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�R.R 0� 2003(MON) 14;13 BOB HEM (PAXI� 466 7,11 P• RIA] <br /> Rx Date/Time APR—OT 2003(NOR) 09 ;58 4640!38 P. 0112 <br /> 84/07/2003 10:15 45d8138 ENVIRONMENTAL HEALTH PAGE 81 <br /> 611re tECEn�7 . alF;[IVi I JOAQUIN COUNTYPUBLIr, HEALTH SERVICES EN LOG NMee0. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 0 7 2003 304 EAST WEBER AVENUE,THIRD FLOOR I ;Uq <br /> STOCKTON CA 95202 <br /> ENVIRONMENT %TrI (209)468.3420 <br /> pERMITiSERVI(7�VBLIC RECORDS RELEAS�E�/A7 APPLICATION <br /> APPLICANT 4�o S :? "CAAA1zl,4 GUSIN8SSIAGENCY , U-d�AT, C ' /l�.%�9L-� �C • _ <br /> jSTADDRFSS 3 S'/X JA.L:K/�A' ADS / LGK(-f-00, G,�q- / <br /> L-PHONE 6 ^�bl FACSIMILE Ve I <br /> TENTATIVE'APPOINTMENT DATE ( D TIME <br /> (Please Dire 7 to 10 bmVee=days?tom date of appli=Uon Submittal) <br /> CHECK SOXTO EXPEDITE REQUEST-$0 a FEE-REQUEST PROCES�IED IN 1 BUSINESS DAYS KI y�� -(I� C �✓','j .fJ <br /> SIGNATURE OF APPLICANT Q f DATE ��/7 03 I cif Vu <br /> �Y <br /> FILE ADDRESS THIS SIDE F:HCI STAFF USE ONLY \\� <br /> PROGRAM ELEMENTS SESLRCH P <br /> 771 ZS f1to , C C T� cu��� . <br /> ENVIRONMENTAL HEALTH DIVISION FILES v 3 <br /> rV CL-Nc'1_• ITC' �N.r G��'4;c� <br /> UNOERGROUNU TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q sOLJO V'IASTE FAC:II.RY 61 <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACU_TY O SOLID WASTE V1!HICLE <br /> ❑ UNDERGROUND TANK(MONITIN <br /> ORG/REMOYAL) 11 DOG KENNEL ❑ DAIF:Y <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKGTREATINEN,r FI.ANT 0.w�p c�ri/i`Inll roi <br /> ❑ TIERED HAZARDOUS <br /> WASTE <br /> ED GENERATOR. <br /> ❑ MOTELIHOTEL O PUMPUt TRUC"ARDICHBM TOILE1Sy <br /> ❑ ES <br /> TATTDWDOOY PEIRCING ❑ POOLlSPA ❑ LAND USE EASEsAPPu ATIONS BO �P�Y'0�/I f t- <br /> ❑ OTH`eR(PLEASE SPECIFY ABOVE) •v ,/. <br /> 13 MEDICAL WASTE FACILMY ❑ �� lir <br /> 1. List up to ten addresses in the space above. Select the types) of files frr3m the list above by check;ng�);5c1 <br /> the appropriate box(es). At least one file type MUST be selected. Fax to_L7,19)464 07 8 or mail to the q VL�Im <br /> OIl <br /> address Indicated above. CJ <br /> 2. ENA will notify the applicant if any EHD files exisL An appointment for review will be confirmed <br /> evi <br /> approximately five business days but no later than ten (10) days after recelpt of appli(=tion. The files <br /> will be held for a maximum of five businou days for review. Appointments;should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immedlategr available for review. A ne`Ar <br /> application may be submitted when the 1110 is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$39.00 deposit prior to review. <br /> 5. 'TF-NTATFVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received atter 3.00 pm will be Processed the next business day. <br /> CONFIRMED ApPOlUTMENT DATE TIME „ — <br /> _ �. .,�...►�r, PHONE FAX INITIAL!, <br />