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MAY-19-2003—MON 04: 13 FM TECENI(YON ENG. FAX No. 559 276 9:�Jjh F. iv0l/U:1; <br /> tnv t rculvrlr iv)siL ne r rwur rJ E. <br /> Off! COO.] 11:4i 9bat71 tl C)IrjLOGM�40FA <br /> \\.I, n,'�TERk�lKr�4 <br /> SAN JOAQ—,N COUNTYPUBLIC HEALTH SI^k ,GE:S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WE13EII AVENUE,THIRD FLOOR <br /> ST=JON CA 95202 <br /> (209)4613-3420 <br /> PUBLIC RECORDS RELEASE APPLICA7'0A <br /> kPLICIaUsINESSIAGENCYtowSSANT <br /> S ONE <br /> TENTATIVE"APPOINTMENT DA?E TIME <br /> (Plaa3e glve T to 112 business d:,A from dela of appliCallorl <br /> CHECK gt)X TO EXPEDrTE RE4Ut?5T-389,130 FEE--REQU> 57 PRflCE <br /> SSED IN 3 BUSINESS UAeS <br /> DATE <br /> I�SIGNATURE OF APPLICANT <br /> �—� TIil5 S I]E EH��S"r`AFF 135E ONLY' <br /> FILE ADDRESS PROGFIAN( SEARCH <br /> d.d. N_ <br /> 2 <br /> .................. <br /> ENVIRONMENTAL HEALTH DIVISION rIL1=S <br /> Md] ZOLID WAZfE:FACILlY <br /> UPrif=(EflP) H❑Q�iNGAeATEANT V1=14IGLE <br /> UNDERGROUNo TANK(UST)CLEANO FOOC FACILITY �OLIVWd%STF. <br /> OTHER CLEANUP SITE(NON-LOP) D DOG 6NMEL U.AII;Y <br /> UNDERGROUND TANK(MoNITORINGIREMOVAL) C3E <br /> CHICKN RMCH 0 F"KL- TR:�7NIEh f PLANT <br /> HAZARDOUS WASTE GENERATOR 0 MOTE_L1HOTEL C f•UNIFER MUC?NAfIDIGHI:M <br /> ❑ TIERF PERMITTED FACILffY CS t. a US-APPLICATION Sn'Eli <br /> O TATTOOIBODY PEIRCING '3 I}OOtlSPA m (}TFER(F,LEAE;E SpECII•Y.kBOVL=) <br /> [I MEDICAL WASTE!'AGILITY � � <br /> List up to ten addresses in the spaca abovo. Select ilia types)of file<_ from 1hE►Ilsl above 6y chocking <br /> the appropriate.box(es). At least one file type MUST be selected. Fax tv 205 I X138©r rl to the <br /> address Indicated above. <br /> lication. The filet:. <br /> 2, EHD will notify thr.applicant if any EHD fiIas exist. An appointment ft'r rl'vio K will b®con Ime <br /> appraxiMataty five business days but no Inter than <br /> an ten (10)days ante l-mints s;houl ba scheduled <br /> will be held for a rnaxirnum of five buslne-s days for review, AFF <br /> accordingly• not be)rnmediat�ely�v:3ilal-10 for review. A now <br /> 3, A file that Is actively being worked on by EHD Staff may <br /> appllcatlon May be submitted when th a flla Is available. ,ad by ElAa staff at 1.110 expense. <br /> 4. Any file not ratumed in the same condition same a s 1 coal may req�R'sx�$Ot'00&posit prior;0 review. <br /> of the applicant_ Future filer b� pP <br /> ,. 'TENTATIVE appointment dates trust be confirmed with EHt]staff, <br /> g, Applicans received after 3.00 pm will be processed the next businEas day <br /> CONFIRMED AppOIN'TM <br /> FAX DATE <br /> DATI:GONFI]�1d 0 ----=- <br /> pHON� <br /> REVIEWED <br /> YES NO REVIEW DATE <br /> Em 4"1-0" <br />