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Received Feb-,,02-01 08:49am from CCITT 63 - PIERS Env nmental page 1 <br /> 02-02-2E01.00'SePM TO 1408560294 P.01 <br /> MW.V40 V40u; <br /> SAN JOAQUlN COUNTYPUE31.,IC HEAL.TM SERVICES <br /> l^NVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WESIER AVENUE,THIRD FLOOR <br /> STOCKTONt GA 83202 <br /> I209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANTT_ DC441 BU31NQ3S/AOCNCY P«y'S Eryl_• CS . <br /> ADDREss MID • IBA5� Not— 4r SAN 3asT-- , CZA q W2-3 <br /> P}iONE -1`' q• G'F�;6• 4-�`54% FAGS1MiLE '4 —;-+ <br /> TENTATIVE"APPQINiMENTDATE 1� &J$ ! S TIMI <br /> ;Plessv ,two rte 10 bu41noss days from mate cl aPPLICALIOn 3uamit(a4 <br /> CHQCIC&OXTC7CXPEurmREQUESr. E RST PQCCE3S6DI 3'BUSINE53DAYS <br /> SIGNATURE OF APPLICANT DAZE <br /> FIi.E AGDFE55 Ti-ta S7Da nNa STAFF USE ONLY <br /> PRdGRAHt ELEMENTS SEAI[CH <br /> 90 Akki5 I�IANTE <br /> O-N <br /> aNVIfi0NmC-NTAL HEALTH DIVISION RILES <br /> M/UNDERGROUN4 TANK(U9T)C1,ZMUP SITE(LOP) 0 HOU81N0 ABATEMENT ❑ SOLID WASTE FAGILtTY <br /> ❑/UY}t>:R CLF-AmuP 5STE(NON-LOPI C1 FOOD PAC4LJTY ❑ SOUD WASTE VEHICLE <br /> UNDERGROUND TANK(M0NIT0RING1RPre0VAy CI DOG KIZNNEL C DA RY <br /> HAZARdOtl9 WASTE gEPt1;RATOR O CHICKEN RANCH t3 pKG TREATMENT DLANY <br /> q TLER-a f,?KMrrYL*DFACILITY CIMOTEL h0TEL ❑ AV7Y4PERTRUC?VYdRD1CHFJ0.T41LETs <br /> O TATToojetooY PGIRCING a POOLIBNA C2 LAND VSB APPLICATION F17ES <br /> ❑ MEDICAL WASTZFAC ILITY a PV8UCWATERaY$T8M 0 OTHER VL'418, HSPECIFY ABCYP <br /> 1. List up to ten addresses in the space above. Saiect the types)of fllas from tate list above by chacKing <br /> the appropriate box(os). At least one fila type MUST be selected, F"tP!2R$}464-0155 or milif to th_a <br /> a dre2a Intituled Ithoye <br /> 2. EHD will notify tha applicant If any EHD files exist. An zppointmant for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application.-The files <br /> will ba hold for a maximum of five business days for review. Appointments should be schadulad <br /> accordingly. <br /> 3. A fila ttlat is 20tivQEy being worked or,by EHO staff May not be immediately aVallable for reviaw. A now <br /> application may be submitted when the fire is available. <br /> b, Any filo not returned In the,Sam*conaltion as rcle'ased will bR reorganized by EHA staff of the axF4n3e <br /> of tne applicant. Futare 1-110 reviews,by the same epplfcant may require a$87.00 deposit prior to ravlow. <br /> 5. *TENTATIVE appointment dares must be confirmed with EMD staff. <br /> 6. Applications received after 3:00 pen will be processed tho next business day. <br /> CONFIRMED APPOINTMENT DATE 'DIME <br /> DATE CONFIRMED PHONE SAX INITIALS <br /> Rzvla eo YES NO FZEVIE.W.DATE <br /> u wwz A 'r0TRL. P-01 <br />