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FROM 0 7�C' J i 1 J FAX N0. 209-832-9134 n. 02 2'%103 11:`0AM P I <br /> / �s?8 [ r <br /> C ,. � DI ENVIku'•!�ENTAL HE;_a- ?rar <br /> BATF pacen�o --��� 1_t.,[��p ._.� �............. �= 1 <br /> v SAN JOAQUIN COUNTY <br /> SUN 0 2 2003 ENVIRONMENTAL HEALTH DEPARTMENT' <br /> W4 EAST WEBER AVENUIR,THiRD FLOOR <br /> ENVIRONf�ria iVl HEALTH STOCKiON CA 95202 <br /> PEWAIT/SERVICES I�osl aria-3a�o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 13 /k <br /> APFUCANT BUSINEBtirAGEKCY <br /> ref- ADumms 2506p kk&Yt5S ►h cou i Rtl-GY _ Cz X15 <br /> PHONE (Z0-9) D 3 Z. - t 34- FAcs fi71 ILI9 (7G <br /> as <br /> TENTATiveAppow-ruEh7DATE 6- 5-03 TWE -1, 'LG!"', --�..�,,,,.�"i0 �� <br /> (Plee gtft 7 to 10 euttnOss Coy*"M erase of apyfhatton.submi[fai', V, `' <br /> 41 <br /> R"[M CHECK BOX TO£XPEUM 81 ST-SMOO FEE-RlK=i T PROCESSED IN 5 BUSiNE:9E DAYS 1 <br /> *81ONATURE OF APPLICANT �j2'� C�A7r: L - O:3 <br /> • •• i StDEE�t i�Y,i I�FiYS.E CiNLY —,,•••• <br /> FILE AWKEW AROGRA':1 EUM! EPACII <br /> 0>q>3 _ 2003 <br /> EhWNI MAI V 11 If! ft-- <br /> lilt UZ V1, <br /> U-1. .L <br /> ENVIRONMENTAL HEALTH OMSION FILMS <br /> i(UN V-ftGWX-NA TANK(UST)CLIIAN UP SITE(LOP) Q MOM716 ABATEMENT C SOI:A'NA Fr Et FACILITY <br /> (?/O1}IER CUMVP srIT(WN-LM 13 FOOD FACILITY C7 rAi'O'IYAX.t c VEHICLE <br /> LSI UNDER MMIND TANK(teO TORWGIRONOYAL) D DOG K,01 EL 11 DAF;Y <br /> ❑ HAZARDOUS WASTE GENERATOR In C NCILE d RANCH C7 PK(-i T11I-tA7Ti OENrr PLA,4T <br /> D TIERED PERMITTED FAGILMr Q MOTE JNCI L m pUl 1pER Tnt kci;n AIWC;IEM TOILr-Tu <br /> C1 TATTOORIODY PORCMiG 13 POOL VIRA ❑ LAPrD IMrx A)PLk-A110N SREB <br /> In MEOtGAL WASTE FACILITY n OMLtkVPLEASE3PAGIFY)� _•--•---.�_._�. <br /> 1. L%t up to ten addresses in the space*bov(1. Soledt*Tie type(*)of fifes f9•an•i thtk li_it abOve by 0WEirig <br /> the appropriate h-wgea). At least one filo ty1)e MUST be selected. I' L tt <br /> address Indisod above. <br /> 2. EHO Will notify the applicant if any EMD fire::exist. An appointment for Pi!ivfrwr I IIH tMr raanlfinneti <br /> approxim*taiy fiva b"Inass days but no Wier than tan(10)days after ret*pt of a.p;Ala.aticn. The files <br /> will be hold far a masirnum of five buslmas dx)m for ravicw. Appolntme�ribI$h;uiei be s chedukrd <br /> a=0rdlnsly. <br /> 3. A file that Is dctivVY being worked an by MID staff may not be immedtatatr mm liable for review. A rigw <br /> appllcutlon may be submwed when the 111418 avaiiable. <br /> 4. Any file not returned in the same=ndlbon as released wilt be reoraang7Qd by lc 1.11 ;staff at the MP(AMse <br /> of the appsacant Future file reviews by the same appllaant may rcitluire!i$39.130 dbpos:it prior to review. <br /> 5. 'TENTATIVE anointment diatom must be cO nthMid With EHO staff, <br /> ti. Applications roctived after 3:00 pm will be processed the noxt businOr-li&* <br /> OONFiRl1 ED APPOINTMENT IWE _ ' TOE <br /> DATE6 NPIRMZSb . ___ PHONE FAX I1sItG'PuILS <br /> RWEWED YES NO ftTdymw DATE <br /> EJi A&=.= <br />