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06/10/2003 07:55 9252836121 AEI CONSULTANTS ('�F) PAGE E12 <br /> ooi rj�i tr1n.3 1.r1:1tS 464011, <br /> \ , NnAcnw ENVIRONMEVTAL HE: I PAGE: 02 <br /> nD VSAN JOAQUIN COUNTY <br /> !I' � ENVIRONMENTA!_ HEALTH DEPARTMENT <br /> 304 FAST WEBER AVENUE,THiRD FLOOR <br /> JUN 1 0 2003 STOCICTON CA 95202 <br /> (a-'9)468-3424 <br /> E „r <br /> PUBLIC RECORDS RELEASE APPLIC,ATIC N <br /> 9USINESSIAGENCr <br /> ADDRESS 9-GLo Camino Oiau �1ta ') uQ,t��Ck� 15c <br /> PHONE gL-� FACSIMILE q2 <br /> r — Qi <br /> TI~NTATiVE*APPOINTMENTDATE S f_f"1E� a�j <br /> (Plea.:C gfVe 7 to 10 bUSkMns 71ntE <br /> Lays tett date of application cv srrd_.al) <br /> CHECK BOX TO E7(PEDIT>s REQUEST_$89,00 FEE—REQUE 3T PROCESSED iN 3 BUSINESS r)AY'3 <br /> -*-SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIiJEEHa 9iTAFF USE ONLY <br /> rROG FWA ELr`MENTB+SEARC41 <br /> Inc. 00 <br /> s. - e.rk z- <br /> q-5malitk wi1 <br /> OcLk— <br /> CIA <br /> -0 I r <br /> Lo <br /> �7 <br /> ENIVIRONMEN-rAL HEALTH DIVISION FILES 11" 19 2003 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT � SOLID WOE iTE I"ArI1L17Y` <br /> OTH>:R CLEANUP SiTE(NON-LOP) 11 FOOD f ACiLIrY d sou i W-%iTl:VF-1VCLI- <br /> p- UNDERGROUND TANK(MONrrOFamGmemOVAL) ❑ DOG)C;NNEL ❑ p��l�• t <br /> P' HAZARDOUS WASTE GENERATOR ❑ C1-UCKEN RANCH ❑ p{;G TREdCi2A>_I�T PLANT <br /> D TIERED PERMn-rED FACILITY MOTEUHOTEL L3 PLIVIVER 1"�;IJCIV(p�RL�JCHErA TOILETS <br /> U TATTOOBODY PSIMNG Q DOOVSPA LPN USE APPILiCATIoN Si7ES /// <br /> ❑ MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) 1� 'Ir>+�iZS_-Lc-w f�7r l� ' <br /> 1. List up to ten addresses in the space above. Select the type(s)cf toles�`rorn th n 1W-r febove by checking <br /> the appropriate box(es). At least one file typal MUST be selected- i-ax ta�2 OAf.4-0!3s or mail to the <br /> address indicated above. . <br /> 2. EHD will notify the appllcant if any EHD files oxlst An appointment for remrieAw will ba confi rtied <br /> approximately five business days but no later than ten (10) days atter ruct,ipt r.f application. The fllor, <br /> will behold for a maximum of five business days for review. Appointrnr!ni:s should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on try EIIV staff may not be immediately av?ila'ble for ravN>_ . A nnw <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in tate same condition av released will be reorganb;ec1 by I F.0 sUiff at th,a expanse <br /> of the applicant. Future file reviews by the st-ne applicant may require a$.89.0;1 d4 posit prior to review. <br /> 5. ''TENTATIVE appointment dates must be confirmed wFth EHD staff. <br /> S. Applications raceived after 3:00 pm will be processed the next buslnesq-day. <br /> CONFIRMED APPOINTMeW, DATE _ TIME <br /> DATE CONFIRMED PHONE FAX INfTl lfry ,� <br /> REVIEWED YES NO REVIEW DATE: <br /> EHD 4"2,006 <br /> Sl2Sam <br />