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05/03/2005 13:09 209522 GEOLOGICAL .TECV PAGE= 01/0 <br /> I <br /> SAN JOAQUIN COUNTY �D Loc N > <br /> ENvMONMENTAL HEALTH DErARj NmNT17 <br /> MAY 304 E WeAve � <br /> �s�� fl;� 10 0 5 Weber A e 3 Floor Stockton,CA 95205 <br /> (209)468-3420 Fac: (209)464-0138 Web: vvww,ro.san-joaquin.ca.us/chd <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> -H <br /> APP1..fCANT: t nr. � SI181MF8�IAGEIYCY:, ;p 1 <br /> ADDRES0. — <br /> PHONE;_ a a, S a� -.,`� F °1 FACSIWLE.- :.01 --s <br /> TENTATIVE"APPOINTMENT DATE: W;�� d„ �. _a•, ")e-s TWW: r <br /> (Plaaa4P ItItaw 10 bushles days from date of applastlan zubmktEil) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 PI-'E• -REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT \-A) l 0r rz l d s <br /> uoa sitnw use only <br /> FILE ADDRESS UNIT j <br /> '� w• G r q,n ,. Tr unfr <br /> 2. anew LASS G a•Cin't• L;„n. 'T r 0.c tt 4,-,.. 1 <br /> sveel 5`�1 rwn W 'Tri .1�►ik 2 I <br /> W o.•.t L:,rt r 0.c <br /> 6 9trr�I 2 3"15 T r w 1N al ? L h! r c Ung3 <br /> a s 3 Li o "C�- L e <br /> T se.a Unit 4 Y <br /> 4, atom <br /> 1000 <br /> Q-- D Unit 5 <br /> 10 aeeot �� <br /> f, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE.$ <br /> i <br /> ■ UNI) ROROUND TANK(U"CLEANUP SnM(�OP) 0 MM&NO ABATEMENT O ItOtlp WASTE FACILITY <br /> ■ OTHER CLRAht1JP WTE `! 13 FOOD FACILITY ❑ $OLID WASTE VEHICLE <br /> 0 UNDWJMOUKD TANK(MONITQWNWREMOV LLI fl COO KENNEL 133 DAIRY <br /> ■ HAZARDOUS WASTE GENPRATOR. M CHICKEN MNCH - 13 PM TREATMENT PLAINT <br /> 0 TIERED PeXWrTED FACILnY 0 IAOTMMOTEL E3 PUMPER TRUCKfYARDXMM TOILM <br /> 0 TATTOORH0DYNGi E3 "OUSPA 4 LAND USE APPLICATION SITES <br /> 17 MEDICAL WAaTE FACILM ' In OTHER{PLEASE SP90FY) <br /> 1. List up to teen addressee in the space above, Select the type(s)of files from the list abova by chocking <br /> the appropriate baax(es). At least one file type MUST be"acted. Fax to l20 1101138:or1��z-the <br /> d address Infifcated above. ' <br /> 2. END will notify.Me applicant If any END tiles exist. An appointment for review will be confirmed <br /> apptooxknately fhre business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked an by EHD staff may not be Immediately avallabie for review. A new: <br /> appli>Won may be submitted when the fila Is available. <br /> i 4. Any file not r+eturood to the same condition as released will be reorganized by EHD staff at the expew <br /> of the applicant Future file reviews by the same applicant may require a$83.00 deposit prior to review, <br /> Q. "TENTATIVE appointment dates must be confirmed with END staff. r <br /> $. Applications received after 3.-00 ptn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE I TIME <br /> s <br /> DATE CONFIRMED _ _ PHONE FAX INITIALS 1 <br /> REVIEWED YIES NO REVIEW DATE <br /> kMIM <br /> S <br /> Ea <br /> is <br /> i <br /> 'I " <br />