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t� <br /> X9/12/2005 13:22:; 916366_1 `"9 �UR8 CONSTRUCTION' WS PAGE01/01 <br /> 04/03/2083 14:31 46401 ;ENVFRUVENTAL J£�OH PAGE 01 <br /> OI4TE> �' f <br /> EW un est <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> Q ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESER AVENUF,THIRD FLOOR <br /> S1r OCKMN'CA 95202(209)46"20 , PM 2:;0: : <br /> ' q 9AVIS <br /> PUBLIC RECORDS RELEASE AP TjN <br /> ,: Yl t5N EuTA.l. <br /> APPLICANT CT SA", 13USItVrSSSJJAGSHCY A L T N DEpAIIINI <br /> =DRESS In13� SHS ►1 N r �A- <br /> I <br /> HONE I 23 1--1n.J' FACSIMILE <br /> 7ENTATIVT APPowTuarr0AT8 ( { 71ME ^J <br /> (phase Qlve 7 to t0 bwnems days!torn date of applicartiAn suhmitmi) Oi, <br /> F <br /> Q CHECK BOX TO EXPEDI'T'E REQUEST- FEE-REQUEST PROCE53f.0 IN 3 SUSU(M DAYS <br /> SIGNATURE OF APPtiCANT DATE 'I 1 � <br /> FILE AQP THi3 S[Cs"s E}{D$TAPE USE ONLY <br /> PROGRAM 9LEMENTS SEARCH <br /> S l rTo Tb 1 -05 <br /> ENVIRONMENTAL HEALTH DIVISION FILE$ <br /> li As UNDERGROUND TANK(USq CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT XSOLta WAsm FACILF <br /> .OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY , SAI,ID 1AfA5i�v6HlCLE <br /> KU <br /> Ub1OWGROUND TANK(iNowrowraREmOVAL) (3 DOG KENNEL © DAIRY <br /> HAZMDOUS WAM GATOR ❑ CHICKEN RANC14 1I PItG TRNATMENT PUJMT <br /> TIERED PERM(TTED FACIL!rf CI MOTEI.IHOTEL G PUMPER TRuCWARD/CNEM TCILErS <br /> ❑ TATToomooY PF-M=G Q AOOLWA 0 LAND USE APPLICATIONS SCIES <br /> SPECIFY RSGV <br /> C3 MEDICAL WASTE FACUTI 0 4 OTHER(ps.EAABOVE) <br /> 1. list up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the approprWe box(es). At least one file type MUST be sale. Fax to(2091464-0138 Or mall to the <br /> address indicated above, If' <br /> 2. EHD will notify the applicant if any li:T•fq flies exist. An appointment for review will be confirmed <br /> approximately five business days but no late!than tars(10)days after receipt Of aflplicatlan., The files <br /> will be Held for a maximum of five business days for review. Appointments should he scheduled. <br /> accordingly. <br /> 3. A file'that is actively bang Worked on by EHD staff may not be immediately available for review. Anew <br /> applicatnon may be submitted when the file is mrailabie. <br /> 4. Any flee not returned In the sante condlbon as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appoinbTwf dates must be confirmed with Elie staff. <br /> 6. Applications recaived after 3:00 pm will be processed the next business day. <br /> peat-W Fax Note 7571 4--5-03 <br /> a+9+At <br /> =NFIFAED APPOiNTMIS14T.DA?E � r4M a <br /> DATE CONMME0 C-09 ` <br /> Pin <br />