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W-30-209'1.3 0210981 �"i TU � 170745284L3 P.01 <br /> aArlABC <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 SIE a WnER A1IENUE TFEIRD FL00R <br /> AUG 3 D 2000 STOCK7DN CA 95202 ; <br /> (2M 4aa-342jD _ <br /> ENVIRON PUBLIC RECORDS RELEASE APPLICATION <br /> ION <br /> PERMIT;��dg <br /> f3tJSll1E6$/AG t:Y <br /> ADDRESS v 1f� ,CC�LIf jCp <br /> fto"Z FACQB <br /> TENTAT V APPCwTIMENT DATE + 60 Tim O�•3©L1 J <br /> tricum Afire 7 tp 19 b from ore.of applkArdat submittall - <br /> CHECK BOX To UPBDITE RrQIJZ8T>k8T.0Q FEF E <br /> 8 PROLE D IpI 3!f►3>�!"Bs DAYS <br /> SIGMATUR> OF APPLICANT DATE <br /> �l. r rt'i1�1 FlL 11pMIJ WON IRM STAFF U39 ONLY <br /> PROGA M ELE#16NT3 MAMA <br /> ti <br /> j-7�,Zr <br /> Ila a4neq <br /> a <br /> 2 <br /> k <br /> ENVIRONMENTAL HEALTH DIVISION FILES 1 <br /> -3kNO>ERGROUND TANK(UNT)CL"NOP SITE(LOP) o HOVSING.ZATEMENT O 34DUD WASTE FACILITY <br /> THER CL94WP 611-9(N0144,0P) n FOOD FACILITY C7 YQUO WAXW YENK:I-E <br /> 1COU$wASTE CElIERATOR C2 CfGCK5N RANCH to F"TKLATMEraca< <br /> MG#MD <br /> PlglUMEd FACILITY O INOTEUME) EL 0 PUMER TRtXWNAItDAr.HZM TOF..M F <br /> 0 TATTOOMODY PEIKCING =1 KPOL pA► O LAKD USEAPPLiCATHM SRES <br /> O M91)CAL WA97E FAC ILITf a PUSUC WATER sYUMN O ME X(PLEASE WM01IFY Aaave) <br /> i. List up to ton addressee in Salt spar.*abaYs. Salsa the tYPON)of(1106#ran thw list above by checklail <br /> 1118 appropriate box(ea). At bast*ad file type MUST be"act*d. Fax to(M9)MdM3R 2Z Wall 12 the <br /> R. El'1D rvi8 notlty the appRoarrt if any EHO fll*s exist. 4n appointinant for rwW*w will be confirmed <br /> approAn-Ateiy five business day's but no later than ton(901 days after rece(pt of application. The tiles <br /> will ba hW;l for a mwdmum of five business days for review. Appcintrn*nts should be scheduled <br /> accordingly. <br /> 3. A Flo that is SaUvely WnG worked on by plD staff may not be Imrnedlalcy available for ravNW. A new <br /> rppEication may be ovtwnitted when the file is"allable. <br /> 4. Any file not r*Wrned in the saris c*ndlllon ss released will be raorsanlied by EHD staff at the expense <br /> of the applicant, Future file ravlems by the satire applicant may raquire;a$87.40 deposit prior to revlow. <br /> b. 'TENTATIVE appalnontnt data*must be roniirmed with EMD staff. <br /> 6. Applications r c*1ved after 3;00 pm wail be prioceseed the next buoinetss day. <br /> C(Mr-IRMED APPDIhITMIEHT DATE TIME , <br /> GATE CONFIRMED PHONE FAX INITIALS � <br /> FtEVtF-WED YRS No REVIEW DATE <br /> wr+s <br /> k <br />