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JUN-02-03 03 : 34 PM BROADBASE. . . . . 20933901'95 P. OI. <br />+ Veliuu�raa ie;tl/ 46401 "+ EWIRU-1-ZNTAL HEALTH" PACE 01 <br /> SAN JOAGIUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN () 2 Z003 EAST WEBER AVENUE,THIRD FLOOR_ 13/ 3 BTOCKTON CA 99202 <br /> fJVP;i;fd(vIENT HEALTH (209)488.3420, <br /> PUBLIC RECORDS RELEAaE APPLICATI 14 . <br /> /APPLICANT 9U61NE85'taENCY <br /> ZADOResa NAA 5, Netkm6n - <br /> PHaNE <br /> 331- 0111 FAaeIMiLE 334- 67 9 a ----- . <br /> TENTATIVE•APw01NrMENTGATE TIME _ <br /> et <br /> (PHNee give T to 10 b"Inese 61"frail dim '�-' F <br /> eppl 1ee11en eubnll W II <br /> CI,ECK Box TO W"EDITE RAQUe7T'•eae.ge FEE-R6tall ,( st[DMaBUVINl84.0A`rZ 1 IO, Z f <br /> -*SIGNATURE OF APPLIGANT DANE <br /> THIO��115(ITAl1� +Nl'I <br /> FiL[ADDREe! PR03RAM itLl"MEA"e Si MCH <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> E <br /> NDERGROUND TANK(Uel)CLEANUP ttTa(LOP) I7 HOUeh6ABATEMINT O 9OM1h%3T11PAClln'T <br /> THER CLEANUP Virg 1NON10P) O pt>DO FACNTY O *olt:i91'A3TRVE111G11! <br /> NDERGROUND TANK(M(xATOlsN01REMOVAQ D DOC t:ENN[L O DAIRP <br /> AZARDOUS WAVTE a[NERATOR GCHICrgN RANCH O l$KOTRl ATMIHTPViHT 7[L t7 pUlSR911 TRU(WYA rW5M TDA-ETtATTO ODYnIRCING nY C MOT[UNO <br /> EI TATTOOIBODY p[N1CINo O POd.ePA O. LAM)U^iE N"'LIaAnCTI anEV <br /> 7�MEDIOALWAST[FACIUTY ❑ OTHER(PLaAeasPl1CIFY) .--.----- <br /> List <br /> --.---- --List up to ton atldraeeee In the specs abova. Select the type(s)of films from the ret adbove by checking <br /> the apprOpriatY box(**). At least ons fib"MUST bs selected. Fnx to 1$9'�I�1�113U �R <br /> Sddress IngirAtt(ed above. <br /> 2. FmD will notify the applicant H any EMD file t exist. An appointment for rnvilrw 101 If big COmfl"Ned <br /> approxhnataly five business days but no inter than ton(10)days offer ratullit of:lppilcatim. The file& I <br /> will be held for a maximum of Me buslnest.days for review. AppolTdme'All 111101110 1141(whlNtuled i <br /> aeoordingiy. <br /> r <br /> 3. A file that Is actively being worked on by END cult frilly not be Immedletriy&V Al 3 le Uyf revlew. A now <br /> application may be submitted when the five is available. <br /> 4. Any toe not reblmed In the slims condition m released will be reorganized Ir/El fD Visit at the e7p■rwD ` <br /> of the applicant. Future file reviews by the soma applicant may require n Sn9.DD deposit prior to review. p <br /> 5. •TENTATIVE rglpointmsnt dated must be confina*d with EHO staff. f4 <br /> e. Application*received liner 3:00 pm will be processed the next business ds Y. <br /> p"4r Fax Noted Te7T � In <br /> CONFIRMED APPOINTMIltr DATE Ta <br /> I DATE CONFIRMED oo DrP� [F11 <br /> 1S,G F{{��Yale 'fi0 e+e T _0 , :� _.�'1 ••'I E <br /> I <br /> i <br /> i <br /> I <br /> i <br />