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FROM Geo-Phase Environmental Inc. FAX NO. 2095690295 Dec. 24 2002 12 : 03PM P2 <br /> —r <br /> II CJ) r I - ' i ' 1 h I,. .,.i <br /> 1lI_ �I_ . ! li Ili , IIS 4N JOAQUIN COUNTYPUBLIC HEALTH SERVICES i� <br /> ENVIRONMENTAL HEALTH DIVISIONWEBER AVENUE, /II� <br /> DEC 2 4 2002 304 EAST STOCKTON CA 05.202 THIRD FLOOR I V <br /> - (20D) 468-3420 <br /> [fdvihOldf !:: Idi . , EI'tCiPUBLIC RECORDS RELEASE APPLICATION <br /> ,_ <br /> a <br /> APPLICANT S to � �M4r'CJ �J BUSINESSIAGIZNCY �d /�kRtSe 6W,6np-."' <br /> ADDRESS O- 9 A7 /� S�j+U p <br /> PHONE 7 ' �� / •� FACSIMILE 7 ` p� ` 5 �•-•� 0 <br /> TENTATIVE" APPOINTMENT DATE 3 d � TIMEMotto • 1 � � J7 <br /> (Please give.41 to 10 bunines day^ from dale of application SWmillai) ' <br /> 4M CHECK BOX TO,EXPEDITE REQUEST - $67.00 FCE — RCOU EST PROCESSED IN J 13USINE55 DAYS <br /> SIGNATURE OF APPLICANT 14 DATE o ar z <br /> v' FILE ADDRESS THIS SIDE EHO STAFF US - ,[JUY <br /> PROGRAM ELEMENTS S R a• _ <br /> 44 It$ , S AA ! Y • G/C�M /tel <br /> po r r/ <br /> sdG <br /> 3v Pr -- SJG <br /> r*WW a <br /> t <br /> i <br /> 's <br /> r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Z�t1NDERGROUND TANK (1,15T) CLEANUP SITE tLOP) 0 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> .ail OTHER CLCANUP SITE (NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL 0 DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> u TIERED PERMITTF15 FACILITY O MOTEUH07EL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ YATTOOIBODY PWIRCING 0 POOUSPA ^ ` 0 LAND USE APPLICATION SITES <br /> L7 MEDICAL WAST9 FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHCR (PLCASE SPECIFY ABOVE) <br /> 1 . 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) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ton (10) days after receipt of application . The tiles <br /> will be held for a maximum of five 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 /> application may be submitted When the file is available. <br /> 4 , Any file not returned in the same condition as released will be reorganized by EHD staff at the cxpcnse <br /> of the applicant. Future file reviews by the same applicant may require a $67.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3: 00 pm will be processed the next business day. <br /> � i CONFIRMED APPOINTMENT DATE TIME <br /> i <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> I <br /> REVIEWED YES YES NO REVIEW nATF <br />