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06/06/2007 WED 15:36 FAX 2094992999 S PULIC WORKS <br /> DATE RECEIVED F-140 LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FNWPONMENTAIHFALTHDFPARTMENT <br /> 304 E Weber Ave 34 Floor Stocktott,CA 95205 <br /> fi?t6�8-3420 Fax:(209)464-0138 Web.www.co-san-joaquimcaus/eho <br /> JUN 0 <br /> lk <br /> Ment <br /> ADDMS1810 E. Hazelton Avenue, Stqcktort, California 95205 <br /> PHONE. 953-7624 —FACSIMILE: 468-2999 <br /> -- <br /> NT AT" APPOINTMENT DATc-!— Timo, <br /> (Ple"t AIII0W Vi husiness dap from dato of appfication Tubb t( <br /> CHECK SOX TO EXPEDITE REQUEST 493,00 FEE—REQUEST PROCCIISED IN 3 IN SS DAY$ <br /> SIGNATURE OF APPLICANT DATE <br /> Departmord use only <br /> FILE ADDRESS UNIT <br /> El Unit I <br /> q& <br /> LIZ. Unit 2 <br /> Unit 3 <br /> 7 <br /> 07 <br /> Voia <br /> Unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> UNDERGROUND TANK 01"CLEANUP SITE(LOP) 0 HOU31NO ATEMENT 0 S WASTE FACIUrY <br /> OTHER CLEANUP SITE(MON-LOP) M FOOD PACILITY 0 SOLID WASTE VFJ41CLE <br /> UNDEROROUNO TANK(MONITORINGIREMOVAL) 0 006 KENNEL C3 DAIRY <br /> HAZAMOUS WASTF GENERATOR 0 CHIC'E14 RANCH CI PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 WTPUNOTEL C! PUstioet'nuicKmAnoicnem 1°C <br /> TA. 10000 PIENCM C3 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEMOAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY)_ <br /> 1. List up to ten addresses In the space above. soled the type(S)Of files from the list above by she cking',4 <br /> the appropriate box(es). At least one file 4Te MUST be selected. EMN t t>iati td the <br /> address indicatedabove. <br /> 2. END Will—notifY I� 41"At if any END files exist An appOintontilt for review will be confirmed <br /> approximately five business days but no later than ten(10)days aft$r recelpt of application. The files <br /> will be hold for a inwimmin of five business days for review. Appointments Should be scheduled <br /> accordingly. <br /> 3. A file that is actively being watked on by EHE staff may not be Immediately available for review. A nd <br /> application may be subm'Itted when the file is available. <br /> 4. Any file not returned in the s=0 e0htditiOn s"released will be reorganized by END suff of the expense <br /> of the applicant. Future file reviews by the as applicant May require a$93.00 deposit prior to review, <br /> *MNTA71VE appointment dates must be contained With EHO suff. <br /> 6. Applications received after 3:00 pro will be processed the next business day- <br />