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fiecived May-12-00 82:48pm frog CCITT G3 + PIERS • 2__d`�e i <br /> 05�SZ-fid 01:36FM To 18559'ka. P//-���.{--4�t <br /> ILs�NhCUV1i1 alp Los.w,».W'y(ll <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SFPVICES (^�� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 306 EAST WM3ERAV9WUE,THiRD FLOOR <br /> r s;���Z <br /> PUBLIC RECORDS RELEASE APPLICATION 'Oen. 41, ' O <br /> APPLICANT� M � 6rtvio QU61HEsslAGPJICY / o& <br /> AZORASs1 1721,"0 S, v S � G� Ur�9�Tti <br /> PHONE --t ! �'Lk- -RACSIMILE 4261 '! <br /> TENTATIVE'APPOINTMZ14T DATE TIM& <br /> (Pieau pi's.7 to 10 bwlabta daY%L-C: GU Pt iP4er4t1o17 WDmatal) <br /> CHICK a0X T6 E%GEDif@REt7UE3". -578. OF E-RESXi iPti0:E�3ES IH3 RtI3WES8 PAYS „� �� <br /> SIG;VATURE OF APPLICANT DATE <br /> FILE ADDRE1a TFa9 SIDE STAPP USX ONLY <br /> PROGRAM ELYMRS' SEAR" <br /> -Pi <br /> W s <br /> J Lt I <br /> UL 17 2000- <br /> i 8 <br /> &NY)RONMENTAL HEA1.T:1 DN)$ION PILES <br /> .Yt'�NDERGRCUND TANK OUST)CLEANUP 37E(LOP) G HODUING A8AT?.SSEYT A401-I1D WAVCFACIL Y <br /> ,VrOTHER CLEANUP INTE(RON-LOP) 17 I=PAALfTY ❑ SOLID WAS7ti VEKKU1 �1 f <br /> 6RUCUND TANK(MONITOMNO)REMOVAW t7 OW KERNEL P DAM <br /> s WASTE GENENATOR G CAVERRARCR R PKG TRSATUMM PLANT <br /> HR8PEITfEDFACILITY Q M*TBUHCT='L C) PUMPER TRUCKIYAMOrHUAT�]tt]:r8 <br /> 0 TATToc/edOY PEInCaic ❑ POWSPA ❑ LARD USA APPLICATION SITES <br /> C MEDICAL WASTR PA"C7T 9 PU9UC WATER SYSTi MH 11 OTHfR(n15A4E SPECIFY AROVE) <br /> I. List up to ten addreasea in the space abovo. SeNctthe ype(s} as from the fist abs by checking <br /> the appropriate box(es). At least one fins type MUST ba gds �x to �9j 46{Q jj§o4 The <br /> oddrosplpolcstod sbova. <br /> 2. EHD will notify the applicant If any EHD flits ujit, An appoln revww will be conflrfngd <br /> approxbnateiy five business days but no later than tan(10)days of tar receipt of appiicatlan. The FI;S <br /> will bo held for a maximum of flus business days for raview. Appointment$should be scheduled <br /> accordingly. <br /> S. A file that Is actively being worked on by EHD staff may not ba Immediately availaby for reytew, A new <br /> appnrAtion may be submitted when the file is avallabie. <br /> A. Any Me not returned In tha same condition as rNeased will be reorganized by EHD stiff At the expense <br /> of the applicant. Future flie reviews by Lha game applicant may raqulrs a;TS,04 deposit prior to review. <br /> 'TENTATIVS appointment dates moat be contkmed with EHO staff, <br /> 8. Apptfeations reselvod after 3:00 pm will ba processed the naxt business diy_ <br /> CONFIRMED APPOINTMENT DATE TIME, <br /> DATE CONFiRMZ0 PHCNE FAX INITIALS <br /> REVIEWSD YES NO RXIA&W DATE <br /> TOT;- P.)2 <br />