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.1b.cedc13 --=4b1-"r14b4EH>-LC ENVIROTECH,INC. EWIRUNMENTALrHLAL.Ih NU.wbl5 r.cam. oa <br /> '�w►re Il�acrr>rn <br /> S JOAQUIN COUNTYPU13LIC HSJ S1;RVICE <br /> ENVIRONMENTAL HEALTH DIVISION X11 II G <br /> 304 FAST WEBER AVENUE]THIRD FLOOk l <br /> STOCK=CA 25202 <br /> (209)40W20 AUG 1 8 2002 <br /> PUBLIC RECORDS RELEASE APPLICAT[ , <br /> APPucANr T/SERVICES <br /> GV1 tir►t�Cr t��rel e<.�auslNEss�ac�IcY� �1[ o I`0�, <br /> ALlORESS �� <br /> PHONE g�1 © FALkSIMR.E "651 <br /> 0.is-law IRNV <br /> TENTATIVE`.APPOINTMENT DATE Twa <br /> (Ple 0*71161013US eWd dramda of opplieatlon submittal) <br /> f <br /> i CHECK BOX TO EXPEDITE REgUFST-349.00 FEE—REQU PLSED IIN 3 BUSINESS DAYS . <br /> SIGNATURE OF APPLtCAN& DATE D <br /> . 4 <br />' <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM ELBMONTS SEARCH ' <br /> 2� <br /> O +~ C4, Tra52 <br /> rt ► <br /> IAJ !rA 'fir 5 `- <br /> EN1v1RONMENTAL I{EALTH DIVISION FILES . <br /> JeUNPERGROUND TAMC(UST)CLEANUP SrrE(LOP) Q HOt1S1NG ABATEMENT 17 SOLID WASTE FACIL11Y <br /> M OTHER CLEANUP Stn(NON4LOP) 13 FOOD FACILITY ❑ SOLID WASTE VERICLE <br /> 0 UN4ERGROUNDTANK(Id ONITORINGIREMOVAL) G Doti KENNEL 0 DAIRY <br /> rd HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLIANT <br /> Q TIERED PERMrffED FACILITY M MOTELIHOWL C] PUMPER TRUCWrARDICHEM TOILm <br /> LAND USE APPLICATION SITES <br /> C7 TATT00180pY PE1RCtNG d PPU9LIC wgTExSYSTEM CI OTHER(PLEASE SPECIFYAIiOVE) ! <br /> ❑ ME ;CAL WASTE FACiU'FY + .h <br /> e skin <br /> m the list abov b rase <br /> 4. List up to ten addresses in the space above. Select the typa[s) of files from, Y g <br /> ro box(es). At least one de Q MUST be selected. Fax to 209 464.0138 or mail to the <br /> the appropriatef typ <br /> A address lndipabove. <br /> �� ll be confirmed <br /> 2. SHD will notify the�ppl)cant if any EHD tiles alst. An appolntmcrit far review wi <br /> approximately five business days but no later than ten QO) days after receipt of application. Tia files <br /> should be scheduled <br /> will be or a maximum of flue business da for review. Appointments <br /> Held f ys <br /> SScaordirl I <br /> f <br /> gY <br /> 3. A fila that,is atqvelybkins worked on by EMA staff may not be immediately available for new review. A , <br /> application may be submitted when the fire Is available. '" <br /> 4. Any(tle not returned in the same condition as released rv(t)be reorganized by END Staff at the expense <br /> o review. <br /> p>a <br /> of thea IicanL >wutura file reviews by the same applicant may require a�89.Q0 tloposft prior t <br /> 5. "TENTATIVE appointment dates must be aonflTmed with!EHD staff, <br /> I .6. Applications received after 3:OD pm will be processed the next business day. <br /> +h <br /> 'r <br /> CONFIRMED APPOINTMENT DATE,, TIME ' <br /> DATE CONFIRMED PHONE FAX INMALS ` <br /> REVIEWED YES NO REV11EW ID <br /> 1 N m • _ x - <br /> 1 <br /> I� <br />