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FROI'l : Geo-Phase EnviTonrnental FAX NO. : 2095690295 <br /> 0. 16 2000 12:28PP1 P2 <br /> l AN JOAQUIN COUNTYPUBLIC HEALTH SERVICES LIJULUQ <br /> NUM H <br /> OCT 16 2000 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR �( <br /> ENVIRONMENT HEALTH STOCK70N CA 95202 XJ <br /> (209)468J420 <br /> PERMIT/SERVICES /PUBLIC RECORDS RELEASE <br /> �� APPLICATION <br /> APPLICANT S/ GVP At I* ,7�p I" BUSINESSfAGENCY // <br /> wC'O <br /> ADDRESS A U Z /-�afeneio M AI;le— <br /> PHONE _E02 6PP^^'FFACSIMILE <br /> TENTATIVE'APPOINTMENT DATE <br /> TIME <br /> _ �(/S ]Olay <br /> (Please eivo 7 to 10 business days from date of applies!on suUmittal) <br /> CHECK 13OX TO EXPEDITE REQUEST•478,00 FEE—REQUEST PROCEB'SEV 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��"j( G^-���f DATE <br /> FILE ADORES$ <br /> 3 .fG C07�J'N4 , <br /> vre clriss <br /> i <br /> 1 <br /> ENVIRONME TAL HEALTH DIVISION FILES <br /> p+ UNOERGROUNO TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT <br /> OTHER CLEANUP SITE(NON-LOP) ❑ 50114 WASTE FgCIL17Y <br /> A ❑ FOOD FACILITY <br /> UNDERGROUND TANK[MONrrORINGlREMOVAL) ❑ DOG KENNEL ❑ SOLID WASTE VEHICLE <br /> C3 HAZARDOUS WASTE GENERATOR ❑ r3 DAIRY <br /> C7 TIERED PERMITTED FACILITY CHICKEN RANCH 13 TREATMENT PLANT <br /> C1 TATTOOfBODYPEIRCING 0 MOTELIHOTEL ❑ PUMPER TRUCKfYARDJCHEM TOILETS <br /> ❑ MEDICAL WASTE FACILITY 0 POOLISPA ❑ LAND USE APPLICATION SITES <br /> 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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(OS). At least One file type MUST be selected. Fax to(209) 464.0138 <br /> address indicated above il to the <br /> approximately five business days but no later than ten (10)days after receipt of app2. EHD will notify the applicant if any EHD files exist. An appointment for review will be COnfilication. The files <br /> rmod <br /> will be held for a maximum of five business days for review. Appointment$should li scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A now <br /> application may he submitted when the Cie is available. <br /> a• Any file not returned in the same condition as released Will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6• Applications received after 3:00 Pm will be processed the next business day. <br /> I <br /> CONFIRMED APPg1NTMENTDATE <br /> TIME <br /> DATE CONF1RMgD PHONE FAX INITIALS <br /> REVIEWED YES NO <br /> —.. 11 .'.s g REVIEW DATE <br />