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NviRONMENTAL I�-TH PAGE 02 <br /> 0 i�3/2603 15.16 46405 ' <br /> SAN JOAQUIN COUNTYF'I1SLIC HEALTH' $ERVICES <br /> ENVIRONMER TAS,HEALTH DIVISTON <br /> 304 EAST WEUI iH AVENUP,,THIRD FLOOR � <br /> STO(XT01 i CA 95262 <br /> (:09)418-3420 2005 JUL IAPm 1 ; 11 <br /> PUBLIC RECf RD3 RELEASE APPLICATIO <br /> ��Y J <br /> APPL)CAlNT 1gUSINi:SSIAG ENCY & ! �� �IdT"'�"" <br /> ADDRaSS � � CGIy}�1� `iC - �1 a1 Vf 1 (�_ r(�r�i 1 V� �✓�P - <br /> PHONI;.�4� tG 00(� FAGtSii i1t.E^ X25 C'�"Z .� <br /> TENTATIVE"APPOINTMENT UAtTE 7/7( TWE . b <br /> (Pica-in giva 7 to i D bvslna sIdays from date of appRov.dion subM11011) <br /> CHECK SOX TO EXPEDITIZ RF- UEST-$ .00 FE EQ►EST F ROCESSED IN 3 BUSINESS 0AY5 <br /> ,*SiGNATURE OF APPLICANT '"�� ---- - DATE <br /> FILE- ADDRESS THis SivE Elio,STD-FF USE ONLY <br /> PROGRAM VLEMFMTS SEARCH <br /> • �fci�. 15 <br /> a ST IL <br /> � ' <br /> ri `qt S 1 <br /> I A�c <br /> �F-a-1 h-C ' o� •1'" � �'�l� <br /> ENVIRONMENT ALHFALTH DIVISION FILLS <br /> uHDzRGRO0ItD TANK(VST)CLEANUP$ITC(LOP) ❑ HC uStNt;ADAT>MIENT '2(30M WASTE FACIi•.ITY <br /> OTHER CLEANUP SITE(NON•LOP) O FC 00 FA:NLITY 0 SOLID WASTE VEHICLE <br /> UNOERGRouko TANK,(MflNRORIP MEMpVAL) Q Dc'G KEN NFL 10 OAIFZY <br /> RAZAROWS WASTE GENF"TOR 0 Ct ICKEN RANCH 0 PKG'TREATM9NT PLANT <br /> T1ERCI]PERMITTED FAr,,ILi'f Y ❑ M(rMi M O' EL n PUMPER TRUCK1YARDM4EM 7`OtLETS <br /> 0 TATTOOMODY PMRCIXG LI n OVSP 4 Q I.ANO uSE APPLICATION SITES <br /> MSDICAL WASTt FACILITY O OTHER(PLt=ASE SPECIFY ABOVE) <br /> 1. List up to ton addresses in tho space abi eve. .,elect the type(s)of files frbnv the list above by chucking <br /> the appropriate box(es). At least one flI4 type MUST be selected. Fax tty ( 9)464-9118 yr malt tv the <br /> address indiPLf;q abOVe. <br /> 2. I flo infill notify the applicant If any EHD t ilas a d-SL An appointment for roview will be confirmed <br /> approximately five business days but no later than ton (90)days aftor receipt.of application. The(ilea <br /> will be hold fora maxImpm of five busint ss dOys for rev(cw, Appointments should be scheduled <br /> accordingly. <br /> 9. A file that.l&actively being worked on by EHD Staff may not be(ri rnedlately available for review. A new <br /> appTieallori may be subM;ttod when the i ile is,available. <br /> 4. Any file not retzirned 1h the same condlti m.f1s released will big reorganixed by EHD staff at the expanse <br /> of the applicant. Future file raviaws by 11 is saints;applicant may require a $89.00 deposit prior to review <br /> S. 'TENT'ATIVE appointment dates must be confirmed with E1,10 staff. <br /> t; Applications recoived atter 3:00 pm will i is prC Cessed the next business day. <br /> CONFIRMED APPOINTMENT DATE., TIME <br /> i ATS CONP11TMED PF'ON<r FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE ^''� <br />