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03/62/2004 11:11 4252836.121 AEI CONSULTANTS (SF).._ PAGE 01 <br /> ESD LOG lvuMBER <br /> VED <br /> SAN JOAQUIN COUNTY ENVM0NMXNTAL WA _T0 D1uPAR. -WNf <br /> 304 F,Weber Ave� 'Floor Stockton., uslehd <br /> 2004 : www.cO.sat�joaT1 n•ca. 1 <br /> �A� � � (204)468-3420 Fay: (209)464-x138 Web <br /> U IVIFiQNME1�YvlCES PUFLIC RECORDS RELEASE A.PPLYCARON <br /> - ITISER I <br /> BUSl1�TESSIAGENCY: l - <br /> APP11CAArT: aL� t. j <br /> ADDRESS: II <br /> a FAC31M1LE: <br /> PHONE: Time. l� ll �� <br /> I e � { <br /> 'CENTATIV�"APPOINTMENT DATE: . <br /> l from date afapFrcatfnn submltlall .�.$S or"o <br /> (Plessa allow 10 twslne i da'fs <br /> CHECK BOX TO EXPEDITE RECQUES _$93.0012 -REQUEST PROCESSED IN 3 B> N SAYS, ATS r <br /> T� it f <br /> O <br /> SIGNATURE OF APPLICANT <br /> Use�ANT � <br /> {' UNIT <br /> FILE ADDRESS i •5 <br /> :. svaes a � nit 2 �s <br /> 5� snai + a Unit 4 <br /> 6. Sweet I . <br /> 7. Meet Li CIFT15 <br /> Q S� <br /> Q �- E IRONMENTIAL HEALTH DEPARTMENT FILES <br /> ❑ SOLD WASTE FACILITY <br /> CLEANUP SITE(LOP) ❑�HOU&NG ABATEDMENT fl SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(UST) O FgOD FACILITY CI DAIRY <br /> gTHER CLEANUP SITE(NON4.QP] O DOG KENNEL• Q P4CG CREAT ENT PLANT <br /> UND><R;ROUND TANK(NONjTORINGlRE11A4vAL) O CHICKEN RANCH ❑ PUpAPER TRUC rY ATtDON S TOILETS <br /> HAZARDOUS WASTE OEKERATOR R MOTELhIOTET G .AN[)USE APF <br /> TIERED PERMF M. D FACILITY d poouSPA <br /> D TATYOolBODY PIERCING C1 OTHER(PLEASfiSPECTFYI checking <br /> 0 mFDICAL WASTE FAC'LM � g of files from the list 1�vo bychecking <br /> to the <br /> ace above <br /> Select the type( ) Fax to 209 4fr4_ <br /> 1, List up to ten addresses in the sp pe MUST be Selected• <br /> the appropriate box(es). At tea$t orle hle ty <br /> address indicated above. I films eX Ar apppintrnent for review Will be Qn �-he <br /> files <br /> EHA receipt of app <br /> -Ont i#any 5 after led <br /> will notify the appllca I later than ten(1 0)day Quid be scheduled <br /> 2. RHG ss da but no lat plrltments should <br /> five buSlne � I_ view. APP <br /> approximately a business days for re <br /> held for a maximum of five avail <br /> for review. A flTdW <br /> will be h av <br /> accordingly. worked o by EHD staff may not be immediately <br /> 3• A file that is actively being ani�ed by EHp staff at the eXPense <br /> application may be submitted when the file a available. 3.00 deposit prior to review. <br /> applicant may require a$ <br /> 4. Any file not returned In the same coriditioe$erne P�-eased will be reo <br /> f the applicant. Future file reviews by the nfirnned with EHD staff. ( <br /> o P be co s da , <br /> dates rnus business y <br /> a intrnent I . ed the next �.� �� <br /> '�El17ATIVE received <br /> will be process � <br /> 5. ived after 3.b0> m , •.:. <br /> $. pIICStIOfTs r'eCe �;: •,�?.,�,--`- - N� .:.r � <br /> l, <br /> ry..1RM - - - <br /> °�.`l✓ rte,=e.:_:' R:•�:..•:... .�;,:- <br /> +..CC <br /> iSILTS <br /> A <br /> 'f <br />} <br />