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Rpr 05 07 03: 02p Kra--n & Associates 8105642 p. 2 <br /> r;821H5/2PJ, 4 22:12 46467ENVIRGIJh1ENTAL kcA }'l+lat UL <br /> SAN JOAQUIN COUNTY <br /> FNVIROrir4ENTAL 1JEALTH DEpARTMFNT <br /> 304 E Weber Ave 3"j Floor StocklOn,CA 95245 <br /> 468-3x20 F%%' (249)464-0138 Web:�V'_CO.sari-joaquin,ra.uslc?nd <br /> ! ,-, r• ,a+,.r'f � ��,1.( • } <br /> ��`ti�ir,�.•��},:_>d i X09 <br /> PUBLIC RECORDS RELEASE A,'prLXCAV4N �* <br /> Jf�„ ��� gUgINCS5IAG£NGY; I�lS�� � 7� - <br /> ArPL1C{wT. <br /> ApDRE!53: <br /> PHONE: <br /> e c <br /> TEml: A1' <br /> S ,1� T�uTATIv�`APPf11NT1d11*WTfiATE: _.__-�.�_. <br /> fJ �r 07 <br /> !� (Plee>!e attow 10 buy1lnl9a daYt barn dote of appliwllon aUbinittal} <br /> HECK BOX To EKPEOrm REQU7:$T- -REQUEST PROCESSED M]1WSINEGS DAYS <br /> DATE <br /> IGNATl1RE�F APi't_IGfWT DCkarLmenl Uac Only <br /> UNIT <br /> F11.P ADDRESS {` <br /> ID ❑ unit 1 <br /> Unit 2 <br /> - � srrce OL/T/i l�iPS'lff�tlC� t OCA"7"� �' � i; <br /> C> <br /> 01 � unit 3 <br /> - <br /> E �U11itZ <br /> Q Unit 5 <br /> $P.eY1 Ga <br /> 9 t <br /> t0. $MM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> X SOLID wAsTC FACIl.l7Y <br /> UNDFAGRQUNR TANK(I)ST)CLFMU'P SITF CLOP) 1D MOD IFACI'LITl'NG EMEWT �❑ 0L1D wA.gTE VEHIGt,E <br /> CTH>-R CLEANUP SITE-(NON-LOP) Q {gOfi KkNN♦L Q DAIRY <br /> tiNDERGRt1UWD TANK(1NON1TdRIHGfREMOVAL) Q MCISEN RANO El ) ER TRV1CKr PLANT <br /> , +►RDOUS WA,STC GENERATOR ❑ mo-IT- MOTES ❑ UN1P1 R TstuGlcrrARflrN1SIT TOItf r5 <br /> MFRED PERlA1TTED FACIL(TY p POOUSPh tJ1RD UZ.E APQLICATION SITES <br /> bdflSDOY PICRCIHG [y OTHER(PLEASE SPECIFY) <br /> n (r1EA1CAL WELiTL FACI1 ITY <br /> t• <br /> to t¢n addresses in the space above. Select the type(3)of tiles from the list above by chCCkinfl <br /> List up <br /> the appropriate b¢z(e5). At least ane fila type MUST be selected. Fax tv 209 464-07388i1 1-0-020- <br /> addrel;s indicated hove. FHA fi,05 exist. An Appointment for review will t70 conflRned W <br /> Z FHR wlll notlfy the APPliaant if eny 70 ds aftBr receipt of application. The files <br /> approximatcty flvd business days but no latvr Brian ten{ ) Ys ointments should be�C"duled <br /> will be hcid for a rnaximurrl c4 flvc buslnesS day&for review. App <br /> accordingly. <br /> 3- A filo that is actively balnQ worked on by>rHD staff,may not fie immediatl}Iy available for review. new <br /> application may be submitted when the file Is available. FHD staff at the cxponzo <br /> 4, Any file not returned In the same Cpltdlti4n as Fle applicant <br /> will be:yreorganized 3$93.00 <br /> �00 depo i prior tri rOview. <br /> of the applicant. Future file mviewe by lha same applir ant may q <br /> g *TF-NTA-rIVF appointment dates must b will bconfirmed <br /> p firmed ith the next tAff irress day. <br /> . AppliCu ions received after 3:130 p <br /> -------------- <br /> V ('IhR1 <br /> EEVIEWF-L) <br /> D APPOINTMENT DACE I�IfT1AI-S <br /> PHONE FAX <br /> MIED REVIEW DATE <br /> YES NO <br /> �!7 <br /> aim 3 3 r <br /> ^ :y-r.,-�ILh_�•.<'f1�_ �t~•[o,.ry--. cx�5 �l'!+i.� -/J�`a.�Fl...�. °� �--�`:.t.L.�a Lc....r4�. <br />