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02/11/05 17:27 FAX 40898805• CALIFORNIA PAPERBOARD 0001 <br /> �1 �IyU�,V(�{VUNIOCK <br /> RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL yEALTIi DEPARTMENT <br /> 304 Fast Weber Avenue,3rd Floor, Stookt0't1, CA 95202-2705 <br /> T(,lephone: (209)468-3420 Fait: (209)464-0138 Web: www-sj90v.org/e11d <br /> PUBLIC RECORDS ]RELEASE "PLICATION <br /> � UU$INESS/AGENCY: <br /> APPLICANT: b <br /> ADDRESS; FACSIMILE:,� o 7— PHONE <br /> - 7 PHONE(2): r <br /> PHONE 0): <br /> TEN TATIVE`APPO,NTMEWf DAh: ust be confirmed) <br /> (Please allow 10 busiposs days from date of application Submittal-'Tentative only-m <br /> CHECK BOX TO�CPEDITE REQU�57-593.00 FES(CASH OR CN�CK ONLY)-REgUE57 PRQCI=SSED IN 3 BUSINESS PAYS <br /> DATE <br /> SIGNATURE OF APPLICANT , <br /> yNIT DISTRIBUTION 0 Unit 1 <br /> Unit 2 D nit 3 nit 4 �Unik 8 b Unit 6 •l7thor(elactro�tctlists�msps) <br /> FILE ADDRE55 EHD USE ONLY <br /> • � <br /> City �� <br /> Street A Street Name � Ca/ <br /> 77- <br /> � 8. <br /> t � <br /> 1�. to oa <br /> SDociftc Date Range of Infofmation RequestLd:From <br /> F-NVIRONMENTAL HEALTH DEPARTMENY ri4ES <br /> u 0 HOUSM A9ATEMUNT 0 SOLID WASTE FACILITY1VEp4CLE <br /> � UNDf:RRROUND TANK(UST)CLEANUP SRE(LOP) p FOOD FncIu7Y M WASTE 71RE <br /> C9u'IrICR CLEANUP SIrF-(NoN-LOP) 0 DOG KENNEL C3 DAIRY <br /> X_ UNpt3RGROUND TANK(f1lOwYORING/IZEPAOVAL) ❑CHICKEN iZANCH 0 WAsTeWA-rER TREAThIENT PLANT <br /> HAZARDOUS WASTE GENERATOR 1:3MOTEL/HOTEL PUAA?ER TRUG�A� TOILE?S <br /> L1 TiruIED PERMimo FACILITY d POOLISPA O LAND Use APPLICATION <br /> SITES ES <br /> TATTOO/BOov PIERCING ❑OTMR(PLEASE SPECIFY) <br /> MEDICAL WASTE FACILITY <br /> AVAILABLE FOR REVIEW - MONDAY-FR{DAT B:OO AAA-5:OOPAGLUdINO HO DAYS. <br /> WELL AND SEPTIC PERMIT RECORDS ARE <br /> checking the <br /> t. List up to ten addresses in the space above. Select the type(s)of files from the list above by 9 <br /> appropriate box(cs). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address <br /> indicated above. Address ranges will not be accept al business day.nce with file addresses, contar <br /> the ENO•Applications received after 3:00 pm will be processed the n <br /> 2. The o ib will notify 0) applicant <br /> a psia tner receiptof ppli ation. The D files exist- An fiilles will be held for a maz mum of five businOS! <br /> ent for revieW will be confirmed <br /> approximately ten( ) y <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the file is available. <br /> A. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> rrwaa ' <br /> ft_i ��yd Hj-1V3H Id1N3WNWIAN3 EET0b9V Z37:9T 900Z/TI/Z' <br />