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MAR-17-2004 02 :39 AM P. 01 <br /> 464F ENVIRONMENTAL. FES N _._ PAGE 02 <br /> SAN JOAQMN COUM <br /> FWMONM NTA.I.HEALTH DE PAK'I'Nf`F.NT <br /> MAR 1 6 2004 304 B Weber Ave 3"0 Floor SWkton,CA 95205 132- <br /> tNViRUNNIENTHEffA468-3420 Fix:(209)464-Of 3s Web:www.00.san jo#quin.ea uVcba <br /> Pr-q,giTISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> /,IPfLIGWT; °1��CS ,,,r...,�tilJ81t1L�S8/A6iNCYl • <br /> AboREsa: � 3 �►»�rC� V2' �^ Uv�i �fS1J <br /> PHONE:_ RhP i *., <br /> TENTATIVE*APPOM1MW DATE, /✓` ✓ '- Time• <br /> (P1aei.spow 10 Lrw�+e4s d'sn aom sire oe,ippao.et«+.ubmldhaq <br /> CWCK b0X TO 6 vwM RECU£ST-$13.W Nr-— QMST C M 3 wMweSS DAYO <br /> SIGNATURE OF APPLICANT 1� DATE f <br /> oww"OrA t►w 0* <br /> . I1MT <br /> -Ts S P �'uNt 1 <br /> 2 �_Z� <br /> �d4 s� <br /> U <br /> No it 4 <br /> off" cw <br /> 10, aftle, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILLS <br /> je UNOERO WUND TANK(UST)CL V WUP amt(IOP) ASL WNSM ABA70OW t' �;M souD WASTE FACIL.rrY <br /> 18'OTIMR CL.SANUP SM(NON-LOM t.7 MOOD FACiL.RY 17 SOLIDWAM VENKLE <br /> J)f LRIDERGROUND TANK(MOWTORWOMEMNAL4 O DO KEMCL 13 DAIRY <br /> Et HAZAROWO wANM CURATOR O Ci N pw" 0 PITO TREATUM PLANT <br /> Q TIERED PEWAITTW FACA RY A.MOULNOTEL •M rAM TWjCWYAAV0"TO LETS <br /> O TATTOOMIWYPOP40M q.POOLISPA 0LARD U29 APPLICATION SITES <br /> ❑ MEDICAL WASTE FACRMY l7 OT R(PLEASE <br /> 1. Ust up to ten addresses In the gnco above. 8014d the types)of{Iles from the Ast above 1w ch.cktna <br /> the appropriate boges). At West one IN%W MUST be aeieetcd. �,tQ f20914a4-01$$or Ir►aiI tQ� <br /> 1indicated gba", <br /> Z. EHD wNl notify Tho gpplimnt If any END Eine OXISL An appO ntment for cr'view VAN be Conflrlsd <br /> apprgAma &live bareness day:but no later than tee(10)days atter receipt of awtication. The ate$ <br /> wM ba held for a maximum of fare business days for rovlew. Appointments should be,scheduled <br /> accordingly. , • <br /> 3. A file th+it is actiwiiy betrmq worked'on by MW at+df may net be hnmediately avdlable f&review. A"w <br /> appNcation may be PAVWtted when the SO)a ayslilaMe. <br /> 4. Any 81e not ratumed In the cam*WWW"ILLI reteesad w111 be[s01°ganizad by FAD i4tsff tt the sxpe . <br /> of the applicant. Future file rrA ws by the acne applicant may M;Wlre a$92.00 doposk prior . <br /> S. 'MN'rATIVE a)ontment dates most be cenfrnmmed wbh EHD srtaff. <br /> 6. Applltati4ris rooeived after 3:00 pm will be processed the next business d&Y. <br /> '1r)AfE �iNFIR1VD �S:.r,.;i •�?<;PHIE . <br /> FAX-77 <br /> ="'ti .•`. tt{lAt .lC <br /> .R=1f I. La' •.a, *E 'f'��. RRYI DATE <br /> r <br /> ' tfMllW� . <br />