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I� 03/ 04/ 2003 10 : 56 464013r - ENVIRONMENTAL 1—b I . PAGE 01 <br /> I�� I <br /> d 1 I ' ';SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES oiq ocuu""° <br /> / ii 1 <br /> v ENVIRONMENTAL HEALTH DIVISION <br /> MSR. 0 4 Lffl304 EAST WEBER AVENUE; THIRD FLOOR I I "� <br /> STOCKTON CA 95202 / <br /> Id P+il_ I'v PLrILI (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLdimICATIO J <br /> Rep =p1, <br /> AppUCANT L O BUSINESSIAGCNOy ATL ASS , fpeT� , s 1 <br /> ADDREss .3(000 !J/ S6N � TE . 11/a2/'�1 /f�(�flGlfiYQ $� C �/ <br /> PHONEa& p `/ <br /> FALa51,lG�IvLE �9/!0 ) 3i 9� <br /> . TENTATIVE'" APPOINTMEN76ATZ yJ\ I M/rlGrff 7 A60 3 TIME x `3v . V <br /> (Plaasa give 7Iv 1b bwlnass daTs Irani d4a 91 yppllwNon submit�/�_ <br /> �CKBOX TOEXPEDITE REq T - S69,DeFEE — REQUESTPROCESSEDIN3BU5WESS13AYSE // ' '` � <br /> * SIGNATURE OF APPLICANT C��� n�� �'�{� DATE° <br /> FILE ADDRESS THIS SIDE EHD STAI=F USE ONLY <br /> PROGRAM Et.EMEJ•rr5 SEARCH <br /> 70D N1 /3Gf// 4 (j, - s <br /> G B GYr S 9 S 2 A L' t <br /> 270 C N GGu 13Gv SrdC/c Crf �XSaiJ ', ry' , ! ; <br /> 7s <br /> ENVIRONMENTAL HEALTH DIVISION FILES r <br /> UNDERGROUND 'CANK (UST) CLEANUP 5fTE (LOP) q HOUSINGABATEMENT C3SOLIU WASTe FACIt.rr1' <br /> "t OTHER CLEANUP SITE (NON-LOP) VFOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK (MoNITORINGMEMOVAL) ❑' DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH O PKG TREATMUNT PLANT <br /> Q TIERED PERMITTED FAGILITr )7 MOTELMOTEL C! PUMPER TRUCkreARDICHEM TOILE73 <br /> d TATTOOMODY PEIRCWG 0 POOL/SPA 1<14AND USE APPLICATION $TIES <br /> MEDICAL WASTE FACILITY a Q OTHER (PLEASESPECIFY ABOVE) <br /> 1 . List up to tun addresses 'in the space above. Select the types) of tiles from the list above by chocking <br /> the appropriate box(es). At least one file typo MUST be selected. Fax to f2091 4134.0738 or mail to the <br /> r address indidated above. <br /> 2 <br /> END will notify the applicant if any END files exist, An appointment for roview kill be confirmed <br /> approximately five business days but no later than ton• (10) days after receipt of appllcatfon. The files <br /> will be held for a maximym of five business days for review. Appointments should ba scheduled <br /> accordingly. <br /> 3. A file that Js actively being worked on by EHD staff may not be Immediately available for review. A new <br /> .application may be submitted when the file is available. <br /> 4. Any file not returned in the same Condition as released will b4 roorganized by EXD' staff at the expense <br /> W the applicaDL Future file reviews by the same applicant may require a $89.00 deposit prior to Review. <br /> 5. 'TENTATIVE appointment dates must'be confirmed with END start. . . Ip';L <br /> e. Appli4mcv!y2cyi :O9 pm wilt be processed the next business day, ' a ° +'` `K9I W <br /> CONFIRMED TIME 4DATE CONFIRF INI71 S <br /> REVIEWEDto <br />