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JT 8Y:• FpIr'Op{�'�{IIf�C.i;; i 415 597 7880; JUN-11 -0c Id; PAGE 1 /1 <br /> I ,la�'I f�lll! 4-.. _.. .. .-e. ...v< < <br /> 06!10/2603 13:54 4640138 ENVIRONMENTAL HFAL7I.1 'PAGE 01 <br /> OATS=VL <br /> JUN 11 2003 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT i <br /> \ _ VIRONNIFN 1 il[ U_I N 304 EAST WEBER AVENUE,THIRD FLOOR <br /> V °f Rft41?i Fh1iICE; � <br /> STOCKTON CA 95202 ` <br /> (209)468-3420 t ✓✓✓ <br /> PUBLIC RECORDS RELEASE APPLICATICNI i <br /> APPLICANT F�/ ' ICA✓E?-A OUSI[ft"IAGENGY ol-y G r cA .L <br /> ADDRESS /59y kawJ+l�r� S�'. 57E- �G'o_ SR/J yp•Rn/CJS 1;0 ..�'� � <br /> PHONE 'I I.S• ✓r9�- 7.P 9J FACSIMILE_ H/S• ,5� '7 d'd':7 .�_f___� <br /> TENTATIVE'APM2MAENT DATE TIME —_��_ � �I <br /> (Flomglva T to 10 busirwa>t aayr,from dote of application sllbmlti nl) � <br /> �❑ CHECK 90X TO EXPEDITE REQUEST.289.00 FEE-REQUEST 1'ROCESSCD IN 3 BUSINESS DAYi <br /> SIGNATURE OF APPLICANT <br /> PFJ DATE , ^ '�f'r� <br /> � SIOE 1?HU STIJ'F USE(TNLY�- �' <br /> FILE ADDRESS PROGRAM ELEMEI IRT 5E,MICII F �_ <br /> Z$01 WFs L NE I 2TV tVAI <br /> o p rs Ll v8. o G iv a!t <br /> I SOO L to - N. 5 TV 0'wTV1v <br /> Z3S A1, 114E ITV /- — <br /> 2 <br /> v^ s ON 1-v E-I�r <br /> 152.8 L /Nf4'L 5;1-0 rofj — --'" <br /> 1.17 Sro "*?VN fWL. Gr-A(07rK•Y <br /> 2-3 a W y L N'r q N <br /> oy W25Y �RN�I 47bEN <br /> EN MENTAL HIJU-TH DIVISION FILET <br /> (�Sb N- wtr.yoly wily ✓�� OfQ'e <br /> (� UNDERGROUND TANK(UST)CLE11,M'ASTI FACILITY <br /> AIIUP SITE(LOP) ❑ HOUSINp ADATEMGNT n$ YEHICU' i <br /> OTHER CLEANUP SITE(NOrFI.OP) 0 r(M FA;ILITY I. ..��c <br /> 6f UNDERGROUND TANK(MONITORINUIREMOVAL) O p00 KENNEL W PKCDAIT <br /> ' CHICKEN RANCH tq PKC m1J�7M-HT PLANT V <br /> �1 HAZARDOUS WASTE GENERATOR R 6t PUMPIEF,TRU-,KIYAROICl1 M TOILEYS <br /> EX TIERED PERMITTED FAcrLmy ❑ MOTELIROTEL <br /> CI TATTOGIBODY PEIRCINO O POOLISP k 6E LANAI U'IT M PLICATIONS S <br /> f$MEDICAL WASTE FACILITY n OTHER(PLEASE SPECIFY) ---.-_ -i- <br /> 1. Lila up to ton addresse9 in the space above. :;elect the type(s)Of files from the I)st above ll y OiRckin9 <br /> the appropriate box(es). At least one file type MUST be selected. <br /> address indicate ted abDve. <br /> 2. EHD will notify the applicant•if any ENO Tiles e'dat. M appointment for rlryifaw w ill biico l o I The file6 <br /> Fn <br /> approximatoly five business da but no later than ton(10)days after recol It of app n! <br /> will be held for a maximum of five business days for review. Appointments should be sCh Oiduled <br /> accordingly. <br /> 3. A the that Jr.actively being worked on by EHD staff may not be)mmedlatuly aval sable for ra iew. A now <br /> application may be submitted when the file Is.waliable. #br <br /> 4. Any fila not returned in the same condition as released will be reorganized by El lD stJdf aexpense <br /> of the applicant. Future file reviews by the Baine applleant may require a S9 9.00 depoall bo review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed Jho next business tla;r_ <br /> Post4f Fax Note T1371 I iaM I?'je)i, - a 51 <br /> CONFIRMED APPOINTMENT DATE — T, ^��-�'yark <br /> DATE CONFIRMED PHOfO <br /> rJ <br /> REVIEWED YES NO <br /> ew,Ia w 5 -y 1 L� _._�, <br /> �rsvaow I <br />