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04/05/2006 16:59 13107982841 <br />UJ/Ur/�4abb 12:45 464E <br />D <br />ISiGNATURIE^ OF <br />EMI IE'OMENTAL <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Easy Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />ne: (209) 468-3420 Fox, (209) 464-0133 Web: www,sjgov.argfehd <br />IC RECOIWS RELEASE APPLICATION <br />f INTMEWr DATE: Timo., <br />businem dayR fmM data of 4PORCHon submittal•Tlsirt<V jm anlr-must be eapf6meM <br />Specific Date Range of lhfarmaGan Request d: <br />PAGE 01 <br />ENVIRONMENTAL HEALTH DePARTAAENT FiLES <br />XUIMDEROROUND TANK (UST) Oa.EANP arra (LOP) 0 HQU9ING AgAT66TENT >�OLiD WASTE FAQILnYMM4GLE <br />eVOT-MR CLCANUP SM (NON -LOP) n Foos FAOILfiY O WAZtV TIM <br />9 UNAe MROUND TANK (MaNr0r4NGW,1 MONAL) 0 D= "Nmm Q oAMT <br />WHA7r4`iDOW WASTE (i E14MRATOR M CH CKEN RARCH N"AMWATEn TpeAmu(T PLANT <br />0 TIERED PeRMM FACt ItY ❑ MCTWHOTT 4 0 PumnR TRxKIYARWCAfit411OAL TOILETS <br />0 TAT 61BODY PEROING 0 POOLMPA 0 LAM UM APPLICA-n" BffE,s <br />0 riMT WAL WAM FAaLrIY 0 CTMM (PLEAbt: SPECIFI ) <br />WMJ{ ANO St F= PERWRECOR02 ARE AVAtMXF FOR ReM>R - MONDAY.FRIQAY COO AMJ3:D0pM - EXCUJ N9 RCUDA1°a <br />1. hist up to ten adelresses. in the space above. Select the typo(s) of files from the list above by checking the <br />appropriate box(es). At least one file type MUST be Woofed. Fax to (2091464&] 8or mail to t e- address <br />Indl;zated above. Add met ranges voll not be accepted -for oddHionol assistance wltft fife adtlra=as, contact <br />the EHE). Appileat,ions re-- Wed after 3:00 pm Will be processed the next business day. <br />2, The EHp will notify the ap Acant if any EHD files exist, An appointment for reuiew will be confirmed <br />Approximately ten (10) 0 after receipt of application. The files will be hL4d for a maximum of five business <br />days for review. Appointments should be scheduled accordingly. <br />3. A file tha3 is actively beim Worked on by EHD staff may not fie immediately available for Miew. A nM4 <br />oppiicafion may be subrni�ted when the file is available. <br />4. Any file not returned in the camel condition as released will be reorganized by EHO staff at the expenee of the <br />applicant Future file revi#wc by the same applicant may require a $93.OD deposit ptior to review. <br />END 4449 <br />16W=09 <br />7— <br />I'\ <br />