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03/23l2006 14:21 FAx4b 16002/002 <br /> . . <br /> a n1G'rI'� �.,�,,...w", <br /> SAN JOAQIJ_IN COUNTY <br /> ENVIRONMENTAL 11LUTH DEPARTMENT <br /> 304 E Weber Ave 3`' flocs Stoc3lon, CA 95'•_05 <br /> 2 <br /> (209) 468-3420 Fax: (209) 404-013$ 'yVeb: %v% w.co.si joaq ia.c <br /> '6R 3 PM z: 23 <br /> PUBLIC RECORDS LEASE APPLICA.TIO.- <br /> ADPL ICA NT: x•-T _ 'J L�^�bMMES&JAGENCY: ^� �' � ��S Z� F� Er`'•'R�TMENT <br /> t <br /> FHONE_ i � !. � FACSIMILE: -- <br /> TENTATIVE*APPOINTMENT DATE: 1/V AI LO --- -Timm: R.3 1 2006 <br /> (Please allow 10 business days Irorn dzitc of appligti4a.Submittal) <br /> CHECK BOX TO ExPEOfIE REQUFST-103.410 FEE-PX_-CtUEST PROCESSED IN 3 IRUSINt=SS DAYS <br /> SIGNATURE OF APPOCANT r_ _ DATE - <br /> Depad-Tient L•;c Only <br /> FILE ADDRESS UNI` <br /> 2-'3 �t.: �,✓� _�ti S >.c•._ LI un'sf 1 <br /> tJllit 2 <br /> C G �' Unlit <br /> S.1 curet S. �. l %� GrY 2z <br /> T, su I S• S-r. r t. e. f nN Unit 4 <br /> it <br /> Ka, sstreel � �. �. F� Giw <br /> sum -3-7-Z---7 C. r r r� _ C7 Unit 5 <br /> ,a. s w3,P Z E. <br /> M�ENVIRONMENTAL H TH DEPARTMENT FILES <br /> UNDERGR ND TANK(LIST)CL.EANUF SITE(LOP) 0 HOUSING ABATEMI NT UL' WASTE FACII r,'Y <br /> ISII OTHER CLEANUP SITI_.(SON-LOP) <br /> 0 F 0000 FACILrry GI SOUO WASTE VE191CI_E <br /> 9; UNDERGPOUND TANK(MONITQRINGM5-MOVAL) 0 DOG KENNEL E4.DAIRY <br /> = HAZjkRDOUS WASTE GENERATOR 0 CriiCKf N RANG#+ :El--PKG TREATNiENT YL. -NT <br /> TIERED P5RMn7ED FACIL11Y 0 MOTELA40TEL I"I PUMPER T-t tUCKJ'YAFtJiCNEM TOIL <br /> 0 TATTOO/1300y PIERCING o POOLfSPA Q1 LAND USE APPLICf.TION SrrES <br /> ❑ MEnICAI VIA STU FACILrIY ❑ OTHER tPLEASF SPECIFY)- <br /> 1. <br /> _� <br /> 1. List up to ten addre-34a in the space above- Select the type(s) of flies frorr the list at3e�ye by checking <br /> the appropriate box(es)_ At iezxst one fie type MUST be saiecte+d. Fax to 209 464-,013E or mail tO th" <br /> addres, indicated above_ <br /> 2, EHO will notify the nppiicant if any EMD files exist. An appointment for review will be confirmed <br /> appro,Kirnatcly five businerss days but no later thzzn ten (10) day:. after receipt of application. The fil+;s <br /> will tae held for aewcirnum of five business clays far review. Appointmentz should bect,edu;ed <br /> accordingly. l <br /> 3, A file that is actively facing worked on by Efio staff may slot be immediately available fnr review. A new <br /> application may b#, submitted when the file is available. <br /> 4. Any file- not returner# in the ame condition as reieaGed will be reorganized by EHD stag at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $93.00 depof<it prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHirJ staff. <br /> E. Applications received after 3:00 pm will be processed the next business day. <br /> ' ..... <br /> -ATTTIME <br /> TM <br /> L <br /> A' C � � �T <br /> - <br /> .. i; r. <br /> ! i <br /> V <br /> t <br /> :DATE Gt7NFIF2WD ;PHoNE ' FA:{ -:tNt'f1ALS _ <br /> REVIE`fiJEID YES NO F.EVIcIN DATr <br />