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h <br /> 69/16/2003 15:53 925371-9915 ' GEOCON - EAST }-faY PAGE 01/I <br /> DATE i2ECEIVEQ ENVIRpNMENr0 LTy <br /> D a SAN JOA.QM COUMY <br /> �n� PAGE 02 <br /> rni L��� C�i?�t`�tr��[1� EN VZRONM ENT IftA7E`MbEP,A,,RTri>rE F <br /> 304E'WeberAve 3T4 Fla&StOLtatz, CA 95205 <br /> S E P 1 6 2001209)468-3420 Fax; (209)4644-01.38 We www.ca.san joaqutn,ca.uslel d <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE°A>f"FLKATION <br /> PE <br /> APPLICANT: C( RUSINE961A61;NC1�: <br /> ADDRESS: <br /> PHONE: ?I S- 04 PAC$lMILBLEE-2 z2t, <br /> TE IMITATIVE"APPOf NTMENT DATL;: Time: <br /> (Pte?se allow 10 buslneaa days from date of app3catlon subminap <br /> CHECK BOX TO EXPEDITE REQUEST-X33,00 FER-REQU PRpCEs3 D U NESS HAYS <br /> SIGNATURE OF APPLICANT BATE 427 <br /> Davartrhant Use Only <br /> FILE ADDRESS UTAH <br /> r 3 C unit'l <br /> tr d O L l.irkllf2 <br /> WLtA D D d c <br /> Ci /' V it 3Z cc a UNsii 4 <br /> qW,- <br /> 1,1-13 <br /> 7y'A.17 .cr C7 . Unit 5 <br /> ENVIRONMENTAL,HtALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT 0 SOLID WASTE FACILITY ' <br /> D OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILrrY' Cl SOUD WAM V6111CLE <br /> C3 UNDERGROUND TANK(MONITORINWREMOVA0 Q DOG KENNEL CZ PAIRY <br /> 0 NAZAADOUS WASTE GENERATOR 0 CHICKEN RANCH t] PKG TREATMENT PLANT <br /> Q TIMMI)PERM1TTED f~=LITY ❑ MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOolsoDY PIERCING 0 POOL SPA 0 LAND 115E APPLICATION efM6 <br /> 0 MEDICAI.WASTE FACILITY ID OTHER(PLEASR SPECIlm^ - <br /> 1. List up to ten salddresaes in the space above. Select the type(:)of flies from the Ila#above by checidng. <br /> the appropriate box(es). At least one file type MU$T be telacted. Fax to' 0914%-b138 or mail to tie <br /> s Indicated ahoy-g. <br /> 2. EH4 will notify the applicant if any lrHp flies QxiSt.'`An appoirltmttint for review wilt be confirmed <br /> apprtlximately five butinoss days but no later than tern (10) days after receipt of application. The files <br /> will be held for a maximum of five business,days for revlew, Appointments should be'scheduied <br /> accordingly. <br /> 3. A file that IS actively being worked an by EHO staff may not be immediately 4vailable foie review. -A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the some condition as released will be reorganized by EHD:staff'at the expense <br /> of the appllcant. Future file reviews lythe same applicant may require a$93.00 daposit prior to review. <br /> 6. *TENTATIVE appointment dates must be Con'firmad with:EHI~I staff. <br /> 6. Appllaatlons recelved after.3:00,pm will be processed ttit~next business day. <br /> CONFIRMED APPOINTMENT GATE TIME ' <br /> MATE CONFIRM= PHONE . FAX 1N TIALS _. = <br /> R1=%AEWED YES No REYII_W DATE; <br />