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SENT BY GEOLOGICA INC; 415 597 7880; JUN-11 -0£ 12' Pld; PAGE <br /> X11 - � n _- • ', ��-'i <br /> 06 <br /> 05/16/2983 13:54 40138 - -• <br /> DAM atcuvm ENVIRONMENTAL HEALTH ..i :PAGE 01 <br /> JUN 1 1 2003 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> P)'vIn )idfvlrJ41 HEALI h, 304 EAST WESER A'IENUE,THIRD FLOOR I � <br /> (R(•.41T/sFRVICFS STOCKTCN CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RI-LEASE APPLICATION <br /> APPLICANT OUSIN1501A,ENCY <br /> ADDRESS— 599 kawA,0 Sr, -. 57F. HCL2 !;Ay ylZRW ais r:o ",A <br /> �- <br /> PHOnE �ls• .1 9�- 789/ FACSIMILE_ /PS' • S4 '71TF 17 <br /> TENTATIVE`APPO"AENT DATE TIME <br /> (Phase glv*7 to 10 bllsineaa dayn from deft of applretlon submittrl) <br /> CHECK BOX TO EXPEDITE REQUEST-589.00 FEE-/FEWEST I'ROCE$SBD IN 3 BUSINESS DAY:; � 1111 <br /> :-SIGNATURE OF APPLICANT !/ P�w"" "+`� DATE .�="f/•!7�� 0-(q l-` J{ y) <br /> 'SIVE STN:F USS C•NLY <br /> FILE ADDRESSSPROGRAM El.fmrl ITS.+L1VICII <br /> 2.801 W�s)r VANE yT CIV IVN �e`,A <br /> 1800 MAJI-0AL-1. VP-. <br /> IBoo t IA N. rorroNUj <br /> 23S pay/Na✓ , _�rJ <br /> S. 2+I W it LANE ST+rtK N — --- A <br /> 6 vN I y E �. 5rocr roe/ <br /> IS2.8 L /NEVE Sfrl roN -- nrn- at,emft <br /> SO 91VAt 717N �1rC G£N6T�l�Y N r '_ <br /> 9, 230 fA) 5 L Nem 9IUC`fC-7 jV <br /> A- oy We9r 1LANe 4'f9 <br /> IL. I�S6 N- W ILtU N 1011 y ENVIRONMENTAL HIJU TH DIVISION FILE.'i 2 �? <br /> IX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT a1 SOL.)* 'N FMALIT <br /> Dr OTHER CLEANUP SITE 049f"OP) 13rCX)D FANLITY C1SOLA}M'ASTt VEHICU2 <br /> 6(UNDERGROUND TANK IMONITORINWREMCNAL) ❑ DOG KENNEL DAIRY <br /> 114 HAZAROOUS WASTE GENERATOR PC CHICKEN RANCH fQ PKG IREATM::HT PLANT O <br /> QC TIERED PERMITTED FACILITY ❑ MOML/H DIEL 5t PUMI'6F:TRLI 1Kty ftDICH M T)IL <br /> 0 TATTOOISODY PEIRCING ❑ POOLJSP 4 4d. LANU UIdE AP PLI(: IONSITES <br /> �$MEDICAL WASTE FACILITY ❑ OTHER(t'LEASE - <br /> 1. LIM up to ton addresses in the space above. ,elect the type(s)of files from the list above l'y C119cking <br /> the appropriate box(es). At least one file type MUST be selected. to the <br /> address_indicated above. 4 <br /> 2. EHD will notify the applicant if any EHD files a dat. An appointment for rtrdow w ill De oonfil!med <br /> approximately five business days but no later than ten(10) days after rec01pt of jppIjCatloni The files <br /> will behold 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 EMD staff may not be Immediately Oval iilblle for r4iew. 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 Dy EI ID staff air he expa0se <br /> m <br /> of the appllcanL Future file reviews by the sae applicant may require a M 9.00�de)onit pr Dr b3 review. <br /> 5. 'TENTATIVE appointment data&must be confirmed with EHD staff. <br /> 6. Applications receivied after 3:00 pm will be processed the next business lope. <br /> CONFIRMED APPOINTMENT DATE Post r Fax Note i?371 192 k7 PeetsR I <br /> ,> K �m <br /> DATE CONFIRMED PFION camw- <br /> REVIEWED vas NO <br /> °"IL_ I-EM � <br />