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11/01/2002 15:19 FAX 209 9480621 <br /> DATEREd&Vm 002/002 <br /> SAN JOQUIN COUNTYPUBUC HEALTH S <br /> ENVIRONMENTAL HEALTH DERVICES <br /> [VIS �e <br /> ION V� <br /> 1 <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> 04(4STOCKTON CA 95202 D <br /> (209)468-342 <br /> PUBLIC RECORDSo D <br /> RELEASE APPLICATION NOV <br /> APPLICANT �(� ,�, <br /> BUSINESS/AGENCY_ Y ��1ffz OF /t i=AIVlanninR. <br /> ADDRESS Z z� I,,L7-�. 1 i EALTH <br /> PHONE Zv Zo — PERMIT/SERVICES <br /> - 9 B ~ /3 `� FACSIMILE <br /> TENTATIVE`APPOINTMENT DATE $ r/'Z` <br /> (Please plve 7 Ia 10 b In da 77WE <br /> Ys ftnm dale Of ipplleatlon submltlap <br /> CHECK BOX 70 EXPEDITEt//�� • <br /> REQUEST-587, F RS�IYOSG��S <br /> SIGNATURE OF APPLICANTPROCESSED IN 9 BU <br /> EQUEST PR <br /> DATE �c <br /> FILE ADDRESS <br /> TH14 SIDE EHO STAFF USE ONLY <br /> ' lT0A ALA PROGSEAyGi <br /> � GA <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> R UNDERGROUND TANK(UST)cLEANUp SITE <br /> a OTHER CLEANUP SITE(NON-LOP) �1 0 HOUSING ABATEMENT � SOLID WASTE FACJUTY <br /> A UNDERGROUND TANK(MONITORINGIREMOVAL O FOOD KENNEFACILIL to SOLID WASTE VEHICLE <br /> S HAZARDOUS WASTE GENERATOR ) DOG KENNEL [I DAIRY <br /> 3P TIERED PERMIT1ED FACILITY O CHICKEN RANCHPKG TREATMENT PLANT <br /> TATrOGIBODY PEIRCING <br /> O rr10TEUHOTEt <br /> MEDICAL WASTE FACILITY O'POOEAPX -•': PUMPER TRUCK/YARIYCHEM TOILET'S <br /> (d PUBLIC WATER SYSTEM � LAND USE APPLICATION SnES <br /> • List up to ten addresses In the space above. Select the OTHER(PLEASE SPECIFY ABOVE) <br /> �e appropriate box(es). At least one fits type(s)of files from the list above by checking <br /> address In,f pled QbOVe type MUST be selected, Fax to(209)464-0138 or all to the <br /> END will notify the applicant if any EHD files exist An appointment <br /> approximately five business days but no later than ten( 0days after re eipt of appliconfirmed <br /> cat on The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly, <br /> A file that Is.actively being worked on by EHD staff-may not be Immediately avallab <br /> application may be submitted when the le for review. Anew <br /> Any file not returned In the same cofile Is available, <br /> ndition as released will be reorganlzed*by EHD staff at the expense <br /> of the applicant, Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> JNFIRMED APPOINTMENT DATE <br /> TIME. ; <br /> XE CONFIRMED l <br /> u��^ S PHONE FAX INITIALS t <br /> •,�-'rGL YE �r <br /> ••••••,., +G NO REVIEW DATE ,' . <br />