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04/07/2003 17:11 925283E '1 AEI CONSULTANTS ,Fi PAGE 1213. <br /> 04/67/ I {{\�\/%?b4@Z ENVIRONMENTAL �Ti-i Dj eHptoGNueHeRGE ',IIIA <br /> SAN JOAQUIN COUNTYPUBL.IC HEALTH SERVICES <br /> APR 0 8 2003 ENVIRONMENTAL304 EAST WEBER AVENUE,TH RDF OIOR &3 <br /> ENVIRONMENT HEALTH STOCKTON CA 95202 .._ <br /> _� <br /> PERMkT/SERVIAMLIC RECORDS9REL ASE APPLIGATIOIv R� ���I`� `� L'1 <br /> k <br /> PLICANT h rrrSUSINESWAGENCY __ APR 0 8 2003 <br /> ORESSl (� n ---i=�� � HEALTH <br /> ONE-l� D� D,l`�-1 -- -__ ._ FACSIMILE 't2 L� �1Z� __ PERM�ERVICES <br /> TENTATIVE"APPOINTMENT DATE !112105 TIMEv- <br /> (Please give 7 to 10 budiness days from date of application Sut!mi°t ) jcb 5) <br /> CHECK BOX 1O E7CPEDITE Et1=QUEST-$89.Ofl FEE—RC VEST PROCESSED IN 3 BUS1N£'sS DA'ra L&I 1 I <br /> 'SIGNATURE OF APPLICANT k. DATE j[ C __ <br /> THIS SIDE END STAFF USE ONLY i <br /> FILE ADDRESS PROGRAPI ELEMElfr$SEARCH _ <br /> llot o A)o <br /> IJAI, Main S+ <br /> - <br /> � itJ D <br /> U M a <br /> LJ13 5 a&, — <br /> ENVIRONMENTAL HEALTH DIVISION VIL.ES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D tIOUSING A13ATEMENT 0 SOLID WASTE;FAZILITY <br /> OTHER CLEANUP 317E(NON-LOP) ❑ FOOD FACAM a SOLID WASTE.Vt1HICLE <br /> UNDERGROUND TANK(IAOWMRING/REMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH d PKG TREATMEN-r PLANT <br /> O 'nERED PERMrTTED FACILITY ❑ IAOTELIHOTEL CI PUMPER TRUrKIYARDICHEM TPILET'S <br /> ❑ TATTOOISODY FORCING <br /> C7 POOL/SPA Q LANE?USE APPLICATION SMIE-S <br /> 10 MEDICALwASTE FACILITY 0 � G7 CHI-=R(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above_ Select the type(s) of files fr;)M the list above by checking <br /> the appropriate box(es). At l®ast one file type MUST be selected, Fax to 209 aE 0138 er m3il to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for roview will he confirmed <br /> approximately five business days but no later than ten(10)days after receipt of:application, The file;,s <br /> will be held for a maximum Of five business days for review. Appointmelits should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A nev <br /> application may be submitted when the file is available. EF{p staff at the ex)erlsf <br /> 4, Any file not returned In the same condltfon as released will be reorgan�izrd by 1 <br /> of the applicant. Future file reviews by the same applicant may require 2.589.00 deposit prior to reviev. <br /> 5. 'TENTATIVE appointment dates mast be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> TIME Post-it"Fax Note 76'!1 <br /> CONFIRMED APPOINTMENT DATE N <br /> ri <br /> DATE CONFIRMED PHONE FAX , <br /> Phone�M <br /> REVIEWED YES Nt] REM FW DATE . — - <br /> ,�.ss <br />