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map-11-03 13:43 From-TTI TETRA 7.r_�EN INC +&168520307 T-547 P.02/03 F-803 <br /> ,1 � --� <br /> .AN .JOAQUIN COUNTYPUBLICI HEALTH S4 RVICES OW Lub/1VIhuH• <br /> NVIRONMENTAL HEAL-TH DIVISION <br /> SEP 1 2003 J304 EAST WEBER AVENUIE.ITHIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEALTH (209) 458.342 <br /> ERM1TISERVICES VUBLIC RECORDS RELEA E APPLICATIOR! <br /> rbc► )7 <br /> APPLICANT INESSIAGrENCY � . <br /> ADDRESS lila h!� O Inn �a�'+c.�o �,.0'r'•'t�acx� C'6- 9.s�6 ,, <br /> F'hON>r FACSIMILE �P S J� D —,( ':I / <br /> TENTATIVE"APPOI.N'TMENY DATE 'IMF furl i 'I' <br /> (Pi4�Sc Siva 7 LO-10 ousina4s days Uath of applic con SuD nitual) <br /> XCt1ECK00XTQEXP'EDITAIRr;QW9 SB7.00 FEE-RE5T PROCESS�D IN 3 BUSINESS RAYS <br /> SIGNATURE OF APP I_iCANT DAT <br /> I <br /> FILE A130ItESS THIS SIDE flip STAFF PSE ONLY <br /> PRPGRAM EL.HNIENTS ZCARGI1 <br /> ij On <br /> a � <br /> , <br /> I <br /> ENVIRONMENTAL_HEAt_Tli DIVISION FILES 'r <br /> Q CLEANUP SITE(LOP) 0 rIOUSING ABATEMENT SOLID tuTyUVAERGFOUHG TANK(15C <br /> OTHER CLEANUP SITE(NONPLOP) ❑ FOOD FACILITY SQWP WASTE VEHICLE <br /> UriDERGRatlND TANK(MC7N410RINGIAEMOVAL) 0 DOG KFENNF-_ 0 pA1RY <br /> 1KAZARPOUS WASTE GENERATOR d CMICKEN RANCH fid PKG TRZA-tMZW PLANT <br /> IO TIERED PERMITTED FACIWTW a MOTEL.HOT1=i. 0 PuMPIIR MUCKFfARPICHAM TOU.Er- <br /> 0 TAT OWF3OPY PF-IRCING 0 FC OWZPA ❑ [.AND usF-APP1"ICATIQN arms <br /> A MEDICAL WASTE FACILITY ❑ PUBLIC WATER SY TEM R OThF_R(13"ASE SPECIFY AI3pYE) <br /> ; <br /> 'l. List up to ten addresses in the space above. Selaet th types) of flies frOM thO list.above by checkil <br /> the appropriate dox(es). At least one file type MIDST Ian selected, Eax to (2 091 4§J-0138 or mail to ID1 .r1) <br /> ress indicated Abs ve. <br /> 2. EI1A will notify tlpe applicant if any F-HD files exist- An appaintment for review will be confirmed <br /> approximately five business days >bUt no later than ten (-l0) days after receipt Of agplicatian--The file <br /> will lie neld fOv Almaximum of five rosiness days for review. Appointments should Abe scheduled <br /> accordingly. <br /> 3. A file that is actively 170ing workea on by eho staff ma not bC immeCiiataly available for review. A n <br /> application may pe submittea wizen Me file is availaole <br /> 4. Any isle not retur:nva in that "me. cotlgitian as releasenlwill be reorganized by E.1HD st8ff at the expen <br /> of the appiicanj.:f=uture fila reviews Dy the same applicant may tequire a$S7.opi Ueposlt prior to revif <br /> a. 'TENTATIVE appointment dates must be coi3fiUM04 wit I EHI] staff, <br /> 6. Applications received after 3:00 pm will be processed vie :text business day. <br /> A. <br /> — t <br /> CONFIRMF-p APPOINTMENT PATS TIME fi T <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> -I l U44 u Hyl -e'vq' l e 4 13 <br /> , <br />