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JAN-21-03 10:41 AM OXOXOXOX0 559 325 2297 P.01 <br /> 01!21/:009 00:53 4E40._„ E11,17@•INENTAL HE, •� PACE 01 <br /> -�— __ SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> 2,� ' 1hNuvns� <br /> C <br /> njI l '(i1v� O ENYS"TWEE AVENUE,T ( DIVISION <br /> 904 EAST WEBER AVENUE,THIRD FLOORCA <br /> ` <br /> JAN 2 1 2003 8T CKTON(209)468-342095202 <br /> 09)468-020202 I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ('APPWCANTT/ T'A C'jS 13USINESSIAGENCY '✓LC —W%A) <br /> �ADDRE 5 0� 5,� 7l_ • rGsnc: j'IYtc -I- <br /> PHONI ��`� 33 0$'r��� FAdFIMn r-SPLA <br /> TENTATIVE'APPOINTMENTUAIF, <br /> (Please Dlva T In fn business da j tram dam of—applieaUea s WmRlal) <br /> %NECK 1108 TO FltrrniTP arnnr,YT. 00.00 c/c4 ncgULCT n000Doro IN a busR+eaa BA-13 <br /> 'SIGNATURE OF APPLICANT - 4`' C r. -�`� DATE <br /> FLLE AODRE56 THIS SIDE END STAF USD ONLY • <br /> PROGNAM ELEMENTS SEARCH <br /> '131 iNie Lt,2&iq Ke <br /> c.CIL i5-0 D <br /> S--T-�"n - <br /> 3. u <br /> Qv <br /> ,C-LR9QLA StTtl�tyn _..__ <br /> t90at <br /> ✓evi <br /> -- <br /> k c fi c - <br /> .�l <br /> �� t�hw✓c�l Sty tLf "ENVIRONM NTAL HFSION FILES Un ' <br /> U(✓3 h Pit ,o r • , <br /> TANK JUST)CLEANUP SITE(LOP) OU51NU ABATCMFNT SCUD WASTE FACILITY / , <br /> OTHER CLEANUP SITE INON•LOP) FOOD FACILnY O SCUD WASTE VEHICLE . <br /> UNDERGROUND TANK(MONITORINCRREMOVAL) n DOG KENN5L .D�/DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKCN RANCH PL PKG TREATMENT PLANT <br /> HAZAD OUSPrRWASTE GENERATOR <br /> O MOTCIIIIOTCI ci PuMPCn TnUOIWA"b1oIMm Y0tXTe <br /> TIERSJUNDFRGROUND <br /> TATTOONODY PBIACINC O POOUSPAO LANG USC APPIJCATION SRE5 <br /> MEDICAL WASTE FACILITY OTHER tFuA4.SPEeIFY AOOVDI <br /> A 6.)7 e gto S. <br /> 1. List up to ton addresses In the space above. Select the typa(s)0l files from the list above by checklTlt� _ <br /> the appropriate box(es). At least Qne rile type MUST be selected. Fax to(2091 464-0198 or mall to lhu <br /> address Indicated abo"... <br /> 2. EMD will notify the applicant if any EHD files exist An appointmenl ler review will be confirmed <br /> approximately five business days but no later than ton(10)days after rveolpt of applieatlGn. The Illei <br /> will be held for a Maxim Lim of live business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is_actively being werkod on by EHO Staff may not be Immediately avaflable for review. A ngLl,,, <br /> applicAlion may be submitted when the file is available. <br /> 4- Any file net returned in the came wndition ss ro)ened vAll be reorpaniced by EHD Staff al the vnyon <br /> of the applicant. Future rile rovlewa by the same applicant may require a$69.00 dopo silt prior to revlt <br /> 6, IENTATIVe appointment dates must be confirmed with EHD staff.' <br /> G, 'Applications recolvad alter 3:00 pm will be processed the next business den _ {� <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> ___ <br /> e DATE GANFIRMCp <br /> WPHONE FAX INITIALS <br /> REVIEWED YES NO_ REVIEW DATE <br /> : EVIE ED - <br /> c� : U�yvrvlt ; vtliv e� AL <br />