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FROM Geo-Please Environ tal �. FAX ND. : -2095690295 -/Jul. 19 2002 <br /> SAN JOAQU TYPUBLIC HEALTH SERVICt �(, ENED <br /> pop �� . 7AL HEALTH DIVISION I�VV�� �LCC,,�pJ <br /> 30 STOCK ON CA 202 THIRD FLOOR JUL <br /> (209)408-3420 <br /> z z 2001 <br /> PUBLIC RECORDS RELEASE APPLICA71( )RUNMENTHEALTH <br /> APPLICANT •7��!/e /ary13USINE-SSIAGENCY O/d t <br /> 99'3 !r �.ryrd�••t.t.E..7$� <br /> ADDRESS b - r r ,, dG 5 <br /> PHONE_ ��% Dr�.q.� FACSIMILE 5-9^ <br /> TENTATIVE*APPOINTMENT DATL' /?, yTIME <br /> f'y� (Plcasc 0(vc to�Mcaa da rola c of ap 'Cation aubf�Wl) <br /> y-� CHECK BOX TO,EXPEDRE REij QUEST. + 3. <br /> $07.00 FEE-REQUEST I ROCES5?0 IN USINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE _®moi <br /> \ " FILE ADDRESS THIS SIDE EHD STAFF USE LY <br /> �] PROGRAM EL <br /> N Mf M <br /> g r <br /> i 1 <br /> f <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> hCCC7UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WA5TE FACILITY <br /> 77 OTHERCLEANUP SITE(NON-LOP) t7 FOOD FACILITY ❑ <br /> UNDERGROUND TANK(MONITORING]REMOVAL) ❑ DOG KENNEL SCUD WASTE VEHICLE <br /> HAZARDOUS WAS GENERATOR ❑ DAIRY <br /> ❑ TIERED PERMI T6E�FACILITY ❑ CHICKEN RANCH ❑ PKC TREATMENT PLANT <br /> ❑ TATTOCIBODY PARCiNG 4 MOTEUHOTEL O PUMPERATMEN PLANT <br /> TOILETS <br /> O MEDICAL WASYII FACILITY ❑ POOUSPA ❑ LANA USE APPLICATION IEM T <br /> O PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ITE.ABO$ <br /> • List up to ten addresses in the space above. Seloct the t <br /> the appropriate bpx es . type YPe(te of Faxfliefrom t) 4list 138 o m checking <br /> ( ") At least one filet a MUST be selected. Fax o Z00 464-0138 r mail to th <br /> address indicated above <br /> z• EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt Of application.•The files <br /> will be held for a maximum of five business days for review. Appointments should be 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 be submitted when the file 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$87.00 deposit prior 10 review. <br /> 5. 'TENTATIVE appointment dittos must be confirmed with EHD Staff. <br /> 5. Applications received after 3:00 <br /> pm will be processed the next business day. <br /> i <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED <br /> 1 PHONEFAX <br /> EVIINITIALS <br /> REWED .a <br /> eH ee H awrroe YES <br /> + RF VIEW DATE <br />