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-07-2002 10:50 FROM:CITY STKN HRD/ACC 2099378822 4640138 P.002/003 <br /> X13/k3l/1b1�_"L lei:'3r+ Yo`+ ?w40r.pwm EA <br /> SAN JOAQUIN COUNTYPUBLIC HEALT SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> i.-,; 304 EAST WESER AVENUE,THIRD FLOOR . <br /> tt STOCItTON CA 9S202 <br /> (209)46$-3420 <br /> 79 <br /> 02 Nett' —7-0 LIC RECORDS RELEASE APPLICATION j <br /> AI�PI.ICANT 5U9INMWAG2NCY c o . <br /> as <br /> ADDRESS � fir+ l <br /> ?__,_ 37-• ��. _pACSIMIM 2C 9-937- Pz <br /> PNONE �'�' �� - <br /> TENTATIVE"APPOINTMENTDATE 6jV._MftwI..-If[. 1:22? TIME . --� � <br /> ( 1805%200 X to 10 b IR dnysftjDyTi do to4.1 <br /> lIefluo bf"Iftml) <br /> ® 'Ais DAYS. h <br /> BSE <br /> CHf{GK i�pXTO�fAEwgIREgII>aB7•;t39.Qn FEQ��QUE�PR. G� <br /> SIGNATURE OF APPLICANT " ' ''�="'- — DATA <br /> FIL A FRRi THIS SI IfE"p STAFFS USE ON <br /> .+r.�£ PROGRAM gLF.MENTa3 SEARCH <br /> 7�Z•4 .30'24 3tj a <br /> o i N• rr"' <br /> i! W . 53(, <br /> .r <br /> 151.7 �' 3 <br /> KS <br /> ENVIRONMENTAL 1-IEALTH DMSION FILES <br /> i <br /> �lNor!RGROURO TALK(US-0 C1.EANtiP SITr=(LOA) QusING A(BATE1r1EN C DWD WASTE FACILITY I <br /> [�'gTF1EFt CLPAIJUP SITE(NON-LOP) F�Cp <br /> aa�0 PACIUIY LID WASTE VEHICLE <br /> aKXa5RGR0UND TANK(MONITORINQlRI'iulOvALI ccal K>MNNI!L Y <br /> ICK6N RANCH D_�' 0EAE PLANT <br /> 13�- EIW0 Pa]ERI,AMM FAG FACILITY TCfi TBUHRTEL WIJPU ER'TRUCKfyAikD)CHEM TQI�ATM _ r <br /> DDIBQOY AR�IRCIHQ UBAA <br /> ren USIS APPLICATION SI'Z'ES � <br /> RoICAL WAST1=FAa:Ia_11'Y =RuSGIc WATER SYSTFM O(PIER(F'1-%ASE SPECIFY ABOVE) <br /> 1. Llast sap to tan addrmaaes in the space above. Select the type(ey oaf files from then list alcove by clha'Icwlnp <br /> the appropriate box(es). At least One file type MUST be anlected. Fa 464.0 ax tnihe <br /> addre I loftatejbove appointment far rayvla W will be confirmed � <br /> x• EHO will notify the applicant If any EHD files exist. An app <br /> aEapproxlmmtOly five business dayj but no later than tan (10)days Mier racelpt Of applicetlod. The tiles <br /> will be hold for s maximum of five bsastla os�sj days for tevlew. AppPIntmafrlta should.be scheduled <br /> .accordingly. <br /> a. A ill*thet Is actively being worked on by PHO staff may not bag Irmmodlsately available for review. A now <br /> application may be)submitted wham the fllo Is evallaple. by EHI] staff at the expense <br /> 4. Any Flee not returned in the same condition as reWsed will be reorganized <br /> of the z3pplica nL Future tIle revlaa`rerls by tls9 gams}applicant may requlre a$89.00 dopossit prior to review, <br /> •51 *TENTATIVE appointment dates must be conflrm6d with EHD litaaff. <br /> 6. Applications received Aftar 3:00 pm will be processrad the next business day. <br /> CONFIRMED .APPOINTMENT DATE. 6TIME, f <br /> DATE CONFIRMED PHONE FAX INITIALS �- <br /> REVIEWt=D YES NO REVIF_W DATE <br /> ryr. <br /> i <br />