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A/ <br /> I05/2005 3.5:30 209-579--2; �5 MODESTO ATC PAGE 02 � <br /> DATE r&cOVFD <br /> r SAN JOAQUIN COUNTY <br /> / ENVIRONMENTAL HEALTH DEPARTMENT 171ge <br /> 304 EAST INEOCKT4 CA AVENUE,520THIRD FLOOR "2005 MAY`.-5 -.AW 7: 28 <br /> (209)468-t20 <br /> 11 <br /> PUBLIC RECORDS. RELEASE APPLICA-Ag&OAQUIN COUNTY <br /> �mdrn - - ---- - u�. --�- •moi i ii���u n <br /> vannei►lr.�f . . <br /> I4HEAPPLICANT.D V 1 -42 k M 6( BUSINESSIAGENCY �,TC�, a'WtnQ <br /> 4 T�� !'l��T i"�,E N T <br /> ADDRESS %111 LnNf"- .PAL-AA ANC;- .4.rmyE= <br /> PHONES? RN_Srla•*222I , FACSIMILE �'[ 1� S al '7-7-ZS <br /> TENTATIVE*APPOINTMENT DATE TIME �10_* Am <br /> (Please p��7business�from of eppllcation aubmittaq <br /> CHECK BOX TO EXPEDrft REQUEST-T89.00 FEE-REQUEST P�D IN_3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT,. DATE" R-GS'-Cys- <br /> FILE SIDE EHO STAFF USE ONLY ^ <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH ]]] <br /> t <br /> 113TISN S p1S2 <br /> HAMMER LN E.. > `�' <br /> F <br /> v. <br /> �r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> IB UNDERGROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> ¢ OTHER CLEANUP SITE(NON-LOP) CI FOOD FACILITY 171 SOLID WASTE VEHICLE <br /> iL UNDERGROUND TANK(MONITORINGIREMOVAL) E3 DOG KENNEL (0 DAIRY <br /> 15 HAZARDOUS WASTE GENERATOR E3 CHICKEN RANCH 0 PK0 TREATMENT PLANT <br /> E3 'TIERED PERMITTED FACILITY E3 MOTELINOTEL Q PUMPER TRUCIVYARDICHEM TOILETS <br /> 0 TATTOO/BODY PEIRCING POOLISPA r3 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the1� <br /> types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to.the <br /> a dress indipated above. <br /> 2. END will notify the applicant If any END files exist. An appointment for review will be confirmed <br /> approximately fire 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 on by END staff may not be Immediately available for review.-A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.60 deposit prior to review. I <br /> 5. *TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> ii' <br /> CONFIRMED APPOINTMENT.DATE TIME <br /> DATV:CONFIRMED __- PHONE FAX INITIALS <br /> REVIEWED. YES NO REVIEW DATE <br /> E 4x-02-006 <br /> 'i <br />