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aArenec <br />30_� 02:0"M IU 17N14.�28413 P.�1 <br />u ECF V in) SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION4 <br />304 FAST WEISERAVENUE, THIRD FLOOR� <br />AUG 3 0 2000 STOCKTON CA 95202 <br />(200) 4C&3420 <br />ENVIRON(` L ffAITH _ PUBLIC RECORDS RELEASE APPLICATION <br />PERMI PSERVICE , - <br />ADDRESS <br />piloNE <br />TENTATIVE' APP"TAIENr DATE <br />(Pbue WN' T 1v 1 U <br />Lrl <br />�- v�G' <br />Oats W appllceaoa eutPnNal) <br />A. rWGIF0=11r♦iwew���4 Re�•�� 'arAr�ie� , r7�a� a%. <br />�1�a::':'.X14'�'�4a`:�.•..i/�R%t�firJP.4�. I !'l�r�iiri♦ <br />ENWRONMENTAL HEALTH DIVISION FILES <br />352.7 ,Z#r <br />-7 <br />t. List up to ten addresses in th• space above. Select the typo(.) of files from the list above by checktng <br />The approprlate box(es). At [Goal one file typo MUST be selected. Fax to (209) • OA;QJ38 or !nmli to the <br />address indicated above. <br />2. EHD will 110tlfy the 2pp8cant H any EHD Mae exist. An appointment for review will be confirmed <br />approxtmately five business days but no later than tan (10) days after receipt of application. The files <br />..ill be held for a maximum of five bualness days for revlew. Appointments should be scheduled <br />accordingly. <br />3. A fico Utah is actively being worked on by EHD staff may not be Immadiatety available for review. A new <br />application may be submllted when the file Is available. <br />A. Any fire not reWrned In the acme condtnon as released Will be reorganized by END staff at the expense <br />of the applicant, Future flle reviews by the Soma applicant may require a 587,00 deposit prior to review. <br />5. 'TENTATIVE appointlTrent dates must be wnfirmed with EHD staff. <br />6. Applications received after 3:00 pm will be procosoad tits next buaineas day. <br />CONFIRMED APPOINTMENT DATE TIME <br />PATE CONFIRMED PHONE FAX tN)TtAL3 <br />REVIEWED YES NO REVIEW DATE <br />w .w <br />TUTFL P.01 <br />�k NDi RGROUND TANA(UM) CLEANUP SITE (LOP) <br />❑ NOU41NGAaATEMENT <br />O ypUD WASTE FACILITY <br />BOTHER CLEANUP sITG (NON101ry <br />n FORD FACtUTY <br />0 :OLID WA31a VVCCLE <br />UNOLROROUNP TANK (MOMMOIONOlReMOVAL) <br />0 DOO FENNEL <br />C1 DAIRY <br />RDCA]B WA$TE GENERATOR <br />I3 CIACKEN MNCH <br />M PK(; TREATMENT PLANT <br />18RED F -IM [D ACILITY <br />❑ MOTEIAiOTEL <br />O PUMPER TRUCIWARO.a/EM TOILET] <br />TAT700l8011Y PEIRCING <br />❑ POI A - <br />0 LAND use APPLLCATmN srTES <br />O MEDlGAL WASTE FACIUrf <br />❑ PUSUC WATER a TEM <br />O OTMgg (PLEASE SPLCWY ANCOM) <br />t. List up to ten addresses in th• space above. Select the typo(.) of files from the list above by checktng <br />The approprlate box(es). At [Goal one file typo MUST be selected. Fax to (209) • OA;QJ38 or !nmli to the <br />address indicated above. <br />2. EHD will 110tlfy the 2pp8cant H any EHD Mae exist. An appointment for review will be confirmed <br />approxtmately five business days but no later than tan (10) days after receipt of application. The files <br />..ill be held for a maximum of five bualness days for revlew. Appointments should be scheduled <br />accordingly. <br />3. A fico Utah is actively being worked on by EHD staff may not be Immadiatety available for review. A new <br />application may be submllted when the file Is available. <br />A. Any fire not reWrned In the acme condtnon as released Will be reorganized by END staff at the expense <br />of the applicant, Future flle reviews by the Soma applicant may require a 587,00 deposit prior to review. <br />5. 'TENTATIVE appointlTrent dates must be wnfirmed with EHD staff. <br />6. Applications received after 3:00 pm will be procosoad tits next buaineas day. <br />CONFIRMED APPOINTMENT DATE TIME <br />PATE CONFIRMED PHONE FAX tN)TtAL3 <br />REVIEWED YES NO REVIEW DATE <br />w .w <br />TUTFL P.01 <br />