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FEB-14-2002 12:25 FROM-TWININ 9G INC. 5592687126 TO 0138 F.FJ01i001 <br /> 10-3.7^2008 1012BAm FROM TO 355926S7125 P.02 <br /> vn,t Ki.L'Wva1d <br /> SAN JOAQUIN COUNTYPUBUc HEALTH SERVICES NbFAU k . <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 07L5TOCKTON CA 95202 <br /> (zas)Asa-Saxe <br /> PUBLIC RECORDS RELEASE,APPLICATION <br /> 77A;!lli <br /> E � <br /> APPLICANT �r r <br /> � A 1'( BUSMES.SIAGENGY <br /> AnnRESS 2-. Z <br /> PHONE �'• d FACSIMILE 2� <br /> TJENTATIVI;'APPoINTMENTDATE ��/4 _ TIME I � <br /> (Please give lbtow business do s k pptc plfcaUon Submitlai) <br /> 4 <br /> ;* .ECK BOX 70 ELi'EDfTE IiEQUES - 7.00 EE— QUEST E StS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> X 4 � � <br /> FIi,E AT}DriE55 nliS SIDE EHD STAFF use oNLY t <br /> PRpGRAJA ELF-mENTs SEARCH <br /> )to-/` <br /> _ i <br /> el Sa <br /> - <br /> i Z <br /> f <br /> ENVIRONMENTAL HEALTH DiViSION FILES <br /> -35' UNDERGROUND TALK(UST)CLZMUP$ITE(LOP) 0 HOUSING A6AT9MFNT CI 501-10 WASTE FACILr y <br /> O OTHER CLEANUP SITE(NON-IAP) M 100D FACILITY a SOUR WASTE VEHICLE j <br /> 1�9 VXDERCROUNO TANK(NDNITOR)NGIREM4YAL) C3 DOG KENNEL D DAIRY <br />` IS- HAZARDOUS WASTE GENERATOR C] CHICKEN RANCH 0 PKQ TREATMENT PLANT <br /> C TIERED PVtMrrrED FACILITY 0 NCLTEL'1i0TEL 0 PUMPER TRUCKMARDICHEM TOILETS <br /> I= TArr6 rBODY PmRcmo CI P6011SPA 0 LAND USE APPUCATION SffW <br /> M MEDICAL WASTE FACILITY '.'E3 PU8UC WATER SYSTEld 0 OTHER(PLEASE SPECIFY ABOVE) � <br /> i <br /> 1. List up to ten addresses in the space above. Salect the types)off'iles from the Gat above by checking <br /> tale appropriate box(es). At least one file type MUST be selected. Fax to 209)464:OZ39_pr mail to thy, <br /> address indle&W above. <br /> 2. EHO will notify the applicant if any EHO files exi-st. An appointment for review will be confirmed i <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 fiver business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> appllcstion may be submItted when the file 1s available. j <br /> 4- Any site not return#d In the same condition as released will be reorganized by EHO Staff at the oxpenao <br /> of the applic4nt Future file reviews by the same applicant may require a$87.00 deposit prior to review, <br /> b- "YENTATIVI=appointnjent dates must be confirmed with EHD staff. i <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> 4)ATE CONFIRMED PHONE FAX INITIALS <br /> III V 1NED� YES NO REVIEW DATE <br /> TOTfI P.02 l <br />