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06/13/2006 14:58 FAX [1001/001 <br /> DA, S,,QN, JOAQUIN COUNTY. <br /> EN r MVNMriNTAL R,L ALTH J.JL <br /> Lrl;LCC,'-1_ r 1���L�LJ 3 'ebtr Ave a`d Floor Stocl�►on,CASZ0S <br /> (209) �o8-a�?� Fax: (?fl9) 464-0138 Web:wwtiv.co.s�t joa4ui�ca uslek�e <br /> j(=A � 3 0006 <br /> PUB1,1C RECORDS ULEASE APPLICATION <br /> PER Nil ff./S`A!R-4 t (g, @usiKESSIAGENCY:_, t .r _rJ ;Z� <br /> Appuc tfT; <br /> syrlv��: <br /> c �'1 S` <br /> TEKATiV AFP0IM7ME8T DATE <br /> �L�L2. U rte: <br /> tPlan�e allow 10 Duslne_::days horn date of application aU15M; q <br /> i y ' <br /> Q HECK aOX TO EXPEU s,REQ4-rST-591-04 FEE-,. QUF-S PROCESSED II4 3 auSIHS53 DAYS <br /> DATE <br /> uIGt4ATURE OF qFPI.IGAN oepamT%antUr. WY <br /> UNIT <br /> FILE AIIDRE55 <br /> 't $_j '< 1 Cl. Unit 1 <br /> r• <br /> i s�v- 2..'7 i G ✓ i o�� i Unit 2 <br /> F= rte_ <br /> survc it 3 <br /> 11 SIP et <br /> 7. s r <br /> •")Zl':liwl, t G a d ' <br /> i Unit 5 <br /> a, suae y;u� <br /> 7 t7 MA!Qt Sa'r -Q GM <br /> ENVIRONMENTAL 14EALTH DEPARTMENT FILES <br /> UP SITE 4P) in HOUSING ABATEMENT fit SOUD WASTc FACILrrY <br /> CiNDEeRGRQl1N0 TANK JUST)CLEArI �" O FOOL]FAClI.irY 13 SOLID Vi,A,s <br /> t24 0-.HER CLF-A-AUF SM(HQH-LOP) � L1 DOG KEHttEt i3. DAIRY <br /> M UFDERGK0U-t3 TANK(MO14lTOR1NGrRWM0VAl-1 3 DOG KFN P,aalt`K i C�PKG MEAWES7 Pkv, T <br /> FiAZAfZCIOiJa'rfA"Tc GiNERATOR l7 jtOTE3.ht4TGL I0 PuMpEp T ucKrYrAROiG�SEM TAIL <br /> O TIERED Pf.1�tvlriTF-D FACILM L1 pgOLfSPA CL LAND UStt APFLICAT140 SriTS <br /> G TATTOC, 300Y PMKCING 0. oTHEi R tPLEALE SPECSP f} <br /> I„1 MEDiC%,LWASTEFACIL17Y <br /> 1, List up to ton addresses in the space above, Select the t'fpe(s) of('files frar,,the list aboye b.y cheakinc <br /> the appropriate box(es). At least vire rile type MUST be selected. Fax to i09 4Erf-l]t 38 ar mail to t'rsG <br /> add+ !;-,inot notify ed appl cant it any EHo flies exist+ An appoints;lent far review will be c:0nfl►t:)ed <br /> app;aximately five business days but na Eater than ten (i R) days n ntmen*- should be, tipt Of tjon, The <br /> chcduted <br /> will he held for a maximum of five busines: days for review• App <br /> accordingly_ t3 Staff may not be immediately available for rc�r7ew• A nO <br /> 3 A file that is actively being worked on by>=H <br /> application may be subrrliticd when the file is available. <br /> at the A, Any file not returned in t f Ic ev ews ditihe same apps cattlt rnayl be Te equireza $93-00 ed by Hdeposfit pilar to rpevricw. <br /> of the applicaflL Future / <br /> 5. ENTA"iNl=appointment dates must be confirmed with'Eyl] staff, <br /> 6. Applications received after 3:44 pm vrlll be processed the next business day. +� <br /> Fb <br /> ,I11€�D.APS QIN#'iViEliT DATA ";Y" ;,4;� <br /> iioNE FAX= 1NIT.lAf_`a <br /> YES TlQ t?EV.1E�aV 0,4YE' <br /> �.i] --- <br />