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Feb i0 02 08:14a PI S Environmental Svcs. 408,9-124 <br />Received 'Feb -62-01 08:49am from CCITT G3 -► PIERS Environmental <br />02-02-2cal ,es.-Sepf+4 FROM TO <br />14ZE35360294 <br />in: LJ{LGyNyV <br />VL 1_N JOAN UIN COUNTYPuBLIC HEALTH SERVICESVIRONM> NTAL HEALTH D1111S10N <br />304 LAST WEBS <br />ZQQ2 JR AVENUE, THIRD FLt3C}a <br />� a1 e� STOCKTON CA 95202 <br />r (209) 460.3420 <br />'I` <br />UBLIC RECORDS REI.EAEAPPLICATION <br />APPLICANT ' <br />� • U oW1JCr <br />8USIX2$31AGENCY <br />PHONE l"��,�`� 1li�l�yyQ <br />FACSIMILE; '7I1(] <br />t.++eJ �uu Hw.uwt <br />TENTA f IVEr w¢POiNTMENT PATE ^. :�•P- Y1M$ A- . <br />(Pt�as� glvQ 7 a�a bua[rlca6 as a from ditto of aAPi AtIon submltlal) <br />C10-cK SOX TO EaXPEEWTE REMJU S , s EQ `ST ow l <br />FEE-RECIUESTAROCC9SED- BUSINESS DAYS <br />SIGNATURE Or- APPLICAI`I nalrm �..13•�2 <br />H.1 <br />page, 1 <br />ENVIRONMENTAL HEALTH OMSION FILES <br />UNDERGPOUND TANK(U5T) CLEANUPSITE (LOP) <br />OTHER CLEANUP slTe (NON.1.0P) <br />UNDZRGROt NO TANK WONITORING/REMOVAL) <br />KAZAR000 WAMT6 OFNF-RATOPt <br />C ,TIERED PARMITT90 FACILITY <br />❑ TATT00/600YPEIRCIN12 <br />D MP-01CAL YVAST,E FACILITY <br />'i. <br />2. <br />HOUSING ABATEMENT <br />❑ I:OOD FACIIjTY <br />G SOLID WASTE FAcILrrY <br />0 004 KT;NN9L <br />0 SOLID WASTE Yr:HrCE..B <br />C3 L2AJ iY <br />C CHICKEN wGIi <br />C1 MOrELINOTEL <br />G PKG TREATMENT PLANT <br />n PumpeKTRUGK)YARD/CNEM r01LETs <br />0 POOUSPA <br />LO FIJBL ICWATER SYSTEM <br />M LAND USE APPOCA nON arri:S <br />C9 OTHER (PLE A.4Z SPECIFYA50YW <br />Llat up to tan acldrb3aa3 in the space above. saiect tha types} .of Utes from the list above by chocPJng <br />the RPPraprlate bax(as). At least one flit' typa-'NIIIST be selected. F 1 g <br />n r <br />r:80 will notify the applicant if any EHO files exist. An appointment for raylew <br />will be cantirmed <br />approximately tive business clays but no later than tan (10) d4y* after recelpt Of appllCatlort. -Tho flior, <br />will be held for a m3xlrnum of five 16USMBSS days for review. Appointments should bo scheduled <br />accordingly. <br />A ilia tat is aotivaly ba9rlg worked on Jay EHD staff may not be. Unmediately atvallable for rov.jgw. A now <br />appfteat'On may be au4nlitted when the fife is avallable. <br />Any not returned ris in tsame <br />of thee appilcarlt. FrAty,ra firs rorleccndltion �$ rCECHsed will be roorganIzed by EHO staff at the axperlae <br />ws by Cho name eppJI=t may require a $87,00 dirpostt prior t9'rev16W. <br />"TENTATIVE appointmont dates must bo conflrrn&d with amo $teff. <br />Applications recelyed after 3:00 Pm will.ba processed the next busirtssx day, <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />i; <br />Ft6m ez <br />N <br />'PHONE <br />TIME <br />PAX ti�rlru>;I.s <br />V DAT4 <br />TECTAL P. eI. <br />