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433=APr� FR:� !92542G@10G P-02 <br /> kHU LIK:NUAAk1tFt �'` <br /> W.i a klcr_tJYCIF <br /> SAN JOAQUIN COUNTYPUBL.IC HEALTH SERVICES <br /> ENVIRONMENTAL IHI`ALTH DIVISION 1 °U <br /> 304 EAST WEESER AVF-NUF_7HIRO FLOOR <br /> STOCKTON CA 052192 <br /> (2111j) � ] I(2111j46-H-3446-H-3420 <br /> PU13LIC R.ECOP.DS RELEASE APPLICATION <br /> AFPLSCA44T +fir`-J err Trn�' �: x�5su�r�,t:r C.c�1• rrn� ��uf s�yfv'�c.C� /ds/� . <br /> AWRUS�69;�o <br /> a <br /> PYIO=_ F -cf - G 7 rAi 4t�ni E_ F2 S -'126 a <br /> TENTATIVE*APP'UrN VvWIAT 11XI'E_ -- Timm <br /> (P;aa�a 9�re 7 to t4 rusineas days rrgm dace d splrii�ation s�abnrlW�) CB�-�- �i$� <br /> GHE;GI4 80JC TO E7GYE:OfrE Rl=gUE 9.Do <br /> SIGtiATi URE OF APPLICANT f pATE <br /> — FILE AQDWE55 THE 5L[3E C"t)STA r USE ONLY <br /> PROGRAM ELLN414T5 SEA9i;H (� <br /> ?'l�d�fs2"rY 6?'e.fh5 <br /> C,5 3 � <br /> I r 19.1 ±- E <br /> r <br /> L <br /> EWRONME NTAL HEALTH 171114SI'ON FILE <br /> uNDF.RGROU NC 7ANK(USF)CLEANUP Si T E(LOP) ❑ skies LKG ABATtnWNT SOLID WASTE FAG]R�(A <br /> Q-rHER CLEANUP WE(NOfti�LOI) C2 FOOL)FACE'." )K SOLID WASTE VeNCL�,k 22 - <br /> > NDr-RGRaUNfJ--ANY iMoMTOFtL GIKJE.WYAL) ❑ DOG KF-WFL ❑ DAIRY <br /> kf HAZAMOUS WASIff GENLRATQR ri CWCXJ�x RMCH 0 PGG TRgATRIEATPLAN't <br /> X T)EFRED PERWTTED FACU.ITY ❑ MOTIELMOTEL X PU&Wf--It YRUWYARUCHEM TC37-.F.Ts <br /> TATrOOMOYP'EIRCI'IG n PC?WSPA )X LAND USE AAPMAnGHSr,ES <br /> MEM CAL WWA,$rE:FACUTY ❑ PUSUC WATER SYSTEMA 0 QTh4R VLEA5E sPEWY A&QVIr) <br /> �. Lasf up to ten addre S5ea in the spar above. Select the typ (s) of fil rnm the list above checking <br /> the appropriate bax(es). At least one file type M"'f be selected- F Q0 4&4-0138 or ai to H <br /> i ted above. <br /> 2. "D Will notify the applic;Ifit if any EHD 0"elist. An appointment for reAew will be confined <br /> approximately five business days but no later than ten(10)days al#gr receipt of application. Thu files <br /> WiIE be held for a maximum of Five business days for review. Appeintr.Wg1t5 should he sctic:duled <br /> afitordi�gly. <br /> A file that iS actively buinp worked on by EHD sizfi may not bo immediately available for rwAaw. A new <br /> application.nay be subm�.ted wt%en the file is available. <br /> 4, Any Me not{returned in the same conditian tjS released will De reorganized by EHO staff at the expense <br /> at ttnc applicant. Future file reviews by the saint applicant may require a M.p4 deposit prior to mvie'w. <br /> 5. *TEN'FAML appointment dates must bo confnmed With'Elft]staff. <br /> 6. Appli",uans received after 3:00 pro will be processed the next business day. <br /> 'CONFIRMED APPONTMENT DATE � IME <br /> DATE_CONFIRMED PHONE FAX Ei�itTIAL$ <br /> -REVUEEWE D YES NO REVIEW DATE <br />