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__ -- .09/20/2003 14:37 9252136121 AEI CONSULTANTS (SF) PAGE 01 <br /> 09/19/.2003 12:45 46 ENVIRONMENTAL �I H PAGE 01 <br /> DATE RECEIVE_b tnu�w ilurviocn <br /> (n�1 <br /> EE <br /> � -"1111 J �G11 <br /> SANJoAQanv COUNTYr ��i' ENVUZONMENTAL HEALTH DEPARTMENT <br /> SEP 2 2 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> 468-3420 Fax:(209)464-0138 Web:www.co.san-joaquin.causlehil <br /> EN\�iRUNMENT HEH[Th PUBLIC RECO�s EELEASE,APPLICATION <br /> ra,ITr�F v ('ES , . ,�.... <br /> .APPLICANT: lie, Sin i4 4 it"— _ 13USIN.'SIAGENCY: A <br /> ADDRESS: 0 .a 1 0 9 a t Cie �1 <br /> PHONE: 00 FACSIMILE:_ �;LS_Au <br /> WA .-tom r►� k0IO 6 3 Tune: :Y <br /> TENTATIVE"APPOINTMENT DATE. ' <br /> (PICWSC allow IQ buslrw3s days from data of application submittal) / <br /> SSED 1 BUSINESS DAYS <br /> CHECK BOAC TO EXPED RE EST 93. 1 EE UP-ST PRbU' N 3 <br /> SIGNATURE 4F APALIC DATE 0 O <br /> pepsrhTwt use ONy <br /> FILEADRELS <br /> UNIT <br /> ,. street D2 c f c tv ❑ Unit 1 rJ <br /> 7. Srvm 0 f en 0 City ^ 9) <br /> a erten 32 0 o d f R Unit 2 <br /> blrre� AYt'tlrt 4 Cts <br /> Unit 3 <br /> a. <br /> y srmot Unit 4 <br /> 8. 3me1 � <br /> 9 sue ct ❑ Unit 5 <br /> to, streee <br /> cin Ca ern Lane tilt <br /> ENVIRONMENTAL HEALT DEPARTMENT FILES C-11 V, <br /> J <br /> UNDERGROUND TANK M7)CLEANUP SITE(LOP) <br /> d HOUSING ABATEMENT SOLIDWASTEFACI1.TfY <br /> 4 X77 OTHER CLEANUP SITE(NON-LOP) IMFOOD FACILITY Cl SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MOMMMINOIREMOVAL) E3 DCG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN WINCH ❑ PKG TREATMENT PLANT <br /> D TIERED PERMITTED FACILITY d MOTEL/HOTEL 0 PUMPER TRUCIUYARDICHEM TOILETS <br /> 0 TATTDOA300Y PIERCING O POOLISPA O LAND USE APPLICATION SITES <br /> Q MEDICAL.WASTE FACRM O OTHER(PLEJASE 8P <br /> List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2gLjMAjg or mail to the <br /> address indicated above. appointment for review will be confirmed <br /> 2. EHD will notify the applicant if any EHD tiles exist.. An appo application. The fees <br /> approximately five business days but no later than ten(10)days after receipt of app <br /> will be 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. An <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 HHD 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. *TENTA WE appointment dates must be confirmed with EHD Staff. <br /> 6., Applications received after 3:00 pm will be proceszed the next business day. 1 <br /> CONFIRMED APPOINTMENT DATE TIME ` <br /> DATE CONFIRMED <br /> PHONE . FAX INMALS �r <br /> REVIEW PATE <br /> P"1�NED YES NO <br /> erv+sox-cos <br />