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03/23/2006 14:21 FAX �, [a002/002 <br /> GATE MEGE1'J'=0 �ML....�,,....w�., <br /> SAN JOAQUIN CO NTY <br /> ENYIRONT ENTAL REALTH DEPARTMENT 4 <br /> 304 E Webef k.Ye 3r" Floor Stockrton, CA 95205 <br /> (209) 408-3420 Fax. (209) 464-0138 Web:wlvw.co.san joaquda.ca t'OH MR 23 PH 2• 23 <br /> PUBLIC RECORDS RELEASE .UPLICATIQi'� jt;., <br /> aPPI.ICAAIT'�!4�:9 1 � ✓ C-C---91JSINESS/AGENCY: L 't/y f-t 1 �Y H DEP A R TMENT <br /> _ E . 7SR-,(Jst~ )M — <br /> 'ry S�. FacslMl>r2:_,. .sZ C� `-f( � o(, <br /> PHONE: <br /> TENTATIVE-APPOINTMENT DATE: __ Av 0 _--TIme: _ <br /> (Please allow 10 business days trom '(.ate of appiicatio,1 submittal) <br /> C1 CHECK BOX TO EXPEDITE REQUEST-V13,00 FLE-RMUEST PROCESSED IN 3 SUSiNEss DAYS <br /> SIGNATURE OF APPLICANT ._._ � — „�-- DATE <br /> Department Use Only <br /> FILE ADDRESSUNIF <br /> • sh-� .z-3 �-���- � ❑ Unit 1 <br /> z. j <br /> /(�'r - Unit 2 <br /> `t a� , n <br /> s. r�,.., =A-6- <br /> DIV <br /> V S. .�; Unit 3 <br /> r s. S. S T E F' i. <br /> 41i a, ' <br /> a. 9+ree1 - <br /> s. sacci -3 —1 kr roti - i ❑ Unit b <br /> � 45-Z� Sb+t�+ St¢.�•C <br /> yelt�L-) �c N<t $��M�, ENVIRCINMENTAI. HE TH DEPARTMENT FILES tts UNDeRGR(M YANK(UST)CLEANUP SITE(LOP) 0 "OUSiNG ABATEMENT 5L.SOt.IO WASTE FACiLr-iY <br /> 91 OTHER CLEANUP SITE(NON-4-OP) 0 FOOD FACILITY 0 SOLIO WAST"E VEHICLE <br /> tri UNDF-RGPOU140 TANK(%IONITORMG/REMOVAL) ❑ DOG KENNEL 45-DAIRY <br /> X HAZARDOUS WASTE GENERATOR Cl CHtCKE'N KANCH 19-PKG TREATMENT PL/­NT <br /> 0 *nE. tED PERMITTED FACILITY 0 MOTEL1110TEL 0 PUMPER TRUCKNA-RO]CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOLISPA LA,40 USE~APPLICATION SrMS <br /> 0 MEDICAL WA Tt FACILITY 0 OTHER(PLEASE SPECif'()_-,,„,� •--- -, <br /> 1_ List up to ten addre:.se s in the space above. Select the t~jpe(s) of files frorn the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selccte43. Fax to 209 464,-0138 of mail to'the <br /> address.indicated above. <br /> 2. EHD will notify the applicant if any EHD tiles exist An 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 asnaxirnurn of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 1 A file that is actively being worked on by EEO staff may not be immediately available for review. A new <br /> appiication may be submitted when the file is available. <br /> 4_ Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Riture rile reviews by the same applicant may require a $93.04 deposit prior to review. <br /> 5. 'TENTATIVE appointment bates must be confirmed with END staff. <br /> S. Applications received after 3.00 pm will be processed the next business day. <br /> GaNF(R1V1 D "Cir1ENT Tlhilr <br /> 61N <br /> =•;=: <br /> VAL <br /> 'DATE CONFIP21v D _ �• .PHONE <br /> R EV l•E1V!E D Y F S 'No R E V I E 14V D AT r -• --- _. _------ m <br />