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06/10/2003 07.55 9252836121 AEI CONSLLTANTS (';F) PAGE 02 <br /> aoi ny/tGf7J �AlJ.1N 46401'.4 . <br /> r..ra ...... EM/IRDOENTAL I H PAGC 02 <br /> SAN JOAQN COUNTY <br /> 101 IE C ENVIRONMENTAL HEALTH DEPARTMENT <br /> 30 EAST WE"R AVENUE,THIRD FLOOR <br /> JUN 1 0 2003 STOC)tTON CA 95202 <br /> (209)46&4420 1 3dq <br /> E r <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> DuSINESSIAGENCY <br /> ADDRESS O .— <br /> PHONI; J — FA(MMILE i 2,i <br /> TENTATIVE"APPOINTMENT DATE &j- TIME <br /> (Plellao plea w 1 bushrea�flays'} dee of <br /> a - applicoon cul.mitLvj <br /> 3 <br /> ❑ CHECK BOX TO gCPEDnF RFQLTESt-359.00 FM—REQIIE3T PROCESSED IN 3 BUSINESS I?Alr3 VA-1 <br /> 4-SIGNATURE OF APPLICANT 1 <br /> .�... O,(Xiw <br /> FILE ADDRESS THIS SigE'�E 0 WrAFF WE 0 <br /> PROGRR"EWU11IEM r8 SEAF F# <br /> Inc- <br /> s. <br /> irk , <br /> 'L <br /> s ee_ i •n --• <br /> 7 - <br /> T � 1 <br /> ENVIRONMENT14L HEALTH DIVISION FILES <br /> UNDERGROUND TANK Wn CLEANUP SITE(Lop) D FIOUS04G ABAIrAENT �SOU)WA rTE Faf,W fY <br /> OTIi&R d.EAnUp SITE(NON•WP) ❑ POOD FACILITY ❑ VAX)W*ITE VEHICLa 1 <br /> VN VeRGROUND YANK(MONIT0MGnMM0VAL) d DOG)M.'NNEL R DAWIP t <br /> X HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ "'.'G RF-ATMENT PLANT <br /> D TEEM PERMITTED FACILITY D MOTEUHO'TEL Ct PLWAVER TMUCKrfARDKM14 TOILETS <br /> ❑ TArroo BODI PiaRCING C] POOLJSPA ❑ LANP USE APPLICATM SRES <br /> IM MEDICAL WASTE FACIL,rrY I, OTHER MEASfE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the types)of tiles R rorn th a W above by checking <br /> the appropriate box(os). At least vne file type,MUST be selected- Eax�o208,}464-0138 or ma-t the <br /> ad n <br /> 2. EHO wiN notify the applicant N any END files 9xisst. An appointment for ry qew will be confirmed <br /> approXiMateiy fide business chars but no latter than ten(10)drays after nicript cf applic 66n. The tiles <br /> wdl be hold for a maximum of five business days for review. Appointm(! tS shouts be Scheduled <br /> aCCordingly, <br /> 3. A file that is actively being worked on by EH 10 staff may not be Immediately available for review. A new <br /> applloation may bs submitted when the file is 2tvailable. <br /> 4. Any file not returned in the same condition as raleaseci will be reargamL.ec'by 13M staffs at thr?expense <br /> of the applIcant. Future file reviews by the some applicant may rsquire o$09.0 D deposit prior to review. <br /> s. "TENTATIVE appointment dates must be confirmed with END slWff. <br /> 6. APPIIcatians received After 3.00 pm will be proc esssed the next business;day. <br /> CONNAME13 APPOINTMeV'i"DATE TIME <br /> DATE CONPIAMED PPIONE FAX I.rTL-Nt.S <br /> REVIEWED YES REVIEW DATIt <br />