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TEL May 31 ' 00 7 :54 No .002 P .02 <br /> Un�u ISiCLNYJ ' EW1 L4G MlIW1kN <br /> S- O G SAN JOAQUIN COUNTYPU13LIC NL-ALTH &CRVICES <br /> ENVIRONMENTAL HEALTH DIVISION { <br /> /n f L 3U4 EAST WZ59RAVENUE.THIRD FLOOR <br /> pati a9) y6N-013 Fr WrOCKTON CA S=uz <br /> (201)46"UO <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT - A/y.41'n A/ m i RLWK5asJ&aENCY <br /> AIDDRE33 r� <br /> -FHONG l �I�b 7� y3aIU <br /> 1/ FACStA 26, 1371- 19't9 !7 <br /> TE NTATIV£'APPOOITUEHTMTi TIME <br /> lry (Pleas give T to 10 bUNnoa days from deb of eppllCetlantlon eubmRkel) <br /> u CIICCKPDX TOCXPCDIYCRCQUCOT•$79.0rCC-RCQUCOTPROCCSOCOIN3PUGWC000AYa l►feu 11 <br /> 191<3NATURE OF APPLICANT �Li.I 9 Idb DATE <br /> RTPA SLD!END STAPP USA ONLY <br /> PROORAta ELr;ME C SEARCH <br /> O <br /> p S1 <br /> " <br /> ��er Sha ave Srw{ 1, <br /> ENVIRONMENTAL HFA TH DIVISION FtLES� a} JUN —6 2000 � <br /> m UNDERGROUND TANK(USTI CLEANUP diTE(LOP) ❑ HOUSING ABATIME14T O aOLID WASTE FACILITY <br /> 0 OTHER CLEAHUPSITE(NON-LOF) 0 POQOFACILITY 0 SCUD WASTE VEHICLE <br /> W-UNDERGROUND TANK(MONITOMN TREMOVAL) ❑ DOG KENNEL M DAIRY <br /> HAZARDOUS WAST!OMIKATOR 0 CHICKSH RAACH 0 PKG TREATMENT PLANT <br /> C T7ErtCo reualTTCjI rACa.rTr 0 MC72LAC T1' O FUWFCRTRUGIVYArjXcMm.MToILEis <br /> 0 TATTOM001 PEMING O POOUSPA 0 LAND USE APPUCAMN SIM <br /> O MEDICAL WASTE FALL'4TY 0 PUBLIC.YyATFR AYRTSM 0 OTHER(PLEASE RRECIFY AaOYR) <br /> 1. List up to ten addresses In the space above. Select the type(*) of files from the list above by chocking <br /> the appropriate box(ea). At least one file type MUST be aaloctod. Fax to (202)464.0138 or mail to thQ <br /> address indicated above. <br /> 2. EMD will notify the applicant if any EHD fila* exist, An appolntmertt fQrreYiew will be confirmed <br /> approximately five business days but no Iatar than ten(10) days after receipt of application. The files <br /> will be hold for a maximum of five bualnosS days for review. AppointnTents should be scheduled <br /> accord(ng(y. <br /> 3. A file that Is actively being worked On by SHE)ata*mmy not be Immsdlatey available for review, A new <br /> application may be submitted when the filo Is available. <br /> 4. Any Me not returned in the same Cor4tfon ea reloysod will ba reorganised by END staff at the expan*o <br /> of the applicant- Future file ravlewe by the 0=715 Opplicant may reQUIYQ a $78,00 deposit prior to rovLvw, <br /> o. "TEHTATWE appointment da;e3 must be confirmed with EHD staff. <br /> t Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX mrrmL8 <br /> REVIEWED YES NO REVIEW OATC <br /> - TDTFL P.BS <br />