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83104/2003 10:58 464013 EMIRONMENTAL W PAGE 01L9�OG bra <br /> , <br /> •i.rl 1.14 i.1.r4.lr • �:�- . <br /> I,.1� 1A N •JOAQUIN.COUNTYPUBLIC HEALT14 SERVfit E <br /> L._ ._- ENVIRONMENTAL HI=ALTM DIVISION i �. <br /> ` 30'4 EAST WESER AVI:NUI5-;TMRD!"Look <br /> M� . 0 4 200 STOCKTON CA SS202 a <br /> (=9) 468-3420 . <br /> 91 <br /> li'i[_i,­ ATLIPUBLIC RECORDS RELEASE APPLICATION _ <br /> - <br /> APPUC r { L`� lir old aaUSla! SWAGKNCY DtY"L Ars5ac jA Tam►�1NG- <br /> 1� AOiaRE�S jA� t�/s0� �77 F I G f �M/,ht Y, <br /> PHONEi�LSP3 ;a FAC�iwit,E <br /> .:i TF_NTATIV>^'APParNTfmEHTbA'1'E 81 I`7fr15� 7, 9-64 TIOAE i <br /> (Plaaaa give'/to 7b buainass dais(Mm clata of RppiTealkm submittal) <br /> CHECK Dox T'O EXP'EDME REq T-$03.49 FEE-REQUEST PROCE55EA IN 3 BUSINESS DAYS] � 1 <br /> *SIGNATURI=OF APPLICAN DAT1= <br /> We AM% gr <br /> •fv <br /> FIL9 ADORES* THr5$11)E V13 STA19F USE ONLY <br /> F <br /> PROGRAM tt.FAarrS SEARCH <br /> X00 r 13L.1/I 5 773 P 6 MW 44 I _ <br /> .p 'I G B Stir S 95 y <br /> `1 <br /> Z70 FL C 13t.Y STb crl-Sts <br /> G acv CST I fm ' 5 .- <br /> I <br /> • ` � 1311 <br /> ' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> U <br /> NDE <br /> R <br /> GnoOko TANK(LIST)CL9ANtap SITE(_*P) 13 HOUSING ABATEMENT' ID SOL11)WASTE FACILftY <br /> k oTHER CLEANUP SITV(HON-LOP) 1:04D FACILITY O St7UI]WASTE YIEHICIE <br /> l NOE; GROOi4D TANK(MONiTORiNGTFti'3Ht'3VALl Dori t<EKNAL 17 IDAIRY <br /> HAZARDOUS WASTE Gt:Ptt;RATOR ❑ CHICKEN RANCH tri PKG rREAW%.:NTPLANT <br /> Q TiEMO PERMITTED FACILITY b MOTEUNOTEL M PUMPER M0-_KrrAR0tt;NEM YOIL 73. <br /> ❑ TAi•rOOtIHST]Y pl;IFtCING O p04LlStiA T<LOAND USE APPLICATION SITES <br /> O MEDICAL WASTP T=AC1LrrY , Q O7HER(In.,HASI:SPECIFY ABOVE} <br /> 1. List up to ton addresses In the space alsovo. SolcCt the types)or rias frarn the list above by ch"king <br /> the approprlatd box(es).. At least one file type MUST be selected. >Fax to (2091444-0138 or_rnail to_the <br /> r address indictted abode. <br /> 2 EHD will notify tho applicant if any EHD files exist. An appointment for rovicw u�711 be confirmed <br /> approximately five business days but no later than tarn(10)days after receipt of application. The filer, <br /> will be held for a maxlm4rn of five business days for ravlow. Appointments should be scheduled <br /> accordirl�Iy, . <br /> 3. A file thtat,ls,actively being worked on by EH6 staff may not bo Irnmcdlatrly aVai.l;lbae for review, A neve <br /> i application may bo submitted when the file is awillabie. <br /> A. Any file not rettirnod in the same conditions as released will bit reorganized by EHD staff at the expense <br /> of tho applicant Future file ravicvsrs by the same applicant may require a89AD deposit „ ati u <br /> 5. *TENTATIVE;appointment states must�be confli'1'ied wM END staff.. t:'=` ^: <br /> G. Appiicairions ra eivea ager 3:413 prn w[IT 13a processed the next busineaS stay. ' <br /> CONFIRMED APPOINTMENT DAVE. . TIME , <br /> DATEGONFIRMEi3 . - PHONE PAX INITIALS <br /> REVS1= mn YES NO Riav a w DATE �_ �_� ,” • `i <br /> ::olam , I <br />