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r r:Ls1 ' <br />F�t7�F9 ti-ck]k'kJ L•1� ��F'i'I � ��� <br />�► SAN JOAQUIN C UNTYPUBLIC HFAl-TH SERVICI~S <br />ENVIRONMENTAL HEALTH DIVISION (� <br />304 EXIST WI=SER AVENUIE, THIRD F�OOR,J N i Z001� <br />STOCKTON CA 55902 EIVVEMWti'111 rl'tAL1H <br />(20) 468-3424 PES iVl!T/SMVi(;FS <br />PUBLIC RECORDS RI;! -EASE. APPLICATION <br />APPLICANT + H �J 6USINES( <br />WAGENCY y_. }' 6 e <br />AQQP%F55_ 75fE. L -,=L L4141a 1At-L� 'iT ,�� y4CXl'leLl,ti <br />PHONE; FACSIMII.e 71 79�O b <br />TEtVTATIVEIAPPDtNTMEN'r Ani£ 17 TIME' <br />(P1095t giyu 7 to 10 W'Sine s clays from data of ajpphcativn submilt.31j <br />In CHEEK SOX TO EXPEDtTF- 9F- EST . 578 Et: - REgUfSY!'nZ�= <br />S <br />5IONATURE OF APPOGANT DATIr <br />tj!jIC I V /IojI <br />ENVIRONMENTAL HEALTH DIVISION PILI=S <br />UNDERGROUND TANK IUSTI CLEANUP SITE (LOP) El HOU31NO ABATEMENT 0 SOLID WASTE FACILITY <br />ETHER CUANUP SITE (NON -LOP) Q f000 FACILITY 0 501,10 WASTE VEHICLE <br />UtIlDERGROW41) TANK IMQNITORINGIREMGVALJ 0 0OG KENNEL o DAIRY <br />8AZARDDUS WASTE Gf-NE"TGR Q CHICKEN RANCH 0 FKGTF4>= MENTPLANT <br />❑ TIERED PERMITTED FACILITY 0 14OTEWOTEL. ❑ PUfAPER 1RUCKNARDIPHC0I TQILF-'r <br />❑ TATTOO113DDY PI:IRCING C] POQQSFA O LAND USE APPWCATION 51TE5 <br />❑ MEDICAL WASTE FACILITY Ct PLISLIr, WATER SYSTEM ❑ OTHER (nEASR SPECIFY ABOVE) <br />1, i-ist up 1;a tett addrasleG In the space agave. Select the type(s) of files froth the list above by checking <br />the appropriate box(es). At feast ona We type MIDST be solected, Fax to 2119 Q6 •0138 er rn tG the <br />add ss indicated_a>soye. <br />2. EHD will notify tho applicant 'if itY �HD files exist, An appointment for review will be confirmed <br />approximately five bustrless days but no later than ten (1C) day; after receipt of application. The filt:s <br />will tae held for a maximum of five business days for review, Appointments should h9 scheduled <br />acpordingly. <br />a. A fila that is actively being worked an py EMD ,ta(i n,Iay not be immediately dvaiiable for review. A new <br />application may be submitted when the file is available. <br />4, Any fila not ripturned in the same condition as released will be reorganized by F -HO staff at the axpenss <br />of the applicant. FLIture file reviews by the same applicant may require a $7H_00 deposit prior to review, <br />S. `TENTATIVE appointment dates must he confirmed wikh EHO stuff, <br />a. Applica0ons received after 3.00 pm will be pracus5ed the next business day. (2-0) 46 X01'3 <br />CONFIRMED APpaIWMENT DATE <br />DATE CONFIRMF-P <br />Rn1f1t;ll0t=n vr-R w'r` <br />TIME <br />PHONE FAX <br />MITIALS <br />O <br />wMWW <br />• <br />