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05/10/2004 12:28 510-4331025 TRISTAR EXPRESS PAGE 02 <br /> /10/2004 12:41 46401 ENVIRONMENTAL FEA, ,,i PAGE 01 <br /> 0 A RI;CJNEia I:NU LUU NUMIIGK <br /> SANJoAQu>iN COUNTYL�J WED. E�MC NTAL H1EA.1Lm DEPARTMENT <br /> 4C C D 304 F.Webe>!Ave 3`4 FIM 3tocktOX4 CA,95205- <br /> (209)448-3420 ax: (209)464-0138 web:www.ca,ssnioaquiva.ca W0hd 1qr1Z <br /> MAY 1 0 2004 PUBLIC RECORDS RELEASEAPPLICATION <br /> ENVIRUMVILI <br /> �u.G-c tafTa��!- BUSiNES9Il4GENCY: ���'i�'�. �;K./•tc J S <br /> 4A7o= <br /> TENTATIVE'APPOINTMENT DATE: TWw: <br /> (PIeW aliaw 10 I)MIMMM d2A*OM dpts of aAPPACW10n s4I MIftq <br /> 13 CHECK l3'0)C TO E70+'EARE llEQUF_ST-593.0 F REQUEST PR SED BL191N8.Rs DAYS <br /> SiONAnME Off'APPLICANT DAT1E <br /> 0"*Mnent use OrAy <br /> FILE ADORN UNiT <br /> 3?30 /+lcwptr.aa a -�c`f't•�.✓ Q Unit _ <br /> � a <br /> �,, ❑ Unit <br /> 4. <br /> 41 <br /> 6 Street <br /> T Wag <br /> Uni <br /> ❑ Unit 5 <br /> o. street a <br /> ENVIRONMENTAL HMTH DEPARTMENT FILES <br /> UNDERCROUND TANK(un CLEANUP SITE(Lc*) ❑ HOUSi M ASATIE:MINR Q SOLID WASTE FACiLITY <br /> Ci OTHER MEANUP Srn:(NON-LOP) O FOOD FACRM E1 SOLID WA=E VEHICLE <br /> ❑ UNDERGROUND TAKK(MONRORIN(3/REMOYAL,) CI 000 KiaNNIM G DAIRY <br /> O HAZARDOUS WASTE GENERATOR o CHICKEN RANCH Q Pl(Q'iREATMENT PLANT <br /> ❑ TIERE 3 PERMITTED FACIU'I'Y O monLMOTEL O PUMPERTRUCKMARDICHEM TOILETS <br /> O TATTOOI$ODY PIERCING ❑ POOLISPA 0 LAND LISP.APPLICATION VM <br /> O MEDICAL WASTE FACiLITi! ` ,�'OTMER(PLEA3IE gPSCiFYjrr�'�' ��*'sw'`t L{ IF <br /> 1. !List up to tan addre"@r,in the space above. Saleet the types)of files from the list above by checking <br /> 'tile appropriate box(es). At leant one file type MUST be selected. Eazlg 209 38 <br /> E <br /> mmil <br /> MW Ind t®d at10Ve. <br /> 2. PH-0 will notify the applicant if any RHD files exist. An appointment for review will be confirmed <br /> approximately five business clays but no later than ten(40)days afW remsPt <br /> of application. <br /> aion. Thede <br /> duldfiles <br /> will be held for a maximum of five business days for reASW. Appo <br /> Intmsnft should beaccordingly. <br /> 3, file than is actively teeing worked on by RHO sta"may not be MITIediatoly available for review. Anew <br /> �appliication may be submitted when the file is available. <br /> 4• iAny file not returned in the same condition as released will bIa reorganized 3. 0 d staff at the expense <br /> usro as X93.00 deposit prior to review <br /> Iof the applicant. Future file review's by the same appiiaant may ml po <br /> 5. *TENTATIVE appointment dates must be confirmed with RHO staff. <br /> g. Applications raaeivtoo after 2100 pm*iili ba processed dw next business day. <br /> CONFIRMED APPOINTMENT DATA TIME <br /> PATE C8NFlRMEb PHONE . FAX • ' '(N1TIA1cS ' <br /> REVIEW YES NO REVIEW DATE <br /> a,,, tea, : PPrr OD u <br /> y �s, <br />