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r 23 2003 8: 06AM s 408GRE, 04(; 1 p. 2 <br />�- T-0 - 4640138 ENVIRONMENTAL HEAL•I H PAGE 131 <br />j <br />�rl.!' I_=', SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />2 3 2003 304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCI TON CA 95202 <br />E_PJVI(� i'�l`�� fJ f HtALI 11 (209) 488.3420 <br />^r •�nIT c,1-�;,;r� PUBLIC RECORDS RELEASE APPLIQ4-171 M <br />APPLICANT -ALEX L( -� p BUS NESSIACENCY_ Syrn rr, 1 E <br />ADDRESS /Zy D o �DOTI�%ll L NVb �A 1ZT/lY 1� <br />PHON� <br />E B T R3 ���% FACSIMILE-- V6 -/ <br />TENTATiVL` APPOWTIM6NTDATE TIME _uf__--- V I vl �� <br />(Pla a ulve 7 to 1 D business days from data of sppfloatlon e)m'ttgl) <br />0 CHECK BOX TO EXPEDITE REQUEST- 09.00 PRE -REQUEST PROCESSED IN 3 BUSINESS DA:Y9 � 3 <br />310NATURE OF APPLICAIJT WhAl,l� _ DATE 'r� -- <br />10 <br />PROGRAM <br />RAW JIM&MIAT."EJOA <br />- <br />�� nl l► 1"► � r 'r r In <br />ENVIRONMENTAL HEALTH DIVISION FILE$ <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOU31NO ABATEMENT ❑ SOUD WASTE FACILITY <br />OTHER CLEANUP BITE (NON4.OP) ❑ FOOD FACILITY ❑ 94UID WASTE VUHICLE <br />UNDERGROUND TANK (MONMORINUIREMOVAL) ❑ DOG KENNEL. ❑ p+tI1;Y <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH © F1<C TREATMENT PLANT <br />❑ TIFREDPERm TTED FACILITY Cl IeOTEL/HOTEL 0 PUNIPIER TRUCKIYARDICH01 TOILETS <br />❑ TATTOO/BODY PEIRGINO ❑ POOL)SPA ❑ LAND USU APPLICATION SITES <br />C MEDICALWASTEPACII.ITY 0 OTHIR(PLEASE SPECIFY) --.---- <br />1 <br />PECIFY)_._u___--- <br />0 <br />1. List up to ten addresses In the space above. Select the type(a) of filed) frf)im the 0!st above by cheCidnq <br />the appropriate box(es). At leaf t one fine type MUST be selected. Fax <br />20,�2z�?jL or -31( to tale. <br />address Indicated above. <br />2. EHD will notify the applicant if any EHD' 61sT exist. An appointment for riwiew will be confirmed <br />approximately five business days but no later than tart (10) days after receipt of appllcatlan. The fliriml <br />will be held for a maximum of five business dayafor review. Appointriertts should be scheduled <br />accordingly. <br />3. A flie that IS actively being worked on by EHD staff may not be immod Atllly availathle for revlevo. A now <br />applicatlon may be submitted when the fila is available. <br />4. Any file not returned in the same condition as released will be reorgarizo.d b;,r EHID staff at 1he expra1144 <br />of the applicant. Futuro file reviews by the same applicant may requirt, c UH.00 dleposit prior to reylow. <br />b. *TENTATIVE appointment dates must be confirmed with EHD staff. <br />a. Applications received after 3.00 pm will be processed the next businari,s day. <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />REVIEWED <br />Sarna o0 <br />YES NO <br />Time <br />PHONE FAX <br />REVIE=W DATE: <br />IFFIrIAL$ <br />1 <br />