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09/25/2002 14:04 209821 X64 K P.NIJJAR PAGE 01 <br /> oe 09/26/2002 13:55 4540138 ERIIFZ04CNTAL 1 EAI,TH PAGE 01 <br /> UATs kL06N%0 SMD�OGtgrASER <br /> ,. SAN JOAQUtN CpUN`[YPUB IC HEALTH SERViG <br /> ENVIRONMENTA[,H LTH DIVISION <br /> `' ' D <br /> M 304 EAST WEBER,AVEN E THIRD FIwbOR <br /> D <br /> BTOCKTON C 941202 � - <br /> (209)468 420 SEP 2 � 2002 <br /> PUBLIC RECORDS REL $I;APPLICATION <br /> APK=Aw <br /> H/ f�7'J 8u51NESSIAQ ., r k pEl;MI;4URVICES <br /> ADDREf;S SO A/L. S'7. nJ TGA e4 S-3 <br /> PHONE OW 9- 6/3- Q!o FAesM1ME 9 + cxS~ e2 <br /> TENTATfVV-APPoimmr;NrfDATE /d f/ TWE' <br /> (Please give 7 asa s /Ilea( lai) . <br /> CHECX BOX TO 9XFTiWE RE4U0T-$89.00 FEES Er P SS tNAUS2W DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS 210E END STAFF USE ONLY <br /> PROGRAM MEMENTS 9RARCH <br /> 7o7 �41lE- <br /> d 9A/7- C. OW 9S_'-7 <br /> i <br /> ENVIRONMENTAL,HEAL DIVISION FILES <br /> �WM <br /> �I (USnCIAMUPSrM(LOP) rlNGUSINQ ASA MRI;NT 13 SOLID WASTE VACILITY <br /> �R CI ItJP 91?L:f NON4,OPI E3 FOOD FA O SIDLIDWAVEVEHI=ER6ROUFtD TANK(140"MORINGMEMOVAL) C7 DOG ONHEL ' G DAIRY <br /> O HAZAROOU2 WAM GENERATOR 0 CHICKEN RANCH CI PICC TFmATMENT.K ANT. . <br /> d im3aED P6RmrrrE0 FACILITY 0 MOTELMOTEL 0 PUMPER TRU KMARIMMEMf TOI.LM <br /> 0 TATroOmODY PP-MCINd 0 POOLISPA IO LAND USIX APPMATION SrrTTffi <br /> 13 VEDICAI.WASTE FACfWrFY y n PUBLIC WA"I"T;t SYSTEM to OTHER(PLEASE 311RCfFY ABOVE) <br /> 1. List up to ten addresses in the space above. "m t the type(x)of i91s:from the list above by checking <br /> the appropriate bex(es). At least one file type MU be selected. FAXJR[709)4,W130—gr moll 1P ft <br /> *gdress lndlemted ah e. <br /> Z EHD will notify the applicant if any EHO files exist. An Appointment for review will be conf)rmed ` <br /> approximately fide bUkiness days but no later than ten(10)days after receipt of appiicatloh. The tiles <br /> Will be held for a maximum of five burdness days for review. Appointments should be sohedulied <br /> accordingly. <br /> 3. A file that Js nctivfely bbing wonted on by EHD staff may nat be immediately available for review. A new <br /> application may ba submitted when the file Is avail able. <br /> 4. , Any file not returned ih the same condition as role d will be rtwrganIzed by EHb staff At the oxpelisa <br /> of the appileaOL Futum file reviews by the Mame a plicant may require a$89.00 deposit prior to review, <br /> a. "TENTATIVE,appointrnLant dates must he confirm with EHD staff. <br /> .6. Applications raftenrod after 3:00 pm will be prooes ad the(text business day. <br /> CONFIRMED APP'OINT'MENT DATE, TIME <br /> DATE CONFIRMEb PHONE, FAX INITIALS <br /> RIP-WED VM NO 1RSVIEIN DATE <br /> nt.nr <br />