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h <br /> d5/ /"NM <br /> 25240 J3� AEI ONSULTANTS - PAGE 67 <br /> IRE]hl :NT, ;�EALTH PAGE 0 <br /> 0 aTI,�� 7005 <br /> SAN JOA,+QWNkd-00-rM-joaquin-*aus1ehd <br /> N EtO L I�IUMf <br /> ENV Odd NT HEALTH EN MONMNTALdHE IDEPAR' NNM <br /> PERMiT/SERV 304 E Wdber Ave 3 &I�vrktaa,CA 95205 <br /> ! 6b�468-3420 Fax. (209)464-0138 Web: <br /> P. MBLIC RECORDS RELI ASE APPLICA,nON 6.7 <br /> APPL, ANT• .. 1 1. BUSV4MS1AGEN NO' � <br /> :PHCNf: z ` FACSMILE: S <br /> p TKNTATIVE*APPO1N1Mi;NT DATE: Targe; <br /> (Please allow 110 b%w1n ss slays trorn JW5a of applies ion tubtttflao <br /> )!�GHICK 13OX TO£XPWrM REO -"3.fl01=FE-l;I:QUM PR ESSW IW 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PATE �l ti�a tib <br /> Oopartrmnt Elie OnlY <br /> FM A�DyOREDEM �UNr r I <br /> 1. R 12Z a rr ` Q Unit 1 <br /> 23 i S �•!. Cc.4 Fa. a C55 <br /> F . p Unit 2 <br /> a <br /> a. <br /> a <br /> 01V Unit 3 { �� <br /> IL &reptCRY 01� <br /> {� <br /> 7. 21RNd <br /> � . <br /> ! .oma, cmr 1 ❑ Unit S <br /> LWRt?NMI-NTAL HEALTH 0EpARTNtEN7 FlLFS gift <br /> UNDE[tOROUND TANK '1]CLEMUF BITE"P'! L3 HOU9046 L"MEN r SUM WASTE FA4'tUN <br /> C Ilo Ct.EANUP Srm(MON-LOP) ❑ FOOD FAC M SOLID WASTE VEHICLE <br /> W 111'RDMACONDTAM(MON1TOWN=aMQVAQ 0 100S KERNEL ❑ f�AlRY <br /> NAZMWOUS WASTE GENERATOR Q CN N CH ❑ pft TREATMEW PLANT . <br /> 'Is TffiE a PF YIlI'I1ET7 I:ACaL l fY ❑ MOTELMOTE Q Pl1MMR TRUWJYAMA.4llt=M TOILE' <br /> T3 TATTOOMdDY MERGING G POOIJSPA , C3 LAND OSE APPUGA3101i S <br /> MP <br /> ❑ YeAICAL WAM rACO ri'Y ` t7T}IEIi E SPEC" G f <br /> T. List Up to ter addresses in the space above. Sala the types)of Ries from th�iTst�t aOM r- <br /> vo hec } <br /> the appropriate bOX(es) At least one file type MU be selected. Fax� 09 Asa•o13i3 or ail d tt <br /> acldtM indicated above. <br /> 2 EM13 Will notify the appui�ant if any EHD files ex an app4intmerit fcr review vYiiii be co an. T d <br /> appraxlrnatoyfpre busine"days but no later tris Ian(10)days after receipt of a�piicatian. The fsl r <br /> will beheld fora maximum of five business days �r review. Appointmelshould be scheduied <br /> H accordingly. <br /> 3. A file Khat is actively beln9 worked on by l HD sta may not be immediately available for review. A <br /> i appli=don may be submitted when the file its ave labia. <br /> €: 4. Any fila not returned in the same condition as ret &sed ghr�'il ice reorganized by EhiD sta>ff at the�e <br /> !i <br /> of the applicant. Future file reviews by the samQ ppiirant racy repair&a93.OQ deposit prior to tee v <br /> "I EtITTA71V6 appointment dat%must be canfi d with EHD Staff. <br /> Applications received after 3:00 pm will be pre d the next business.day. W <br /> CONi~ijRM56 A000INtMVNT DATE TIME <br /> DATE COPIFIRMEO - PHONE FAX, Wrr[ALS I <br /> i R>=111E1NED Y'Es NO REMEW DATE <br /> RU%MOH <br /> arRflloas _ <br /> I� <br />