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,p�`► �' �Ict. 31 2003 11:55AM P1 <br /> FROM ENGEO INC TRACY, CA FAX NO. 209-835-0675 <br /> EHD LOG NUMBS <br /> DATE RE-CEIVEO <br /> - SAN JOAQUIN COUNTY <br /> I�YIEtO vitiItN`I'AL.RF'ALTH DEPAR-fNff�NT . <br /> 304 E Webur Ave 3'd Floor StOCktcn, CA 95205 <br /> Vii;• i ''`989) 468-3420 Fax: (209) 464-0138 WeU: wwtiv.co.san joaquir�.ca.uslend - <br /> �; PU$z,XC RECORDS RELEASY APPLICATION <br /> APPLICANT- J ' SEI <br /> __BUS INESSIAGENGY: .Ia6E!' I.�J4��_____ <br /> ADDRESS-. <br /> PHONE: FACSIMILE: 2t�9���CJ o676 — <br /> TENTATIVE'APPOINTMENT[TATE: Time: <br /> (Please allow 10 business days from date of applications submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.001--FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> s <br /> DATE <br /> SIGNATURE OF APPLICANT r �u,4 G�� l'— <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> c: w L Unit 1 <br /> z. s nee: 40F A)Q1r7tr C 7M <br /> 7. eat ydS E -tU City .Unit 2 ` <br /> 4. S:rcc21/40 W. YOSAR n.4 Af f. <br /> XE <br /> V o Gy eFA <br /> _ O �3 � <br /> r. s-el kA0 C; J Uni <br /> 9. street S3 I i(,Pfo 7 wA y !'U D Ati7 <br /> 9. 5t,-t 6 `� LSA Ja r f` d � Runit 5 <br />� iP. 5creel .. ✓) U/�7 (,r}/i _ /_ / .[J7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tx' d <br /> UNDERGROUND TANK(UST)CLEANUP SrCt=(tOP) HOUSING ABATEMENT SOLID WASTERIML <br /> 07ktER CLEANUP SITE(NON-WP) ,�S<=00D FACILITY SOLID WASTE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH I7 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELII•IOTEL C3 PUMPER TRUCKrYARD/CHSM TOILETS <br /> 0 TATToc)taor)Y PIERCING 0 POOLISPA f LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) � u<<r�rlli�E (is":. OR <br /> �. List Up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Pax to{209) 464-0938 or mail to the <br /> address indicated above. <br /> 2- EHD will notifythe applicant if an EHD files exist. An <br /> pp y appointment 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 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 EHD 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 EHO staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. "TENTATIVE appoirtErnen't dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENTDATE TIME <br /> DATE CONFIRMED PHONE . PAX* INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> 'arar:aos <br />