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\ SqN-10-2004 06:02 <br />AM <br />"';j <br />y__ 01i 99/2096 15::1 <br />4E4B'� <br />ENV1RUMcNTAL HEAL <br />V PAGE <br />DATE RECENED SAN JOAQUIN COUNTY <br />r— jENVYAON ENTAL HTALTS DEPARTMENT <br />30.7 E Weber Ave 3" FIM Stockton, CA 95205 <br />138 Web: wws <br />w.coan•joaquin.cE.us/ehd <br />Cl) (209) 468.3420 Fa_. <br />(209) 464-0 <br />PUBLIC RECO rj3S RELEASE APPLICATION <br />FACSIMILE; <br />TENTATIVE" APF0INTMENT DATE' <br />(please alle 10 a ,__ dey■ ham dhe of eppliallon a01nRdl) <br />❑ CNECK 90x TO GxPFDFr1 REOUEB <br />*SIGNATURE OF APPLICANT _Lli <br />OAYA <br />ENVIRCNMENTAL HpALTH O&PARTMENT FILES <br />❑ t{pUa�N� AaA�YENT ❑ SoL10 WASTE FACILITY Iy <br />NOEROROUND TANK (WT) CLEANUP artE (LAP) ❑ FOOD FAG1 . ❑ eOLID WASTE VaHICLE <br />OTHER CLEANUP 81TE (NON10P) P nOC KENNEL ❑ OPd RY <br />G cHK:la►N 11A11CN ❑ PKO TREATMENT PLArtT' <br />OEROROUND TANK to ONrro R RTEMUVAtI p PUMl7RTTlUCIUYARaCHEM TOILGT31' <br />OOUS WASTE DENERATDR t0 MOTr( N4TEL 0 LAND USE OpLICATION SITES <br />ED PERMITTED FACILITY ❑ PDOtAPA apaCIF1� <br />O T►T'rOOIaODY PIERCWO ❑ t7rNRll (PLLASa Dhadrinq <br />p ManiCAL Woe FAOILITY a of filed from the list aboyo 4y <br />the.�, ;a M 211 nr mall td' -t <br />1, Llet up t0 teO addrAaaa In the ■paoe aDova. SMUCT be typo(s) <br />e'• ' <br />the appteprleL box(u). N Leet one f1b typ <br />■ddr Setad a y ointment for rwlaw wRl be �nflrtned <br />g, EHD will notify the app laont I} an EHD files exist An aPP ate, parlpt of eppll0eti0n. The {flat <br />approxlmatsly five buelnsq days but no later thenomrevlew APPAInh^�^ta eh°uld bo scheduled <br />will be hold far a maximum of fNe buelnefe days eveileblo far tow. A new <br />aCcordlnply. In yrDrtl.d en by EHD staff may not bo ImmodUhly f <br />3. ARL ihat fa wtively t» 9 <br />eppllcatlon may ba aubmlltad when the filo t■ evdlabla. <br />4, oAM f thleppilaantr Futur file IMS Dythe Sarno pl eentt may roqulre ! f 9 fl0 d Po prior tO m ' <br />e <br />a, "TEt{TATIVC appotlttment dabs mue�b ll be �csead the ext buslnosa dey. <br />E. App110atI0ne recelwd atter 3:D0 pm <br />TIME <br />CONFIRMED APPOINTMENT DAT9 INITIALS <br />DATE CONFIRMED PHONE FAX <br />REVIEWED I YRS NO REVIEW PATE <br />