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10/09/2002 13:44 209-579-2225 MODESTO ATC PAGE 01 i <br /> Ik TQ5-iti-ACL': C;� 1 •t FIiG TC 5'3 i � P-01 <br /> k ..—Ik Kb.uYk6 <br /> SAN JOAQUIN COUNTYPU15LIC HEALTH SERVICES 1 <br /> ENVIRONMENTAL HEALTH DIVISION,06 <br /> 2 <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> I STOCATON CA 99202 OCT 10 2042 <br /> (209)46$-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION nmRQNUj4j.LLALTH <br /> E APPLICANT 0� SUSIK AGENCY 'Q t 5 P /SERVICES, <br /> ADORE$$ <br /> PI10Ht' 2:2:1-1 : FACSIMIL>r Q <br /> TENTATIVE'APPOINTMENTpATE I O TIME 1.110 <br /> E ' silt T tip to b Ina yPCI <br /> date I pliwuDn i4bMiftal) <br /> CHECK BOX TO EXPEDITE REOV -RE EST IN 7 EASINESS DAYS <br /> /,ZCiNATURE OF APPLICANT GATE <br /> E � ' <br /> FILE AMM33 THIS WDP III40 STAFF USI;ONLY <br /> { PROORAM EUMBNTs NMRCH <br /> a <br /> 3 -1:A c&—-<A-' JPI <br /> a <br /> !o El 5% 3 <br /> 'J 's <br /> n i <br /> i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 1'ROROUNO TANK'USTI CLEANUP SITE(LOP) C! HOUSING ABATEMENT Cl SOLID WASTE FACILITY <br /> ItR CLlti.ANUP 31TE(NON-Loa) G FOOD FACILITY ❑ SOLID]WASTIE V15HIGLE <br /> VNOt:RGROUND TANK(MONITORINWRIfMOVAL) C DOG KENNET, CI DAIRY <br /> DAY HAZAKCQUS WASYPI GENERATOR 0 CHICKEN RANCH D PKO TREATMENT PLANY <br /> ❑ TIERED PEFIMITTED FACILITY ❑ MOTEUMOT€L C1 PUMPER TRVCX/YARD1CH11M TOILV3 1 <br /> 0 TATTooiscoY P1?I cma C POOLISPA C3 LAND UBEAPPLICATION SITES <br /> G MgDICAL WASTE FAC1UTY C FUSUC WAT20t SY3TEIU 0 01-HER(PLEASE 3nGIF-f ABOVE) <br /> J <br /> 1. Ust up to ten addresses InAhe spate above. Select the type(s)of files from the fist above by checking <br /> We appropriate bax(se). At least one file type MUST be selected. Fax to 12QU 484-0133 or,Mgjl to th8 <br /> address Indicated above. <br /> 2. EHD will notify the applicant If any EHO files exist. An appointment for review will be confirmed <br /> approximately five buslnes s days but no later than ton(10)days after receipt of application. The fiie9 <br /> will be he'd for a ma~ximurrT of five business days tot review. Appointments should be scheduled <br /> accordingly, <br /> 3. A fillthat Is actively being Mrorhed on by EHO staff may not be immediately available for review. A new <br /> applirativn may be submitted when the file Is available. <br /> 4. Any tale not returned1n the:same condillon xs released will be reorganized by EMO staff at the expense <br /> of the applicant. Futbre fete reviews by the sarne applicant Inay require a$47.00 deposit prior to review. <br /> 3. 'TENTATIVE appointment dates must be Confirmed With EHD staff', <br /> 8. Applications received after 3:00 pm will be processed the next business day. r <br /> F CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES kO REVIEW DATE <br /> sx <br /> TOTF1(_ 12,01 <br /> s <br /> n , <br /> I , <br />