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[l IJ L Nl{h1G�7 <br /> aAre RE EI>'E5 <br /> 5#N JOAQUIN COUNTYPUBLIC HEALTH S � , VICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR 59 <br /> AUG 1 6 2001 / STOCKTON CA 95202 <br /> (zai♦> 4s83420 <br /> UvI i ;, ;; : ; •;, ;;_ ; ; ; I : I_; ',LiH PUBLIC RECORDS RELEAS ,E' . APPLICATION <br /> y , 1 <br /> APPIICAN ` . . . �" �( eusINESSIAGE�NCY In <br /> LCC-{�I 'P[ VC:,/ G ry /J�UIYIrI C <br /> ADDRESS 237y &;&uj R<0d *" && ""(/ 9 S~ <br /> PHONE A09' !Ybg7 Toa & _ gG 1MILF _... X09 _ 4 :2v e? <br /> fi <br /> TENTATIVE" APPOINTMENT DATE , TIME <br /> (Please glre 7 to 10 basin day data of application wumledt) <br /> 1ACHECK BOX TO E](PEUITE REQU $79.00`,FE,�5 REQU P6OC ED IN 3 BUSINESS DAYS <br /> SIGNATURE OFaAPPLICANT DATE <br /> 0 /fly <br /> FILE ADDRESS <br /> J ao <br /> ✓ n <br /> T +� <br /> $ Tit <br /> !r <br /> J <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE rAC1LtrY <br /> OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FACILRY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK (MONrTORINGIREMOVAL) 171 DOG KENNEL. ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH In PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILIYY _ O MOTELIHOTEL ❑ PUMPER TRUCKIYARDlCHEM TOILETS <br /> ❑ TATTOGIBODY PEtRCING ❑ POOLISPA. ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUDWC WATER SYSTEM ❑ OTHER (PLEASE SPECIFY ABOVE) <br /> 1 . List up to ten addresses in the space above. Select the typOf files from the list above by checking <br /> es) <br /> the appropriate box(es). At least one file type MUST be. selected . Fax t {209)_464-013§ or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application_ The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be Immediately available far review. A now <br /> application may be submitted when the 11110 is available. <br /> 4, Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $70.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3: 00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE _ <br /> EN <br /> MIA 0113 ao <br /> ,a <br />