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_____.09/20/2003 14:37 <br />09/19/2003 12:45 <br />925283E <br />46401': <br />AEI CONSULTANTS <br />ENVIRONMENTAL FI. <br />DATE RECEIVED _ <br />�, SAN JOAQULN COUNTY <br />IL �L,l! r CJI- J ENVWONMEN TAL HEALTR lDE PARTM&NT <br />SEP 2 2 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br />468-3420 Fax: (209) 464-0138 Web: www.co.szn.joaqujn.caus/ehd <br />PAGE 01 <br />PAGE 01 <br />cnu ww nwniocn <br />I Vi <br />ENViR0NMEN1- HEHSI H PUBLIC RFCOEDS RELEASE APPLICATION <br />_ 4 , <br />APPLICANT: (ei S_Vlo_y__ BUSINESSIAGENCY: i I C O <br />AwD�: �L� S: S0 -o Cave i nD M abl o , s 1�; oo t�a1N - CyQ� � �{-�5�1�1 <br />PHONE - ,F- a -900 FACSIMILE: 1 <br />TENTATIVE* APPOINTMENT DATE: g429 A 10h 6 3 Time: <br />L � " &I, J <br />(PICOIC allow lu buslness days from date of oppllcation submlttalj <br />CHECK BOX TO EXPED E577 83. FEE - UEST PROCESSED IN 3 BUSINESS DAYS <br />4- SIGNATURE OF APPLIC DATE <br />FILE <br />} �. 9rnot b Ol (D <br />a ssee� 3-2- o o c d f a <br />sr�n YYI arrt-�-q <br />5 so 0� _.� 1 Pod a o <br />0 C) <br />pepartrrant use OrdY <br />i <br />ar <br />1nam� = ENVIRONMENTAL HE/1LT DEPARTMENT FILES r1 L-�� v. <br />U <br />UNIT IT <br />Unit 1 <br />Unit 2 <br />nit <br />Unit 4 <br />❑ Unit 5 <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEMUP SITE (NON -LDP) <br />UNDERGROUND TANK (MONrMrzlNG/REMOVAL) <br />HAZARDOUS WASTE GENERATOR <br />CI TIERED PERMITTED FACILITY <br />Q TATTOO/BODY PIERCING <br />cl MEDICAL WASTE FACILITY <br />List up to ten addresses in the space above. Select the type(s) of files from the list above by Checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 209 4 A or mail to the <br />address indicated above. <br />EH13 will notify the applicant if any )*HD files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />A file that is actively tieing worked on by EHD staff may not be immediately available for review.A new <br />application may be submitted when the file Is available. the <br />Any file not returned In the same condition as released will be reorganized 3.00 deHD posit Prior to review <br />of the applicant. Future file reviews by the same applicant may require <br />*TENTATIVE appointment dates must be confirmed with EHD staff, <br />Applications received after 3:00 prn will be processed the next business day. <br />1. <br />❑ HOUSING ABATEMENT "+IL17Y <br />❑ FOOD FACILITY 10�f WASTE VEHICLE <br />0 DOG KENNEL O DAIRY <br />M CHICKEN RANCH O PKG TREATMENT PLANT <br />M muTELIMO-TEL i7 PUMPER TRUCKIYARD/CHEMTOILETS <br />Q POOLISPA r3 LAND USE APPLICATION 3rrES <br />Cl OTHER (PLEASE SPECT <br />3. <br />4. <br />5. <br />6., <br />CONFIRMED APPOINTMENT DATE <br />TIME <br />DATE CONFIRMED PHONE . FAX <br />REVIEWED YES NO <br />ellmw <br />REVIEW PATE <br />INrPALS <br />