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06/10/2003 17:58 9252836121 r AEI CONSULTANTS (.-,F)., PAGE 02. <br /> 05/09/2003 10:28 8640138 ENVIRONMENTAL !-TEAL PAGE 02 <br /> iT\I Y1�b} � <br /> SII ',:� ,---'r-, <br /> j r_,,,... I;-:_ SAN JOAQUiN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 2003 304 EAST wI;DER AVENUE,THIRD FLOOR <br /> JUN 1 <br /> STOCKTON CA 95202 I <br /> ENVIPONMEIv I HEALTF, (209)468.3420 <br /> PEPMlr;� �,�,,,�r, PUBL,IC RECORDS REI,EA�SE APPLICATION <br /> � '{".S <br /> AppU <br /> I2 <br /> ANT BUStN=-4AGENCY <br /> - - ADDl_SS 2C5 1o��CunS?^ 1� �+11 rGo �Crr,,01,�s �'J <br /> PHONE -1!•-.J .�Z7C,�OIJt JCJ FACSiMIL'3 <br /> i <br /> TENTATIVE"APPOINTMENT DATE 71ME <br /> (PL--wo alve 7 to 40 buslnass days from date of appticatiOn oubrnblat) <br /> CHECK BOX TO EXPEDITE REQUEST-$69.00 FEE—REQUEST PROCESSED INS BUSINESS I.A` 'U.0h <br /> SIGNATURE OF APPLICANT �'`---� —' W{ TE 14Ao s <br /> FILE AODR):,ciS THIS S11;fEHD 'r i AF'I%USE OPFLY��_ <br /> PROGI1M1 EI :EAE;N17,4SrzARRCCH� <br /> z <br /> ENVIRONMF-NT;kL I4EALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP 5r>E(Lop) M HOUSId G ASA7EMENT SpLna vYA�rTE I'ACA_ifY <br /> OTHER CLEANUP SITE(NON-LOF) O FOOD FACILITY SCfLL]WAS iTt:VEHICLE �± <br /> �c )AUNDERGROUND TANK(MONMOMNGIMMOVAL) © DOG W!NNEL a im R''t'� <br /> 'T HAZARDOUS WASTE GENERATOR Q CHICKFN RANCH ❑ Pl',GREA f'Mr.NT PLANT <br /> t TIERED PERMITTED FACiLrrY O MOTELrHOTEL, ID PVMI°ER'rftUCWA'ARINCHEIN TOIL <br /> D TAMOIBODY 13VIRCING R POOV$PA ❑ _LirND USE:,APPLP..ATIDN SITES <br /> C] MEDICAL WASTE FACILITY 07 OTHER(PLEASE .- <br /> 1. List up to ten addresses in the Space above. Select the type(S)of files Fro m til a list above by chocking <br /> the appropriate box(es). At least one file type,MUST be selected- Fax tli 3,�. '4. G��13g or mail to t11rr <br /> address indicated.above. <br /> 2. EHD will notify the applicant if any EHD files<3xlst. An appointment for revievi will be confimiedi <br /> approximately five business days but no lat&rthan ten(10)days after reellipt Iff application. The files <br /> will be held for a maximum of five business days for review. Appointmvnl s sr;ould be scheduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHEI staff may not be immedFi--rtely availabltt for review. A now <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition aft released will be reorganired by EHD a>taff at the expense <br /> of the applicant. Future file reviews by the slime applicant may require a 389.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates rnust be confirmed with EHD staff. <br /> 6, Applications received after 2:00 pm will be prooessed•the next busines.a clay. <br /> Cfll+!<I`MMED APPOiNTNIENT DATE TIMi~ <br /> PALE CONPICLIVIED FHONE FAX tfl11'i�IL,S <br /> REVMWED Y'E$ NO RIMEL7ATE — <br /> EM 49-02-409 <br /> lr�Di � <br />