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�__--09/20/2003 14:37 9252836121 AEI CONSULTANTS (SF) PAGE 01 <br /> 09/19/2093 12:45 4641 ENVIRONMENTALf�TH PAGE 01 <br /> DATE(REECEEIIV`E_b (I Icnu Lw tnurvtot_n <br /> SAN JOAQM COUNTY <br /> ENVUtONMNTAL MALTS DEF T DINT <br /> SEP 2 2 304 E Weber Ave 3rd Floor Sto4;kton,CA 95205 <br /> 468-3420 Fax:(209)464-0138 Nett:www.W.M-joaquin-ca-us/chd <br /> ENViRONMEN1' HERS H PUBLIC RECC1P.DS RELEASE APPLTCAITON <br /> APPLICANT: Na Wl►e A 1. <br /> �c. AADDIRESS:x500 CaMUn0 DL dbl o S� la ke. X00 WaVy-k1JE Cie <br /> PHONE; FACSIMILE: . Of 26-- 61 (c" <br /> TENTATIVE*APPOINTMENT DATE: d �� �: c,V! <br /> (PICoC aliow TD business days from date of application stibrniita[) <br /> CHECK 60X TO EXPEDRE EST , 93. FEE- UES E <br /> 7 PROGI;SSD IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLIC DATE 0 O <br /> peraitrient use ONy <br /> FILE ADD UNIT <br /> 1. Street51G ❑ Unit 1 <br /> x. stoat t7 f Ot 0 �(� <br /> a stmt 32 0 o d ✓a a <br /> s. strut l o Unit 2 <br /> a Unit 3 "��✓ \ <br /> v <br /> a. street <br /> shwt CKUnit 4 <br /> 8. Sweet <br /> 9 sow a ❑ Unit 5 <br /> 10. streatCRY, <br /> LC(►t �I r7u �� ) S C C( rSS <br /> C" Cca vYi P 7 Gi- ct <br /> ENVIRONMENTAL HEALT DF-PARTMENT FILES G n v. <br /> 4 4UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [3 HOUSING ABATEMENT �SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) In FOOD FACILITY Cl SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINOIREMOYAL) C3 DOG KENNEL O DAIRY <br /> ,10•HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH O PKQ TREATMENT PLANT o <br /> Ci TIERED PERMITTED FACILITY d moTEUMOTEL PUMPER TRUCKrYARDiCHEM TOILETS <br /> © TATTOOMODY PIERCING 17 POOLiSPA a LANA USE APPLICATION sITES <br /> ❑ MEDICAL WASTE FACILITY O OTHER(PLEASE SP <br /> �. List up to ten addresses in the space above. Select the types}of files from the list above by checking <br /> the appropriate box(es). At least one file_ type MUST be selected. Fax to 209140-4-0338or mail to the <br /> ddress indicated above. <br /> 2. EHO will notify the applicant if any EHD files exist.. An appolnt�ment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after recelpt of applicatlon. The files <br /> will ba held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4, Any file not returned In the same condition 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$93.00 deposit prior to review <br /> 5. *TENTATIVE appointment dates must be conf(rmedwith EHD staff. <br /> 3:00 pin will be proCsa <br /> eed the next buslness day. <br /> 6., Applications received atter <br /> CONFIRMED APPOINTMENT DATA TIME <br /> PATE CONFIRMED <br /> . FAX MiHALS <br /> F <br /> REVIEWED YES NO VIEW PATE <br /> >:ttv�.eaaoe <br /> aruzatu <br />