the file is availati& <br />of the applicant. Future <br />file reviews by the same applicant may require a $78.00 deposit prior to review. <br />*TENTATIVE appointment dates must be confirmed with END staff. <br />Applications received after 300 pm will be procesSed the nex.t <br />.t:ti%inesta:s day. r. <br />Vir <br />:11 ...,..14.4 cw...,..,i:i„.,.,j14,,,i... <br />- <br /> ....;',4'-' <br />, <br />,