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MAP.-17-2004 02 : 9 AM P. 01 <br /> 3�� 4640138 ENVIRONMENTAL. FF` T1 _ _ PAGE 02 <br /> �[� . SAN JoAQulx GouNt <br /> n LJ ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 1 6 2004 304 E Webcr Ave P Floor Stockton,CA 95205 132- <br /> (�, '468.3420 Fix:(209)464-0138 Web:vrww.co.utn-joaquin,muVohd <br /> EN`�`iRuNN1EiJ( HE -I • <br /> p�gp�,IT�SERViCES PUBLIC UCORDS RELEASE APPLICATION <br /> APPtJL:IdtT: =,I u� s eUss+ srAcrrjcY: <br /> SL E <br /> PHONC,- eY 7FAc4wfIm 4/e <br /> TENTATIVE`AAP041frMIENT DATE; <br /> (Pkxse allow 10 buximss days from dke of oppO sloe aubmtwry <br /> CNBCK BOX TO EXPtCITE REOMT-01M ME-"CM IN 3 MINESS D09 ��4 <br /> SIGNATURE OF APPLICANT �� DATE L0 <br /> D004AA Wa Uy+0* <br /> S j <br /> L"t 1 <br /> Unit 2 2�(/ <br /> C*r4 � i <br /> U <br /> gm Firm <br /> �14 <br /> a <br /> u oil <br /> UW 6 <br /> E NmoNMEWAL I—SALTH DEPARTMENT FTLEB <br /> < UNMRQ1WLM TANK(UST)C YAW SITS(LM J:k NOUSM ARATEM034T �am amm WASTE rA,cwr <br /> I$ OnMR ct-kwup Srrt P+ OM 1Z MOOO PACILITY ❑ SOLA WASTE VDUCLZ <br /> V�UNDERGROUND TANK(I.0 TCFJW RE1MOVAW ❑ DW KEWML d OADZY <br /> Ez HA2s WASTE 00A PATOR n Cif IMN PA ell E2 �TRi:ATMOIT PLMCT <br /> ARflbU <br /> :Q Ta£RED PERMITTED FACd= -� MtOTELMOTEL $ PUMPfn TRucKrfA>ZDoo�"TWLM <br /> a TATTOc 000Y PM?dMC Q,POO(XPA -V1 LAND USE APPLICATION BITES <br /> ❑ MEDICAL WASTE FACI-M Q or"(PLEASE <br /> 1. Lest up to ten addresses in the space rabove. Select the types)of flies from the 11st aboys Icy checking <br /> the appr9p6ats box(as). At least one flit typo MU3T be"I"ted. a 2t) -01 f�a11 t4 the <br /> Wresi lndlaateda"yo, <br /> 2. EHD vrill twtify dw applicant if any EHD tiles exist. An apQolntment for raview wilt be cordlrtned <br /> approxlmatotY flue buCtless days but no later than ton(10)days after rocslpt of aMU"tion- '(he files <br /> will be held for a maximum of rm business days for tVVIOW. Appointments Shouid be schodalod <br /> eccordingiy. , <br /> 3. A file thot Is actively being worked on by EHD staff may not be immediately avaliable far review. Anew <br /> aapplIC36on may be submlttvd when the file Is ava)table. <br /> 4. Any file not roturned in tha sam4 condition as roleas*d w41 be reorganized by EHD StW sth tom review.to <br /> s <br /> of tfia applicant. Peters file reviews by the aerie appycant may require a$93.00 deposit p <br /> S. `Tf NTATM appointment dates most be acnfWmed with EHO:taff. <br /> 6. Applications rocelved zftnr 3:00 pm will be processed the next business daY• <br /> TIME v,7"...�'Sz~': <br /> 3t�NFaRMG rrr�i4,rlr�s <br /> t'EiWvE FAX <br /> SAT i;G�NFI RI t'd r <br /> irtY1WEqYES 'N� t�EV1EW RATE" <br /> N1, <br /> UZ 024 <br /> �(ZftQO� <br />