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Jun -M -.- 2003 4 UPM CONDOR EARTH TE,CHN0L0GiES hJ14D 13 - til <br /> -'SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIC1;S �}°'ocrsuvl x <br /> JUN . 0 20 3 . ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST WEBER AVENUE,THIRD FL' <br /> OOR I <br /> tillf:sLt i #EkL�h STOCKTON CA SU02 I � 55' <br /> ?;r.c'CR0G PS (209)468-3420 1, y <br /> PUBLIC RECORDS FEEL ASE APPLICATION <br /> SUSINFSWAGENCY 6T <br /> ADDRESS U� L <br /> PHONE FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE ;> ` T<rt� ..� , �� �4 PI <br /> � _ _�, - <br /> (Please eve T to'S tI business day s frart4 cldr,�of appl[Caii a n su6tdEb:�tlt)� - <br /> CHECK BOX T01~7CPEi]IZ"E REQUEST-$87.A0 FEL••»REQUt=.Sr.'s1'i4C1=S5Eri 1N 3 9U5WL-"S,i EiAY'S <br /> �i . ,4 �mioka131 <br /> SIGNATURE OF APPUCANT ) }(y 11 s. DAM - <br /> 'i �p <br /> 0 <br /> F1I.1=Aa1a1tE5S T1*S Sibl_I-HD t-TAIT 115E ONLY <br /> PROGRt1M E F7AENTS VFARCH <br /> )al? Ma&lWaitio <br /> i 01 <br /> l! tJ <br /> �O F-JV i 14 ~ <br /> J...�._....! <br /> ENVI.RONMENTAI_HE4LTH DIVISION FIEF=S <br /> iM <br /> UNDEtGRO12N0 TANK(UST) CLEANUF"SME(L❑P) 0 HOUSINGS iMATEMEN if�SOIJD <br /> (zoi.Io wAi;r�I-,Ai:IL n y <br /> OTHER CLEANYP S1TI_(NON-LOP) C] FOOD FAC.-1_I•rY WAS M 1ff 11CLE <br /> UNDERGROUND TANK(MOMTORJNGlIT-MQVAL) 0 DOG KE*jEL. C RAIFtY <br /> HAZARDOUS WASTE GENERATOR O'CHICKEN PANC14 a PK(;�TTkEA711eL:id'r i',LANT <br /> TIERED Pp-mn-I"ID FACILMY 0 1140TELIHC EL. C Put 1PI R Tt:Uf-'WyAR 015-111 TOI1.E1'tl <br /> TATTOGIBOBY FEIRCING ❑ P OL.ISPA - C1 L oto usE l,PFLzcATiom SF1F5 <br /> MEWCAL WASTE FAC111 Y ❑ PUBLIC WATER SYSTEM 0 0TV61k(PL2A$E,:'PECWfAAOWE) <br /> List up to ten addresses In the space alcove. Select the type(s) of files fli rq thll list;lbove try;heckinq <br /> the appropriate box(es). At least one file type DUST be selected. , ,-Ix to-L2M,j§4 t,18 or mail10 the <br /> address Ind€ea%!4 ove <br /> EHD will notify the applicant if any LzHD files exiat. An appointment for rEiview,'fill bre cc nfiirmed <br /> approximately five business days but no later than ten (10) days after rer 1pt a?application. The files' <br /> will be held for a maximum of fve business days for review. Appointrnent i:should be s heduled <br /> accordingly. =' <br /> A file that is actively being worked on by EHD staff may not be Immediately ava i}alrle for revil:w. A nfmAf <br /> 1 n'ma be <br /> a €cotta submitted when the file pp Y le is arAllable. °� r <br /> Any rile not returned In the same condition as reieased will be reorganized by 1;HD staff at th1_ expense <br /> of the applicant. Future file reviews by the same applicant may require a$137.01,depri sit prior to reYieuv_ <br /> "TENTATIVE appointmerit dates must be-confirmed)with EHD staff.`� ' <br /> Applicatlons received after 3:00 pm will be processed the next business dFay, <br /> )NFIRMED APPOINTMENT DATE .'l <br /> T}ME <br />