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/•J 07 -2002 10 : 50 FROM : CITY `STKN HRD/ RCC 2099378822 -' •. 4640138 P9002/ 003 <br /> 404 ... . . Ilia III NUMWER <br /> t� SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ff Ar <br /> 304 EAST 1f�ESER AVENUE, THIRD FLOOR <br /> STOCKTON CA 96202 <br /> 79A <br /> (208) 48$.3420 <br /> 01211 R - -71I I . iLIC fSECORpS RELEASE APPLIC� JA, TION <br /> APPLIGANY`6:�rY ���'o � It'I /Ad@NGY C+,�. 5 1t1i 1J �fi I D S <br /> AnPRCSS -.30 r .I.�li` � Ski }`<• ZOO <br /> gq '' 99QQ _137 . rf ?Z Z <br /> PHONE ���.,�� � D y� r�. _ PACQIMII.E <br /> TENTATIVE" APPOINTMENT DATE �0�L�� znb& TIME <br /> (P®as Ivm to 10 13 Bin deyat m dAni Of A P. alltlo brnitlmq <br /> ❑ CHECK 00% TO EYPED1 REQUW • $00'ad PER EQUE.A AFRASSE DAYS <br /> SIGNATURE OF APPLICANT <br /> DATA? <br /> FIL A pREsB THIS $I E PHP STAFF USE ON <br /> PROGRAM ELEMENTS SEARCH <br /> 'hrc4"t' 35 Ll. .�J <br /> � S u. 5t/cJ-- .2 • so l� <br /> ,* y St/Fw h 35 a to 1u 1 <br /> a r1 �.i 1� cel W S-f•ryL.1" <br /> oil <br /> 0 1 AJ . C1^ <br /> ENVIRONMENTAL HFALTH DMSION FILE$ <br /> � QUSING ABATEMENT LID WASTE FACILITY <br /> pY�yNO@RGRQUNO TANK (U6T1 CLEANUP 51'fC (LOP) 0 OD PACILITY ;LID WASTE VEHICLE <br /> pTHER CLEANUP f31TE (NON•LOP) G KENNEL Rte RY <br /> O'3�}lNp6R6RbUNO TANK (MDNITDRINQIRPMOVAL) ICI16N RANCH �G TREATMENT PLANT <br /> rNyAZARpOUS WAa7e GENERATOR fff333" HHH61I.IHGTS=L WyU @R TRUCKA AROIGHEM TOIl-RTa <br /> fII"r1GREp pERMITTQO FACILITY y�UREA C►' p ISE APPLICATION SITES <br /> OOIBOOY P@IRGIHG IH'nuBtlC WATER SYSTEM R IPLI SPECIFY ABOVE) <br /> BOICAL WASTE FAGa-ITY • <br /> 1 . Ust up to ton addraaeea In the space above. Mjj197tba he 8q ectod f Fa filesko l?OQ1 4E4 O above from the list 0 or tna)I to shag <br /> the appropriate boxles). At least one fila type <br /> addrosa lnd ily to above ointment for revlaW will be confirmed <br /> 24 END will notify the applicant if any EHRfi16s exist An appointment <br /> approximately five buslnaas days put no lator than ton (10) days after rocolpt of application • The filoa <br /> will he held for a maximum of flVe buainaas days for roVlew. APPgIntrRants should be scheduled <br /> accordingly. being not de Immediately avallabio for reviews A now <br /> a, A file that Is activelyb / ubmitted whan the fl o is evaAtailablay <br /> application may <br /> f condition as released will reorganised by EkD staff at the expense <br /> 4, Any file not returned in the same <br /> I of the applicants Future file reviews by the same applicant ant may require a $89.00 deposit prior to review, <br /> th <br /> 0, <br /> Applications 0eppeivetment d aftor3t00 pm gtaffg <br /> wies III ll he proceaa0de confirrmid lthe next business day <br /> CONFIRMED APPOINTMENT DATE Tlfn <br /> PHONE: FAX INITIALS <br /> DATE CONFIRMED _ ^� <br /> YES NO <br /> REVIEWED REV161N DATE <br />