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eE-a39-20@0 02 09PM Ft• iu 17074`,�E413 P.01 <br /> �rI70 0I SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> �] u Liv ENVIRONMENTAL HEALTH DIVISION 7 �'L; C <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> AUG 3 0 2000 STOCKTON CA 95202 <br /> (209)4aa-34x0 <br /> ENVIRON PUBLIC RECORDS-RELEASE APPLICATION <br /> PERMIT;��da &.*&riSUSINESSIAGEMCY <br /> ADDRESS <br /> PHONE FACSIMILE <br /> � Fit do <br /> TENTATIVE'APPOWrM +ENT DATE TWA I u'30 a,,,, <br /> (►tows give'Y to 19 buama data Item data W&wU=Ioa aubmidal) <br /> In CHECK DOX TO EXPEDITE REQUE87T -.oe FEE PROC£ DIN I aUMEaa DAYS �rrt� <br /> SIGNATURE OF APPLICANT DATE <br /> FILt ADORES mSTAFP VSE ONLY <br /> V PROGRAM ELEMENTS SEARC4 <br /> ( 5S27 <br /> 91 <br /> )Q 2 �S4(s <br /> 2 <br /> ENVIRONMENTAL HEALTH DIVISION RLES <br /> NOR RDROU NO TANK(U ST)C LEAN U P SITE fLW) O HOUMNUAITATEMERT O SOLID WASTE FACILITY <br /> THER=4NVP PTL(NOWLOP) !) FOOD FACILITY O SOLID WA3TV VYHlct.e <br /> Z�-UNDERUROUND TANK(MONITT)RINp/REMOV41.) 0 DOO KENNEL Q DAIRY <br /> aZOU$YVAaTE GENERATOR Q CMCKEN RANCH I7 ►K3 TKEATIERT PLANT <br /> ERED PERMITTED PACILJTY D MOTFUNVRL O PUMPER TRUC"ARVICHEM TOILETS <br /> 0 TATTOo180DY PURDINR M POOVSPA - - O LARD USE APPLICATH MSITES <br /> O MEDX:AL WASTE FACILITY ❑ PUSUC WATER SYaIVM O OTHER(PLEASE SPSCWY MOVE) <br /> t. List up to ten addresses to the apace above. Select the type(s)of(1106 from the list above by checking <br /> tho approprlate box(ea). At least one file type MUST be"acted. Fix to(209)J-0133 or gygll to the <br /> address indlcatR above <br /> x. EHD will notify the appilcant M any EHD flies exist. An appointment for revlsw will be confirmed <br /> approximately Eva business days but no later than tan (90)days after racei pt of application. The files <br /> will be!Told for a maximum of five bualness days for review. Appaintol Onts should be scheduled <br /> accordingly. <br /> 3. A file @tat is actively being worked an by EMO staff may not be Immediately available for review. A new <br /> application may be"Itmitted when the file is avallable. <br /> 4. Any file not returned In the same condtlion on released will be reorganized by END staff at the exI mse <br /> of the applIcant, Future file reviews by the same applicant may require a(87,00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates mwt be confirmed with EHD Staff, <br /> 6. Applications received after 3;00 pre will be procetaed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> PATE CONFIRMED _ PHONE FAX INITIALS T <br /> REVIEWED YES NO REVIEW DATE <br /> - <br /> TUTRL P.01 <br />