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—� 10/02/02 WED 15:58 FAX 1916855 SHAW E & I laor <br /> 09/11/2002 14:36 4640138 0 ENVIRONKU TAL HEAL.'a rMIlL VL <br /> SAN JOAQUIN COUN'MpUBLIC HE!:ALTH SERVICES a3ao�ooNur� <br /> V ENVIRONMENTAL HEALT14 D1V1S10N <br /> y 304 EAST WEBER AVENUE,•1711 Rb FLOOR ' -_ <br /> 40 <br /> STOCKT'ON CA 952(1,! <br /> a T?'(: (209)468-3420 .E: e'� -crF•�/ --�e('3�® 3 2OO2 <br /> M = PUBLIC RECORDS RELEASE. APPLICATION <br /> :R`"`y'., '�:.ti:�'' ., � � � �tjFr,'�T rIEAL1H • <br /> e; Pptrc.ANT_ K G . 1tiirlo11us�srAGENCY Z5Lv;xa� * :11-4E I <br /> ADDREss. Y0051 Por4- C(I%%C�, <br /> PHONE `1 ZS-2 83- 23 Y <br /> FACSIMILE,®�l Z S�'1*1-7— ie:�2 3 <br /> TI=NTATIVE•.APPa7INTMQNT DAVE /O - 7 -0 Z _` TIME *FA <br /> (Pl611150 Wve Ito tU bUsinma ifOF 41111111111" <br /> 01`alp ICaLion sebaatt <br /> x " <br /> cHRCK 80X TO EXP=DITE REgUEST- .00 FEE—REQUEST P ARM T' USINIESS DAYS <br /> SIGNATURE OF APPLICANT _ DArE; to Z _,D <br /> FILE AD ItEss ` THIS SIDE EHD STIim U►R'SE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 20 <br /> ENVIRONMENTAL HEALTH DIWIS ION FILES <br /> UNDERGROUND TANK 1USTI CLEANUP SITE(LOp) 0 HOUSING ABATZNg"T O SOLID WASTt;FACILITY <br /> 10 OTHER CLEANUP SITE,NON-LOP) lO Foots FACIIm ❑ SOLID WAST@-VEHICLE <br /> ►m UNDERGROUND TANK 1 MONrWRIN(;/REM*vAL) ® 000 KENNEL 0 DAIRY <br /> O HAZARDOUS WASTE GI INERATOIR b CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ® TIERED PERMrT1'1rD PAIXITY ❑ MOTRUNOTEL ❑ PUMPER TRUCK/YARDICHEM Tojj.ETS <br /> 13 TATTOOIBODY POftc[N G 0 POOUSPA ® [,AND USE APPLICATION SIT45t <br /> O MEDICAL.WASTE FACIL rrY ❑ PUBLIC WATER SYSTE14 0 OTHER(PLEASE,SPECIFY ABOVE) <br /> 1. List up to ter addressalt in the space above, Select the typm(s)of files from the list above by checking <br /> the approprhite box(es);' At(east one file type MUST be seltteted. Fax to(20_91464-0138 or mail to the <br /> Address indioated abaLAL <br /> 2. END will notify the applTCant if any'EHD files exist. An eppa frit neat for review will be confirmed <br /> approximately five busf6ess days but no later than ten(191 days after receipt of application. The files <br /> Will be held t)r'a maxirnllm of five business days for revioty, Appointments should be scheduled <br /> accordingly. <br /> 3. A fele that Is:actively badiing worked on by END staff may not be immediately available for review, A new <br /> application nay be$u fitted when the file 19 available. <br /> 4. Any file not r2tumed ifr the same cogdition as rvIe4sed will I:e reorganized by END staff at the expense <br /> of the-alppliclint. Futute file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 51 'TENTATIVE appointimint dates Must be corifirdted with E81i1)staff. <br /> 6. Applications received after 3:00 pm will be processed the eivxt business day. <br /> CONFIRMED APP®INTMENT riAn. 'ri me <br /> DATE CONFIRMED PHONE FAX lNrrlAI:S <br /> REVIEWED YES NO RLMMI r BATE <br /> 09/11/)2 WED 13:93 -[T):/RX NO 76961 0001 <br />