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06/26/2006 12:21 FAX Z 0D2/002 <br /> DATE RE.CEIVEC SAN JOAQUIN COUNTY <br /> ENYMON vI.ENTAL RE-AI.,TH DEPAR-L-,..NT <br /> ;r4 E Weber Ave 3`a Floor Stockton,CA 951 n <br /> (209)468-3420 F:tr: (1-09) 464-0138 Web: wr=rw.co.san-joagtun.ca t>v/e?�d <br /> PUBLIC CORDS RELTASS AYFLICATTOIN <br /> BUSINESSIAGENCY: <br /> FACSIMILE: •_ ��=� -------^--. <br /> .TENTATIVE`APPOW TMENT DATE; <br /> (Paeasc allow 10 businc.aS days frOM data of Zpplicw-tion sutm'tLal) <br /> © CHECK BOX TO EXPEOrTE REQUEST•$33.Oo,FE>=-REQUEST PROCFSSED IN a 5USINESS DAYS , / -- <br /> � - -�-a <br /> SIG NATURE C11= APPLICANT DAT>w _. L4z <br /> Department Use OHY <br /> FILE ADDRESS UNIT, <br /> LA T unit,I <br /> Joe Unit 2 <br /> 29-73 <br /> •- -_sum Unit 3 <br /> ST / Unit 4 <br /> G • <br /> C <br /> a l"'r it 5 <br /> ENVIRONMENTAL HIWALTH DEPARTMENT FILES <br /> ❑ HOUSING ABATEMENT �-SOUDwA5TE FAGILrrY <br /> U'1D>=R.faFCOI)Nl7 TA34K(USTj CLEANUP srrt=(LOP) PppD FAC1LrrY G7 OLlt7 WASTE Y> ElaGi� <br /> L <br /> OTHER CLEANUP SITE(NON4_0p) R DOG iCENriEL G-DAIRY <br /> III- UNDERGROUND TANK MONITORINGMEMOVAL) <br /> SF'LCi 'f)� S. <br /> PPKUGMP1'ER.RE.AT�Ti— <br /> ZIdUEGNIVT`PAL+tADl(T <br /> 4HAZj%ADQt1aWASTEGENERATOR O CHICKEN RANCH C3* TIERED FE;MITTEO FACILITY 13 MOTELMOTEL M _AND USE APPLICA710NC <br /> tiS�iTb_�-:�TS <br /> O TATTGOf3ODY PISP=NG ❑ POOU' <br /> * MEDICAL vJA;TEFAC1t,RY 1:3 (PLEASE <br /> 411E <br /> e space above. Select the type(s) of files from the list aboya�y checking <br /> 1. List up to ten addresses in th <br /> +i1e appropriate box(er). At least one file typo MUST be sel�ctecl. Fax to (109) a64-013.3 or mail tc � e <br /> _address indicated above- <br /> ( I will notify the applicant if any EHD files exist All appointment for review will be rnfim ed <br /> e <br /> approximately five business days but no later than ton (10) days after receipt cf application.. The f l as <br /> days for review_ Appointments <br /> will be held for a maximum of five business <br /> Appointments should be schec ult.ci <br /> accordingly. <br /> a. A file that is actively being wor4Ced on by E}(p staff may not be immediately available ('or review. A new <br /> ;application may be submitted when the file is available, <br /> 4, Avny file not returned in the same condition as released will be reorgzed by Hstaff <br /> ,r v1ew <br /> of the applicant. Future file reviews by the Jame applicant may requirea X deposit pt tar to <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> .:y' ';�� TIME 'i :�' :.• ', <br /> C3(�NF:I, M. 'P0(Pt"fhlEf�T.L�AT� :r :. :,:.,., . 44 <br /> =i.` a ..IACs - <br /> ;PHONE FAX'' '" '� <br /> NOpE`11E','! DAT E ��_ - <br />