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❑PIC RECEIYED - .. - EHrn1 - <br /> SAN , a,QVI V COUNTYPUBLIC HEALTh RVICES v ,�� <br /> ENVIRONMENTAL HEALTH DIVISION L <br /> 304 EAST WEBER AVENUE,THIRD FLOOR N <br /> L- STOCKTON CA 95202 � 6 2000 <br /> (209) 468-3420 ENVIRUNMEN;HEkL HH <br /> PUBLIC RECORDS RELEASE APPLICATION PERMIT SF lr,r' <br /> APPLICANT M0-K-I k-I 0- r•iµ-%k-<.S BUSINESSIAGENCY <br /> ADDRESS $ 86 �Iro_v+l<.. t a-'%+ C4-e_69-y. c�iwi t-Q hoc l� �ov� 1 G�r <br /> PHONE .�amt — �E CSS t FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE <br /> (Pioase give 7 to 10 bu mass days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST--x$8'7.00.FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT --�;?�'�- DATE t 1 1!(v <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELENIENT5 SEARCH <br /> Q"t '".G�. '� ✓3C?dt .s�!:d�.�xVQ.I�,. ILt�..,,. y ��o �(nJ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> /UNDERGROUND TANK(U5T)CLEANUP SITL-(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILRY ❑ SOLID WASTE VEHICLE <br /> Z UNDERGROUND TANK(MON ITORINGIREMOVAL) U DOG KENNEL LI DAIRY <br /> C HAZARDOUS WASTE GENERATOR LI CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY G MOTEUROTEL ❑ PUMPER TRUCK/YARDICHEMTOILETS <br /> ❑ TATrO"OOY PEIRCING G POOL/SpA " - ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY El PUBLIC WATER SYSTEM Q OTHER(PLEASE SPECIFY AROVEy <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. raX (21019)46A-0138 or mail to the <br /> address indicated above. <br /> 2. EHE]will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business clays but no later than ten (10) days after receipt of application. The flies <br /> wll! 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 /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as roleased will be reorganized by EHD staff at the oxpense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 doposit prior to review. <br /> S. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3.00 pm will be processed the next business day. <br /> GONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED ___-- __-- PHONE FAX INITIALS <br /> RFViFWFn YFcz mn 10�111Pur nA rc <br />