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i <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISMN <br /> 304 EAST WEBER AVErt UFl TWRD FLOOR J U <br /> STOCKrOM CA 55202 <br /> (209)4604420 -,�.. H <br /> OtJBL C RECORDS OF DS RELEASE APPL[CA" ION � ' <br /> - 7i <br /> APFUCAl1T cn hivtir�.. tIU5INE=AGExcY <br /> t' <br /> ADDRESS <br /> 1 <br /> ffl+ <br /> FACsims.,E, d 7 [ �{ Z— <br /> -� 2-7 I ' 00 M <br /> TENTATIVE'APPOINTIIIENT DATE J�- La TIME <br /> (PI.Aw Uva 7 to s 0 b"inaza days trwTm tw of app[i"001)submittal) <br /> t--1 CHCCtC 150X To E3iPEDf rE REQUEST-$79.00 rtEE-RE T P EssEa lit 3 g SWFSS fZA S <br /> 51GNT'ATURE.PF APPLICAN0 <br /> FILE ADCR- <br /> r Q ( y 4. LL <br /> I d e. <br /> ENVIRONMENTAL HEALTFI DIV010N FILES' <br /> tre4pl~RG1 +ulIaTANx{t>salCLEANUpSTTE(top) a RousINGASATZMt XT bt SOLID WASTEFAM"TY <br /> ❑ FOOD FACLUTY 1`3. s0UD WASTF VE 1t=- <br /> id QTmra CLEANUP 5lTE(NOl1-LOP) C7 pQ6 KEA1N� M DAIRY <br /> UKDERGROUND TABIC(MONITOP-MGMEMOVAt-) O CHICKEN KEN lq- ❑ pKG TREATMrNT PLANT <br /> Z! HAZARDOUS WApE GENERATOR CI CHICKNIMI.11iLiTEL O PUMPER <br /> TNUC4 rYAADICHEM TOILETS f <br /> 0 TILREU PERMr M D FACTUTY POOLISPA M �a USE APPUCATION• ^S <br /> CI YA MOMODY YEIRCING"? I3 PUUMIG WATERSYSTEM C1 OTHER(PI,9ASE_SPECIFY ABOVE <br /> 7 142DICAL WASTE FACILITY <br /> 0 <br /> I Lifit Up to ten addresses In the space atone. S6Sect the type(sl of tiles frorn the list above by cherking � <br /> the a�a <br /> apprriate box(es). At least ane filo typo MUST ba selected. Fax ttM 12893 A64-0138 ar tna�l to # <br /> ad6yesz ine"Ated abOVC, l <br /> Z. EFifJ will notify theapplirant if any E140 files exist. An app<)intmant for review will he cdhfif MAd <br /> approximately five busine�days but no later than ten(10)days attar receipt of appiicatiori The files + <br /> Win be hall for a maximum ref five business days <br /> for review. Appoin►ments should be sctledulccl t <br /> accordingly. ", . <br /> 3. A file that is aGUi ty being worked an by END staff may not be immediately ava liable for review. A now <br /> ,application may he submitted whin the file is available_ <br /> 4. Any file not returned in th%r arta Condition as released will be reorganized by EH0 staff at ttMe expQnsa <br /> Of the applicant. Future tnc reviews by the same appiicant may require a$78.00 dop9sit prior to review. <br /> "YENTATNR a. ppaintrncnt dates must Ija eonriffned with Et'D staff. <br /> 6. ApplWationz raccived after 3`130 pen will bo processdd the raxt businass day. <br /> iL <br /> ' <br /> ATE+.nQ12:! <br /> RFIli ��a^w�v���l�:i{�J,i''.Fii.rN s..-,i•1)VI.}I:.'A:, �I.�r;.:. I..�t,.�'Lt�.l�fii:��i... .-i.• '�'' 'l , . <br /> stSGM <br /> �H�',J c.'$2CE3VQ pl Wt]tid _-Wd9p=Z0 558T7L;d-Vi <br /> it <br /> i <br /> r — , <br />