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-• 10/02/02 WED 15:58 FAX 191685 5 SHAW E & I 0' <br /> 09/11/2002 14:36 4540138 ENVIRONMtl-ITAL HEAL1 , rAut ni <br /> lap SAN JOAQUIN COUNTypUBLIC H,IE'.:AL,TH SERVIIrES e <br /> V ENVIRONMENTAL HEALTIH DIVISION ` T <br /> EF U <br /> y 304 EAST WEBtR AVENUE,Tfil RD FLOOR - r <br /> STOCKTON CA 95211'! <br /> re 1: (209)468.3420 0 3 2002 <br /> PUBLIC RECORDS RELEASE: <br /> APPLICATION � I <br /> 'A.. #Aw- v,r,'aT riEAL1 N <br /> t,APPLICANT n . Klr'3 <br /> d <br /> ^- KUSINESSIAGENCY Z5L%!v•♦ 1F4\%I1`t'�.tii 4�- E l <br /> ADPRESs Y005 <br /> pHON>r3--2 Sc4- 23 Y FAcstMtLE_-� <br /> •TENTATIVE•.APPOINT M$NT DATE /O - 7 -OZ TIME <br /> (pleased ve to 10 busdawess tr4 0l'ap !cation submtttatj <br /> .A <br /> 17 Ales 714 <br /> CHECK BOX TO EXP:DtTE RE4UEST. -00 FEE_REQUEST PROAD rUSINESS DAYS <br /> SIGNATURE OF APPI ICANT — DATE /O — Z -02 <br /> FILE ADDRESS " THIS SIDE EHD ST6►FF USE E ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> �►w z o w A- 20 _372-7 <br /> A. <br /> maw <br /> %MUM <br /> z 91)w <br /> E:NVIRONM15NITAL HEALTH DIVB ION FILES <br /> 0 UNDERGROUND TANK(UST)CIEApUP OrM(top) 0 HOUSING ABATEMENT C SOLID WASTE;FACIL47Y <br /> 10 OTHER CLEANUP SITE MON-LOP) 0 FOOD FACIIM 0 SOLID WASTES VEHK:LH <br /> 114 UNDERGROUND TANK I MONITORINGIREMOVAL) 0 000 KENNEL ❑ DAIRY <br /> O HAZARDOUS WASTE GI INQRATOR ❑ CHICKEN RANCH 0 PK6 TPEATM ENT PLANT - <br /> 0 TIMED PERMrrMD FACILITY 0 MOTaUMOTEL 0 PUMPER TRUCKIYARDICHEMI TO11ATS <br /> 0 TATTOOIBODY PORCH G O POOLJSPA O LAND USE APPLICATION 5M <br /> 0 OEDICAL,WASTE FACIL ITY ; ; 0 PUBLIC WATER SYSTEM IM OTHER(PLEASE.SPECIFY ABOVE) <br /> 1. List up to ter address4 In the space above. Select the typn►(s)of files from the list above by checking <br /> the appropriadts box(es).: At toast one Rio type MUST be selected. Fax to(2091464-0138 or mail to the <br /> pddresS India:sted Ab <br /> 2. END will notify the applicant if any EHD files exist. An appa Intment for review will be confirmed <br /> approximately five bustthass days but no later than ten(191 Bays after receipt of application. "rhe files <br /> will be held i'r'a maxirftm of five business days for raviow, Appointments shOLIId be scheduled <br /> accordingly. <br /> 3. A file that Is:actively bldina worked on by EMP staff may not be immediately available for review, A new <br /> application may be sultted when the file is available. <br /> 4. Any file not rmtumed 1 the same cogditiOn as released will leo reorganized by EPID staff at the expense <br /> of the*applictlnt. Futmtia file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. `TENTATIVE appolnuftnt dates must be confirmed with Elil?staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. <br /> DATE CONFIRMED _ PHONE F'AX -INITIALS <br /> REVIEWED YES No It"Pi DATIE <br /> 09/11/32 WED 13:3:3 -[TY/RX NO 76961 IM001 <br />