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OCT-29-2004 FRI 03;25 Pfd0�I'°... "NVIRONMENTAL SVCS FAX N0, 5101W 4926 P,.. 02 <br /> 10/26/2004 14:25 26946€3 , FIMFl-OOR PAG4E 82 <br /> AAM 549MmM coo HUNOCK <br /> SAN JOAQUIN COUNTY <br /> EWVIRONMENTAI_HEALTH DEPARTMENT <br /> i ti G��4 <br /> $04 EAST WEBER AVENUE,TH3R17IraaiZ <br /> STOCKTON CA 95202 <br /> (90)468-5420 <br /> ` PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT .-., � ��Mt1�S31� /U$INPS5IAQ&t�cY f� ,tl►�iO��//_�II �I//�19`G ~l lL'j <br /> ADDRF=13 <br /> PHOHNI S/ ' j? 7�v��` FADSMlLE /d4 S /� <br /> TEI+I'1'ATIVE"APPOINT9 "DATIe TIME AM <br /> IPlrrry 9�7 W 10 rt+ena d;ye r14 M�plloatlon sub�lllCi[) <br /> GH2CK KO]C TO NDCP�D175 .DO U, <br /> P USED IN 3 9USINR98 DAYS <br /> SIGNATURE OF APPLICANT `�"' DATE Z., <br /> FILE AtrDRFl�b THIS SIDE EHP AFF USE ONLY <br /> PROGRAM NURNMRNTS B eM <br /> la fA- 1,`°1` <br /> ENIIIRONMENTAI_HEALTH DIVISION FIDS <br /> RlNDERGROUNPTANK(UIM CLUMP SITE{LOP) D H0tMNGA�Tt I1Nr =1 auUb WASTE FACrLrrY <br /> OTH!<R CI.IIAidUt 9NTE(NOWLOP) C1 FOOD FACILITY 13 60LIP WASTE VEHI= <br /> UNDERGROUND TANK(MONITPFUNWREMOVA-) Ci 0061CIrNNE7- ❑ DAIRY <br /> HAZARDOUS WA9Tk GENIMATGR Ia CHIGmN RANCH © rKa TREATMFNT PLANT <br /> 7f1VDPI=RMrMI)FACWY ti MoTrwHOYEL I3 PIJMPARTRUCKrYARWCHEMTOILETS <br /> TATTOOIDODY PWMINO 10 POOLXPA Ly LANA USE APPLICATION STTr?S <br /> © MVXHCAL WASTE FA%UTY Q QTmeR(PL8AEli sPzCIFY) <br /> 1. 1.14t op to teff addresses In tho spm above. Solent the t Ma(s)Of filed from the list abava by checldng <br /> the appropriate box(er). At least one file type MU8T he selected. 209 Il to the <br /> address Indlrtilted_phom <br /> a. EHQ vutil notlN the applicant if any EHl3 file$exist, An appointment for review will be conflrmad <br /> apprwdrnaltoly five busineas days but no later-than ten(10)ft"after reculpt of application. The files <br /> Will behold for a mwdmum of five business days for review. AppolrltmenW should be schodulyd <br /> alcm ,ingly. <br /> 3. A file that 1a actively being worked on by EHD staff may not be Immvtllateiy awilable for rwAew. A new <br /> Vplleatlon may be submitted when the file le available. <br /> 4. Any file not returned In the came condition 08 released will bd reorganlxed by EH Q*teff at the expense <br /> of the aprplleant. FLAum file lovlowd by the same applicant may require a$89.00 dapos Nt prior to revlew. <br /> S. *TENTATP&rlppoinbnw t date$(must be canflrmed with EHD staff. <br /> �. Applications received after 3:00 pm will be processed the next business day. <br /> - <br /> pfl=' ? A <br /> RL <br /> ��oo <br />