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JAN-21-03 10:41 AM OXOXOXOX0 559 X25 2297 P.01 <br /> 01/21/2003 08:53 46401.. EI•r.IIPf3IMENTAL HEAL. PAGE 01 <br /> BAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES lnIiMONuMn6M <br /> L ) „� c, 1 <br /> ENVIRONMFNTAI.. HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> JAN 2 1 2003 STOCKTON CA 95202 <br /> (209)468-3420 <br /> - - PUBLIC RECORDS RELEASE APPLICATION <br /> ANT <br /> /MPU r� r 1� {A C'rS DUSiNEssiAGENCY Z 1 W 1_^47 <br /> ! <br /> ADDRESS � rJ,�� �rC S V•_1 S; S+Y-C C � - - , p <br /> � a <br /> PHON Uel 3 S t��I FAesIMn r SLa( <br /> TENTATIVE'APPOINTMENT VAI F. CAT1Mai <br /> (Ploaai Olrn 7 In 1-11 business d:y>,from date otippllenllen yubertlllal) I M <br /> Q SHEch 1`104 TO FXI'rrnTP srnur��T. 00.00 FGri nCQULCTlzx r1OCCDOCb IN 0 bUS11fWs DAYS 1''v <br /> ; . <br /> *SIGNATURE OF APPLICANT 4� —'�_ DATE <br /> FILE AODRE56 THIS SIDE EHD STAF ustl ONLY <br /> PROGkAM ELEMENTS uCMCH <br /> v T H <br /> 3. <br /> vwf�a <br /> # V 7� <br /> w� CPG✓fd�'t 5ti�1 c>, ti (� <br /> 1 '7/ <br /> � �NVIL HE91�T1'I D�W(SION FILES <br /> LAn ,' <br /> UNDERGROUND YANK(UST)CLEANUP SITE(LOP) OUSINC ABATPMFNT �SODU WASTE FACILITY I I, <br /> OTHER CLCANVP SITE(NON-LOP) FOOD FACILITY O SOLID WASTE V'E141CLtt <br /> UNDERGROI(Nn TANK(MONI'l"ORINGIREMOVAL) f1 DOG KENNEL ❑ DAIRY <br /> tIAZARDOUS WASTE GENERATOR D C)4ICKEN RANCH IePKc TREATMENT PLANT <br /> TIERED PERMITTY.O PACILITY O MOTKLA107CL f`u1J nn TnUCIWAhololtl;M YCq CTO., <br /> O TA11001000V PEIACING O POOUSPA O LANO USC APPI.ICATION WES <br /> O NIRMCAL WASTE FACILITY , OTHER(PLEAS:sotrClsYAOovC) <br /> 1)sh t sta a <br /> 1. List up to ton addresses In the space above. Select the typos)of file from the list above by cf1•akll7 , <br /> the appropriate box(es). At least one rile type MUST be saaiocted. Fax to(20914104.0`13 or min to <br /> address Indicated abovr.. `'�. <br /> 2. EHD will notify the applicant if any END files exist. An appointment for review will be Confirmed <br /> approximately five buslness days but no later than ton(10)days after ra>coapt of aIpplltotlon. The Elle ., <br /> will be field for a maximym of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 1. A file that is,actively being w6rkod on by EHD staff may nut be immedlatcly available for review. A I .. <br /> application may bo submitled when the file is available. � r?• <br /> 4_ Any file not roturnad in tho came condition as relettaed will bas reorganited by ENL►staff at the eAyafl <br /> of the applicant. Future file rovlowb by thu same pppllrent may fequlre a$59.00 doposit prior to revi.. <br /> 5. •TENTATIVe appolntmcnt dates must be conflrmod with EHD staff.' <br /> G. -Applications recolved after 3:00 pm will ba processed the next bu5ina55 dilmigark <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DAYN C;0NFIftMCP _ - PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />