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:. -09/20/2003 14:37 9252 p21 AEI CONSULTAN (SF) PAGE 01 <br /> 09/19/2003 12:45 464J.jEl ENVIRaVETITAt_ HEALTH PAGE 01 <br /> DATE RECEIVED CnU Lw 11Un11?cn <br /> ' ; Ert-viRoNmiNTAL REALTn D TmErrT <br /> SEP 2 2304 E Weber,Ave 3rd Floor Stockton,CA 95205 <br /> 468-3420 Fax: (209)464-0138 Web:www.co.san-joaquin.ca-us/ehd <br /> cMViROWIEWHELI H <br /> ,:. - S PUBLIC REL�EAAPPLICATIONSAPPLICATION 1 - <br /> APPLICANT: _ (e__ o�JPn� BUSINESSIAGENCY: <br /> ADDRF-SS, abo0CaM i no D[,5(101 o a00 <br /> PHONE: 0000 FACSIMILE:_ 11 -3 - (O <br /> /+ <br /> TENTATIVE*APPOINTMENT DATE: �� �1 dl 10 /1- 1073 Time: <br /> (picz4z allow 10 buslnees days from date of application submfttsl <br /> Q CHECK SOX TO EXPED RE /E�5T 93. �1 t E- UEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICI �f% V V�' DATE <br /> Department Use 0* <br /> FILE ADD UNIT <br /> o ( ate �. �GG�� ❑ Unit 1 <br /> x. sa <br /> pe"r of j d ca _ ;• �, J <br /> 3s.. sr en 31 In2t c0a v�o'rl� Unit a.J � ( <br /> ,. <br /> ) <br /> o Unit3 <br /> f <br /> 6. Streit p v <br /> sncc! Unit 4 <br /> 9. 37ree1 C' <br /> 9 sow -Clu Unit 5 <br /> coy <br /> ENVIRONMENTAL HEALT DEPARTMENT FILES 4L!n(j 5 glzz <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENT t!(SOLID WASTE FACILITY `J <br /> OTHER CLEANUP SITE(NON-LAA) ❑ FOOD FACILITY Q SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONMORINGIFZEMOVAL) 13 DOG KENNEL 0 DAIRY <br /> g HAZARDOUS WASTE GENERATOR O CHICKEN RANCH C PKG TREATMENT PLANT <br /> D TIERED PERMITTED FACILITY M MOTELJHOTEL ❑ PUMPER TRUCKIYARD/CEIEM TOILETS <br /> o TATrOWODY PIFRCING C POOLISPA o LAND USE APPLICATION srrES <br /> C MEDICAL WASTE FACILITY C OTHER(PLEASE SPECIFY) <br /> 1, List Up to ten addresSes in the space above. Select the type(s)of files from the list above by Cheaing <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 46x-0 $ar 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 ten (10)days after receipt of application. The files <br /> will ba 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 conditlon as rcleased will be reorganized by EHD staff at the expense <br /> of the applicant_ Future file reviews by the same applicant may require a$93.00 deposit prior to revietM1 <br /> 5. *TENTATNE appointment dates must be confirmed with EHD Staff. <br /> G., Applications received after 3:00 pm will be processed the next business day. l <br /> CONFIRMED APPOINTMENT DATE TIME <br /> PATE CONFIRMED <br /> PHONE FAX INITIALS <br /> REVIF-WED YES NO REVIEW PATE <br /> env 4"Z-9 W <br /> Va= <br />