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Rpr 23 2003 8: 06RM 408 0461 P.2 <br /> 03;} 4610139 ENVIRDhbEHTAL HEALIH ._. ,...«..,SAGE 91 <br /> SAN JOAQUIN COUNIV �T <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> APR 2 3 2003 304 EAST WEBER AVENUE,THLR'D F1l <br /> STOCKFON CA 95M <br /> ENVIRL'.14MENT HEALTH (01)404420 <br /> PUBLIC RECORDS RELEME APPLICATION <br /> APPUCAMT L BUBM3WA9MNCY S%, <br /> PF C'MYO$y23 Y0 -- 5 <br /> TEN TATIV r`AppownsoT DATi TMW <br /> Lpgm"sive 7 tQ 10 IrWrow days*am data e1 WOW tbn ua>mi*tlai r <br /> 0 cmac sox fro arre Rselua>ieT• ��-ralrauasT praoc:assm�s�u�:ra <br /> -*SIGNATURE OF APPLICANrr A. —.- DATE <br /> MR AVEI L9B PROGRAM ELP.1>r1ENTa aEARON• <br /> eNvIRONMENTAL HEALTH DM$KM FILMS <br /> UNDB fND TANK(UW)CL.EAMW srM(MM 0 HOMMO ASOJU EW 0 SOLID wAWM FAMLnir <br /> 0 POW FACKM 0 $*LID 11YA6TI vrmGL.B <br /> aim CLE"Up arts"ON-LOP) C3 EM" <br /> WIDluds ILD TANK RMOlNSCH MCiMMOVAW P"PMNS- 0 ptWTREATMENTPLANT <br /> KMANDOW WAeTE 016U M1TOR D CNCXS�RANCH <br /> 0 pUMIPER TM0Kf'FAPtMNWM T+M"TS <br /> D Tt p1EMIMrlrFIM FACLITY 0 0 MOTEPOCMO D LANK U.1°MP LlGATIOM ansa <br /> 0 TArraareRlvr s� 0 WMEt(PLUM>s� <br /> n MEDICALWAWM PACIL.ITY <br /> 1. Llai up to ten addresses in the space above. 84110d UIS types)of filen frem the 1191 above by cltRDkinS <br /> on apraprlete box(es). At least one fit type MUST to W"ted. r, <br /> 2. EM)will Botfly the appllcrlt H any EMD flMs exist. An•ppoUW"pt for revio%v will be son firmed <br /> sppMdmately five business days but no hftr then ton(10)days after ref'Al rt of appiicatidil. The hiss$ <br /> vAl be hold for a maximum of five business days for revlwe. Appointr vents shotild be ech9duied <br /> mmordingiY• bean worked on by END staff M4Y oat be irnmadist►lY mmilable far rgrAew. Anew <br /> 3. A file that Is eCove y 4 is s _ <br /> applicaelon!nay be submitted when tife file vagabie. <br /> q, Arty 1189 not istu►rted in the concill as yammeW wM be rpr+0>arAxod by EHP stuff at the pence. <br /> of the alppihatrrt. FuW*11!19 r vIl by the 9aM appliosrit may>fequ�a a$0.00 deposit l <br /> 5. *TENTATIVE appointment dater must be oortllrmad with EM staff. <br /> 0, Applications n mk-ed Mw 3:00 Pm wM bR i"sem the next busirmtS slay. <br /> CFfMD APPOWMENIr DAA 'I!MEI <br /> O <br /> PHONE FAX. INITIALS <br /> VffE CONFIitw ZD <br /> �p YES NO RVIOW ON M. <br /> ae�l�IN � <br />