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TIC <br /> 027# 03 26PIN 4.001 <br /> SE�VICF <br /> SAN JOAQUIN CC)UNTYpUBUC HEALT <br /> -ALTH DI'VISIONI <br /> F-NV1R0NMF-NTAL HF <br /> B 2 6 Z001 -r"nl)FLOOR <br /> 304 EAST WEBEK AVENUE1 <br /> $TOCKTON CA 95202 <br /> H E P0 H (209)469-3420 I mak. <br /> AMN <br /> ES <br /> PUi3LIC RECORDS RF-LEASE AOPUC; <br /> 11 <br /> BUSINESSIAGENCY <br /> APPLICANT I'llj III':I 5� <br /> G��51 IIA <br /> AVOWS IA 410-1-707 <br /> PHONE <br /> —Ui4 FAGSIPAILE <br /> Air 40k <br /> —d.tl Of 21PPlItAtion'subm 02LI) <br /> TENT TIAIIII t)A r- <br /> 103*e give 7 to In business day! <br /> PPOcEsshu IN 3 0USINESS <br /> FEE-REQUEST CD DATE MW01 <br /> 510NATURF.OF APPLICANT . Il <br /> ........................................ <br /> yRIS SIDE CHID STAFF USE ONLY <br /> P110GRAM ELF-MWS SEARCH <br /> + <br /> -3 0 <br /> -7 <br /> A ...... <br /> & <br /> as$ <br /> tic <br /> Ai-TH DIVISION FILES <br /> 5ee, 6L ENVIIRONMEN WAST*E"FAC <br /> C3 tjQU$1NG ABATF-MF-NT 0 SOUL <br /> up4prIRGR0uHD TANK(UsT)rLgANUP SITE CLOPl 0 FOOD FACILITY OLID WASTE VCH 1CLF, <br /> 0 OTHER CLEANUP WE t"ON-LM 0 j)OG KF-14NEL . 0 0AIfty <br /> D PKG TREATM ENT PLANT <br /> EI UNDERGROIJND TANK(M014TC1R"4GfREDA n CIjill RANe-'14 it C2 FUMpFR TftUCKryARwCNfzM TOILETS <br /> 1� �- fn LAHID L�Sr <br /> IjAZARI)auS WASTF GENERATOR 0 M47TFLjj4GTPL ApfLir.Amom sags <br /> ❑ -rjERjD PERMILYTED FACIUTY C; P00USPA PECIFY ABOI <br /> 0 TATTCKIMODY FEIRCING 0 PUbUC WATER SYSTEM 0 OTKER{PLEASE a <br /> MEV%C;AL WASTE r1kC ILLTY 1P <br /> t, Select the t�,pets) f files from the list above by checking <br /> addre'SXOS-In the space;abOV 464-0 3 mail to jh2 <br /> Lilst UP to ten feast one file type Will be Selected. <br /> Telex <br /> 20 <br /> t"appropriate boi s). At <br /> I& i(a I i r review Will be confirmed <br /> ss�%n 'JeS exial, An 2�pointa�ent to <br /> 2. FHD will notify the applicAnt if Any E140 13 later than ten(110)days after receipt Of application. The files <br /> approximately.ately five,)jusi"94 days but n*!SS days for review. AJ$pojntrnCntS should be scheduled <br /> Iva busine <br /> will be held for a rAn-xIfnuM off <br /> 2cwrdlnglyrked on t)y E1,0 st&ff may not be I,MrA0diatajy available for review. A now <br /> 3. A file that is activ vlp being wo <br /> applicatiork may be�subrnitted when the file Jr.available,;j I ber a-orgarl by EHD Stafy at the expense <br /> condifion a3 r61636�d W 11 sal.00 deposit prior to iroYieW. <br /> 4- Any file not re%urriod In the Same y r�equire <br /> ile <br /> of the applicant. FOWPO 11 rcViOw by th 0 same aPP11C'T1t M a <br /> 5. *TENTATIVE appointment dates must be j,*njjrmod with EHD itiif� <br /> or 3:00 prl be processed tk9 naxt'blis'Iness day <br /> 6. Applications received aft <br /> TIME <br /> CONFIRMED APPOINTMENT DATE <br /> INITIAL$ <br /> PHONE FAX <br /> 1; DATE GONf IRMED <br /> YES NOREVIEW DATE <br /> REVIEWED TOTAL P-0? <br />