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FROM : ENGEO INC TRACY, CR _ FAX NO. : 209-835-0675 ,Dec. 05 2002 09:31AM P1 <br /> f 1 M `;! E D' SAN JOACUIN COUNTYPUBLIC HEALTH SERVICES V <br /> ENVIRONMENTAL HEALTH DIVISION I O <br /> DEC 0 5 2002 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVui„NMENT HEALTH (les)4611-3420 <br /> ru <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. CASEY :M EA) 9U3!"I!33/AGENCY rP6 .0 we. �C <br /> AODRsss <br /> PHONE -•0 F•;CSC77LE e ZpQ��7$ �•Q�(�S l <br /> TENTATIV'E'APPOEiTtMT-DAT u%l)s[lie.�i./r 'fiAyt /r.ml <br /> r nME <br /> (P;eaco Shy 7 to 70 tram tate of 30p11E3[fon SW^.mitWq <br /> CHECK SOX 70 EXPEDITE REQUEST•57300 FEE-4EOULSTPROC£ Un;SSED IN 3 BUSINESS DAYS // <br /> SIGNATURE OF APPLICANT - DATE /9A Q7. <br /> FRE ADDRESS <br /> Y05 FOPP 1AA10 - o <br /> AAV <br /> 412�. oa EA 7d o 'd - AAl i <br /> f rr it ,, r , it O D t N I <br /> l OSY <br /> 7y9 �'� I�ArY <br /> p <br /> j — er .t/ 7- ` y I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> (tf UNDERGROUND 7ANK!UST)CLEANUP sRc(LCP) P.C'USWOADATEMENT P1 30JDWA3T2PACIJTY <br /> PI OTHER CLEANUP SITE(NON.LOPI O :GOD KACILRY X SCUD WASTE VEHICLE/ <br /> RI UNDERGROUND TANK(NONRORiNOlREMOVA_) C DOG KENNEL DAIRY ✓ ig <br /> Of HAZARDOUS WAST£Cf"NERATCR X CHIC±Gk RAkCH (E PKO T..cATMENT P•-ANT <br /> Gf <br /> TIERED e ci YED FAGLRY r MJTEU'HO?L PUMPER TRUCK:ARDICHEN TOILETS <br /> C TATTCCf3OOYPERCDIO C3 POOVSPA LAND USE APPUCAnok SR=S <br /> :G MED!CAL WASTE i-ACIUTY A PUBLIC WATER 3Y.ST£M Jd OTHER(PLEASE SPECIFY A90VE) <br /> 1. List up to tan addresses In the space above. Select the typs(s)of files from the list above by checking <br /> the appropriate bex(es). A;least one file typo MUST be selected. Fax tg(209+464-0138 or mail Io the <br /> address Indicqted above. <br /> 2. EHd wilt notffy the applicant if any Elio Tires exist An appointment for review wiil D-3 conflrmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be hold for a maxfmurn of f!ve business days for review. Appointments should ba schaduled <br /> accordingly. <br /> 3. A file that is actively being worked on by 2HD staff may not be immediately av311ab1e for review. A neer <br /> application may be submitted when the nV is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by'=HD staff at the expense <br /> of the applicanL Future fila raviows by the same applicant may require a $78.00 deposit prior to review. <br /> `TENTATIVE appoin!ment dates must bo Confirmed with EHD staff. <br /> 6- Appiications received after 5:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTIIENT DATE TIMM ! <br /> i <br /> [DA-�r� E CONFIRMED PHONE FAX INITIALS _ <br /> IEWED YES NO REVIEW DATE ' <br /> T-Tn P.02 <br />