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10/09/2002 13:44 209-579-2225 MODESTO ATC PAGE 01 ? <br /> r it �' <br /> 08; 191,4-1 FRG Tc, 5;92.2_ P-01 <br /> r+d�'a r <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> 4NVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE.THIRD FLOOR l <br /> STTOCICTON CA 95202 OCT 1 0 20 2 <br /> PUSLIlt RECORDS 94168-3420 <br /> RELEASE APPLICATION , <br /> E_TH <br /> APPLICANTeVSIH rAGENCY t5. R - /SERVICES <br /> it <br /> ADbRE9S ), �! I ,:if. e— l <br /> .f-2 may <br /> PHONE - �'Z- FACSIMILE a 1 7 <br /> TENTATIVE'APPOINTMENT PATE TIMS <br /> (p give 7 to ObU111IM441ys Gat! ( piiCaUan i4brtvttal)CttECK BOx TO EJ4PEOlT KEr�V - P5S IH 3 RU9iNE55 GAYS <br /> ONATURE OF APPLIGAN7 pA--E 6a- <br /> - 1 <br /> s II i <br /> F"ADDR933 THIS SIDE 9140 STAFF Usti ONLY <br /> 4 ^ PROGRAM ELSMUNYS=PARCH C <br /> . 'I ,L I <br /> I <br /> 4ktr I <br /> a , <br /> S <br /> l -1 <br /> I NVlR4NM>rHTAL HEALTH DIVISION FILES <br /> �LRCROUNO TANK(UST)CLEANUP SITE(LOP){ C kOUSINC ABATEMENT 0 SOLID WASTE PAcILUTY F <br /> RR CLEANUP SITE(NON-i3OR) I-):FOOD FACILITY 0 $OLIN WASTIF V5MICLF <br /> Ur,;gGROUNO TANK(MONITORINGtREMOVAL) C-DW KENNEL 0 DAIRY F <br /> J] MAZARCOUS WAsrF-GENtERATOtt ` C CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> TIERED PERMITTED FACIL)TY 0 I MOTEU-IOTEL 0 PUMPER TAVcKrfARDrCHEM TOILETS <br /> O TATTOOISCDY PEIRCINd 0 1 POO"PA CI LArty usE APPLICATION SITES <br /> G MEDICAL WASTE FACILITY C P,u9LIC WAT[It sY$TEht 0 O*HER(PLEASP linCiFY ABOVE) <br /> 1. List up to ton'iaddressei In-the space above. Select the type(s)of Was from the list above by chscAin k <br /> the appropriate box(es). At least one file type MUST be selected. Fix to [20131 464-0138 orZnall to the <br /> address Inslicateg above ; <br /> 2. EHD will notify the �tpplicaflt if any;EN0411va exist. An appointment for review will be confirmed <br /> approximately five busln*a .$days but na: later than ten(10)days aft4r receipt of application. The files <br /> will be held for A Mixi:rmurrr of five business bays fol review. Appointments should be scheduled ) <br /> accordingly, 'r E <br /> 3. A fila that Is fictively being nvorked,:on by END staffmay not be Immediately available for review. A new k <br /> applicaL'vn may be submitted when thi,.filae Is Available. <br /> 4 Any file not rokurne6in the;same condltlon as released will be reorganized by END staff at the expense G <br /> o1 the applicant. Fut►are file rVvIewe by''the scene applicant may require a $87.00 deposit prior to r;vlew. t <br /> 5. 'TENTATIVE appointment dates rnuat b.p confirmed with EHp staff. <br /> 6. Applications received after.3:00 Pm will'be processed the next business day. <br /> i <br /> J i <br /> CONFIRMED APPOINTMENT DATE -'i T TIME <br /> 1 <br /> ' []ATE OpNFIRMEQ ` Y` PHONE FAX' INITIALS <br /> REVIEWED YES NQ ;; ;,., REVIEW DATE <br /> w <br /> TOTAL. P.01 <br /> I <br /> `� J <br />