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03/04/2004 12:48 6369�Q9757 H=RST & ASSOCIATES <br /> PAGE 0Z/E <br /> 11/12/2003 11:25 464 ' " <br /> ENVIRONMENTAL HE Dl. <br /> i)ATI;REMIVED SAN JO,A,QUIN COUNT <br /> ErrVMONIMENNAL- E.4LTH DEPARnaNT MAR 0 4 2004 <br /> 304 E Weber Ave 3'0 Floor Stockton,CA 95205 <br /> (209)468-3420 Fax:1209)464-0138 Web:wvvw.co.San joagvin.oa,i ofV(�iri,f HEAL(H <br /> WAIT/SERVICE <br /> PUBLIC RECORDS RELEASE "FLICATION S <br /> APpucaKc. BtJ9 ter A6� -f�-� -• <br /> ADDRESS: - - <br /> I f/ <br /> HOME: / FACSIAi n.9; <br /> .a d a. {y <br /> TEri1'ATIVI=*APPQfZ17M£NT PATE: �n 1 X 11 V <br /> ,. Tuna: <br /> (Please allow 10 ousinan days atom dols cT appllraalon subMftt* <br /> CHECK BOX TO EXPI OITB ItE VEST- 3.00 FEE I ST P S€'D IN 8 OUSMESS DAYS <br /> 4 IGNATURE OF APPLICANT DATE <br /> De"rlrnellt US60* <br /> FY_E A� VNrr <br /> �- s ° ❑ Unit 1 <br /> 2. skee+ <br /> a ^ a a 414 UnK 2 <br /> r.,40 .U,cmfUnit 3 <br /> 8, Slrael <br /> 7, ;4!Mel �' �Unit � <br /> J <br /> s sane ❑ Unit 5 �J <br /> FEWRONMENTAL HEALTWDEPARTMENT FILES <br /> UNDERQROUND TANK(UST)r.LS t•1VP SITE(Lop) L7 HOUSING ABATEMENT SCSOL1D WASTEGO FA "y <br /> AC OTHER CLEANUP SITE(HON-LOP) ❑ FOOD FAMU Y d SOLID WI�STE YE}iiCfi-E <br /> ArUt4notGROUNP TANK 1N1t71VlrOPjW; "OVAL) l3 DOG KElii M 0 DAIRY 1 <br /> ;rWZ%RD0U$WASTE GENERATOR n CHICKEN RANCH C1 PKQ T�A#MSW PA.Wr c2 <br /> 3"FX'n n PERMITTED FACILITY 0 14OTELMMEeL 0 PumPFR TRUCK YARWCHVA TdtL <br /> C7 TATT001130DY PIE1tCIPIG I3 P0OLlSPA 0 LMV USE APPL113ATICN SnVS <br /> ❑ MEnICAt.WAeTE FACKJTY G OTHM(IMME 5PER1FYj / <br /> 1. List up bo tan addresses in the Irpaae 1116YO. Soiect the tyga(s)of files from the List above by checking <br /> the appropriate[aoxfes). At least one file type MUST be selected. Fax to 209 45"139 oIrmall tpto <br /> ddress indica tecl atrtye. <br /> 2 Vii*111 Notify the appliCA' ftt if any F-HO fibs exist. An appointment for review will be Confirmad <br /> approximately five business days but no later than ten(10)days after receipt of appucatlon. The files <br /> will be hold for a maximum of five business days for review. Appointment$should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be Irnmediately available for review. A new <br /> application may be submitted when the file is available. <br /> Any fits not ratumod In the same condition as released will be reorganized by EHD staff at the expense <br /> of the APplRcatlt. future file reviews by the write applicant may require a$93.00 deposit prior to review <br /> 5, *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recslved after 3:00 pm will be processed the next business day.- . . <br /> CONFIRMED APP61 TMENT DAM <br /> TWE _Post�C'Fax Nate 7671 <br /> DAVE CONFIRMED PHONE . FAX' To {7 <br /> NO REvIEW DATE Com d-A sic k <br /> REVIEVv1=D YESSPhmo f <br /> 8Hp <br /> a,er�oa� (�l��w Fax r LI C` I <br /> �� 610 <br /> � f0yV4 <br />