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Oct 25 04 03: 49p <br /> 10/25/2004 16:09 46 Td <br /> F1A/Zf2ORCtfrAL Htl._INP. 1 <br /> PAGE 01 <br /> DATE RECEIVEp <br /> SAN JOAQWN COUNTY EHD0LOG#MUMBER <br /> QG 12 2004 ENVIRONMENTAL HEALTH DEPARTMENT � �z ��� <br /> ENVIR')1irv' ji IiEAI 304EWebaAvc3 Web: <br /> ww.con,CA95205� <br /> PER M;-f/SERVICES }468-3420 Fax:(209)464-0138 Web:www.co.san joaquin.tFa;u Od� Z09D <br /> PUBLICRECORDSRELEASE'APPLXCATTON <br /> APPLr-4X ; moi^(/JA,i-1Ip(--C—U BUSINESSIAGENCY: <br /> ADDRESS: l �:" G , d0-) F ,:i(AULC —c '1r(YO <br /> PROBE: 6,sy 723_ 2 `FAtSIMIL _ _s'U- <br /> TENTATIVE-APPOINTMENT DATE; —C <br /> I Oo I Time: V7.3) Iia <br /> (Please allow 10 busirwss days from date d app6mion joAvitUil m ,.3� <br /> !—�CHECK BOA TO EXPEWTE REQUEST.$83.00 FEE—REQUEST PROCESSED M a BUSINESS DAYS <br /> /SIGNATURE OF APPLICANT _ S te—` DATF ( 0 ; d <br /> 1�r1� h;n f(b4( OA-44z". LUa'(l.ro PLo=1-PC,-,a t>�artlle�weonv <br /> FILE ADMESS WaT �( <br /> eftLA 7 <br /> E3 Unit <br /> L <br /> ewal a nit2 ICA, <br /> .. =..N <br /> _ Unit <br /> a rxen r+N <br /> �Axt4 <br /> e <br /> e. aen C ❑ unit 5 <br /> 10. SVM '•. } <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SMT <br /> tr3T <br /> tJERGROUND TANK 1U5T)CLEANUP SITE M1OPS O HOUSMG ABATEMENT _ �SOLIO WASTE FACILITY <br /> • FOODFACILI Y O SOLDWASTEVEHICLE <br /> D DOG KENNEL El DAIRY <br /> O NTCHICKEN RANCH 'PKG TREATMEPLANTO MOMMOTEL a PUMPERTRUCKIYARMCHEMTOILETS <br /> ATTOOBODY PIERCING O POOUSPA x LAND USE APPLJCA71ON SITES <br /> O MENCAL WASTE FACILITY ❑ OTHER(PLEASE SPECW-I) <br /> 1. List up to ten addresses In the space above. Select Ole type($)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the <br /> address Indicated above. <br /> 2. EMD will notify the applicant N any EHD files exist. An appointment for review will be confirmed <br /> approximately,five business days but no later than ten(10)days after recelpt of application. The files <br /> WIN be field for a maximum of five business days tot review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expatase <br /> of the applicant, Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATI)VE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> O0NF.4RMEDAPP5IN77rFNT DATE TIME <br /> DATE CONFIRMED <br /> RVIENfED .- TES No - REVIEW DATE. . • . ' <br /> doumare - . <br /> .an.c <br />