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r -0—k- -4D. ::>"i-i -- •- . `-`� ._....f:, _ .. <br /> TC 170?4464�LA <br /> SAN JOAQUEN COUNTYPUCLIC HEALTH SERVICES U"" jr.=i,,M„&w . <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 30.4 F-A5T wi~SER AVENUE,THIRD FLOOR <br /> STOCK-roN CA 957.02 <br /> (.2.00) 460-3420 <br /> PUSLIC RECORDS RELEASE APPLICATIONAPKICANT <br /> Z- CrTc <br /> _.. SI.SiNESSJA1rNCY z <br /> If 4 <br /> PtlaJ�l>: Y`...�.L� _ F+k0:[7l+lELr _ R..�._ 6 <br /> TaNTAT VE/ AeroiNTMSk.T l'lAEi to TIME <br /> Pyr a,a e117`f Us+Z0. d� s f,s,ve 7 � �m e.t3lt cfE alrpflcauan ac;4mtGanl ` <br /> L C EC}C:$C[XTOEXf'Ef7t.F,Re ,.. •. 1. 167�FEE-XCMUL TPR0GESSEJ 3rSU9IiVE55DAY:H: <br /> SiCNATUF2E OF APPLICANT .. SATE. <br /> - •�iKi <br /> FI:I E R:03rZ:ESSTHIS SIDE EIiF]gTAFF USE Oi`tLY <br /> PROGRAM 1=1„$MENTS:SeAItC1i <br /> Ll�'S, '.3... � fz+At•-isF.+t+-rte `�'' ��t �,a. _ I <br /> e!f''A ti. <br /> lJ <br /> '-f <br /> L-air �:t�- <br /> I IVIRt)tvi 161VTAY HF-ALTH DI <br /> VISIOJV FILES <br /> UNOLRGROW40 TANK(U5 Q CLEANUP Si rE LGP) CJ HQ1151NG AaATFIeENT 13 SOLID WASTEf•ACII.:ITY <br /> . <br /> OTHER CLEANUP SITE(NON-Lop) '0 1-001)FACILITY 0 SOLI13 WASTE VEkiIGL£ <br /> l� <br /> �F 4NDER13ROUND TANK CMONtTORIMWR010vnJ J G VOG N.1=NNpL Cf DAIRY <br /> tlA7ARGOUS WASTE GENERATORCJ CHICtiEN RANCH 0 PK-�TREATtu.K-N-f PL okHT <br /> TIJ?P"?F,9 ,Tr@D FACfLITY N%%>TC1JH0'rEL b PU;APERtRUCIKJYARDICNEM TotLIETS <br /> TAiZ'OOMaUN PEtRCtKG L7 FdoLiSPA STY <br /> U LALANDL}5�APPLtCA.rIOPI ES <br /> ralEfliC. L 1rtA37E FAC JLitr Q PU6LtC WATCR.SYSTEM 0 OTMER_(PIXASE SPECIFY ABOVE) <br /> 1., List up to ten addressers in the space abcive, Select the types)Of tiles from the list above by checking <br /> the approptialc box()s). At least one file type MUST be SelecteCi. Fax tSa J2439)464:21AB Qrmotil to The <br /> 3jLlrast lntticated above. , <br /> 2. EHD will nntify th6 applicant if any ally files exist. An appointment for review will be GVnfiri%ted <br /> x fsproxlmately fire bust':tess days but no later than tett 1 o)days after rectipx of applicatioll. The files <br /> accordingly- ; <br /> will r held for a maxrrlurn,fffftve busJnesS days for roview. Appointments$should be•schedmied <br /> 3. afire that is actively being wurked on by EHD staff may not be InlmOdiately available for review. A new <br /> app"Catian May!ja submittecl When the file is availiable. <br /> Any file not:rL tdrned in the same c_onditiOrt as rClsase(l will be rearginized by EHL)statf tt:the expense <br /> Of the appni:a:'it. Future file,reviews by tits same applicant may require a 3S'.Dff: <br /> 5• 'TENTATIVE appb.Irltnient dates must be confirmed with EHD staff: aepQsJt prior to r4view, <br /> 6 <br /> Applications received after3:00 Ant will be processect the tiext business clay, <br /> CONFiIRMED AppoINTAIENT DAT# <br /> 71ME <br /> DATE Ct;}WIRMEa - PMONE FAX <br /> lNITLALS <br /> REVIEWED YES 140. <br /> REVIEW DATE <br /> I <br />