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1.U. I-1111, 1 r.�•� <br /> Ltn7cRECE�VG3 n n�D <br /> I SAN JOAQUJN C011N,"1"YpUSLIC HEALTH SERVICESUT <br /> ENVIRONMENTAL HEALTH DIVISION Q <br /> 304 EAST WESER <br /> VF-NU,T RO FI-00R JUN 2 6 2000STOCXTON CA <br /> (20)463-3420 ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE AP PLICATIW <br /> �1PPLECRNT <br /> I uoREs 5 -3,0 �{1 Lg-} _[ � l C�dk -^( /r) l�--�( ` <br /> PKONE D 7Y` I GAG51M11 E_.- -J, 73�A <br /> i <br /> j TENTATIVE'APPOINTMENT E)ATE TIME <br /> r (Plra�,c give 7 to 1(i business bays from data of application submittal) <br /> f <br /> CHECK SOX TO EXPEDITE RE E 00 .E-RED ST PROCESSEC IN 3 BUSIIJESS OAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DQREss This siDE EMD STAFF USE ONLY <br /> PILE A <br /> I DD PROGRAM ELE14ENTS SEARCH <br /> Ibay -r 3-r c ar3(01 <br /> 12z . �` l21 0 azo a a a 3809 <br /> i z 2 _ <br /> E �o ct. - U OL4 a !F_5 a <br /> ENVIRONMENTAL KF-ALTH DIVISION I'll-ES <br /> UNDERGROUND TANK(US11 CLEANUP SITE(LOP) ❑ tKOUSING A5ATEMENT �SOua WASTE VVRIGLE <br /> OTHER CLEANUP SITE(NON-Lot') M FOOD FACII-" <br /> t;NDERGROUND TANK(MONITORING/RLMO'YAL) Q DOQ KENNEL DAIRY <br /> HAZARDOU5 WASTE GENERATOR 0 CHICKEN RANCH d PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MCTI=t-�TEL D PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTQQ/SQDY FEIRCING O pOOUSPA 10 LAI4DUST APPLICATION 5FTES <br /> MEDICAL WASTE FACILLTY )6 PUBLIC WATER SYSTEM q OTHER(PLEASE SPECIFY A$OVF-) <br /> 9. List up to Cert addre,,6ea in the space above. Select the type(s)of files from the Iist above by checking <br /> the appropriate box(es). At least one file type MUST be solo,-ted- —a t (209)4t34Y0138 or mall_tR tho <br /> . address in i d a>,ove. <br /> END will notify the appticant if zny EHt]files exist. An appointment for rviraw will be confirmed <br /> j approximately fine business days but no later than ten(10) days after receipt of application. The fifes <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> i accordingly. <br /> A file that is actively being Worked on by EHD staff may not be Immediately availabre for review. A new <br /> I application may be submitted when the file is availab(O, <br /> d. <br /> Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$78.00 deposit prior to review. <br /> 5_ "TENTATIVE appointment dates rnUst bo confirmed with EHD Staff. <br /> B. Applicafions received after 3:00 pm will be processed the next business day. <br /> I <br /> ONFIRMED APPOINTMF-NTDATE TIME <br /> I ATE J;ONFtRMED PHONr FAX INITIALS <br /> REVIEWED YES NO REVIEW C}ATE. <br /> p6 Kl � <br /> 7Ci7i=d. P-02 <br />