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., � � : uamage ori v .ironmental ; 91B 354 1786 ; uri 2L <br /> � 2 Jun - 2E 3 : 38PM ; Page 2 / 2 <br /> C' FROM 1916354;786 P . 01 <br /> SAN JOAQUIN COUNTYPUB �e �oanuMa3c <br /> LIC HEALTH SERVICES <br /> II JUN 2 8 2000 ENVIRONMENTAL HEALTH DIVISION I C n <br /> 3" EAST WESER AVENUE, THIRD FLOOR o I <br /> ENVIRONMENT HEALTH STOCKTON CA 45202 <br /> PERMIT/SERVICES PUBLIC 1�lrCORDSBRELEAS ppUO,gTION <br /> APPLICANT pU91NESSIAGENCY� <br /> ADDRESS P o , e3 o X 3 6 9 R c N D ) <br /> Mv81 � Td cA 59683 <br /> 16 ] 3 5 4 - 3 z j 0 T FACSIMILE <br /> TENTATIVER APPaNTMENr oaY>_ � S n r o D TIME 1 30 <br /> (Please Bivo 7 to 10 k"100sa days hay date of <br /> aPPGcxllon iulNrlitptl) <br /> CHECK BOX TO FXPEOnE REQUEST - 473,00 FU oo REQUEST PROCESSED IN a fIU31NESS DAYS <br /> SIGNATURE OF APPLICANT - 4o �Zl <br /> DATE _ S � 2 $ f_ PQ _� <br /> J d') FILE APDR $$ THIS 910E EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SFARdi <br /> � 2 � Weber 4vo , $ acktoh Loo t4oyse <br /> IID ah eP St. Stocktalt Cold } GaYA e <br /> y, . ENVIRONMENTAL HEALTH DIVISION FILES <br /> 1y UNDERGROUND TANK (UST) CLEANUP SITE (1.014) 0 HOUSING ABATEMENT 11 SOLID WASTE FAc u" <br /> 0 OTHER CLEANVP $ITE (NON-LOP) ❑ FOOD FACILITY p <br /> UNDERGROUND TANK WONITORING/REMOVAL) O DOG KENNEL p SOLID WASTE YENICLE <br /> ❑ TIFfWD OUS WASTrrTED GEfa3RAYOR 1.7 CHICKEN RANCH ❑ PK4I TR9ATMLNT PLANT <br /> * rATr D BODY TED FACILITY _ E2 MOYLL,"WEL ❑ <br /> * MEDICAL <br /> JBO M FACIHO O POOLI3PA PANDER TRUCKIYAtION Jq 61 TOILETS <br /> p MEDICAL WA9TE FACIL7tt 0 PUBLIC WATER SYSTEM p OTHELANR(PLA"P $APPLXSPECIFY BOVE) <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 (2091464-0498 or � i1 to He <br /> dress )gdir&md ahove <br /> 2• END win notify the applicant if any EHD files exist. An appointment for revlew will be confirmed <br /> approximately five business days but no laterthan ten (10) days after receipt of apppcatlon. The fifes <br /> will be held for a maximum Of five business days for review. Appointments should be echedulod <br /> accordingly. <br /> 30 A file that is actively being Worked on by END 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 END staff at the expense <br /> of the applicant Future tilt revlewa by the same applicant may require a $73voo d2POIAt prior to review. <br /> 5. `TENTATIVE appointment datum must be conf(rmed with END staff, <br /> 61 ApplicatiOns received after 3 :00 pm will be processed the next business day. <br /> gin <br /> CONFIRMED APPOINTMENT DATE TlWE <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> 7WWT, auw f] <br /> TOTAL P. 01 <br />