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09/16/2003 15:53 9253715915 GEOCON - EAST BAY PAGE 01/1 <br /> DATE RECEWED � _ ENVIRONMENT -ALTH <br /> SA �OAQUI�T COUN'z'Y rn� <br /> n �t PAGE_„82 <br /> R C E 1 L)1) ENV1RONMNTA]ftAx.Tff D%PARTMZNT <br /> 304 E'Weber Ave 314 Floor Stockton, CA 95205 <br /> SEP 1 6 2001209)468-3420 Fax, (209)464-01.38 Web:www.co.satl joaquin.ca.us/ehd - <br /> ENVIRONMENT HEA TN ]'UBLJC RECORDS RELEASE A.PPX,ZCAx`iaN <br /> P <br /> APPLICANT:- &0-7't- Cc BUJ NESWA6ENCY: O CO G <br /> ADORees: r jU 1 .4 <br /> PHONE' -'Z 7(—' �20 PACSMIIILB:_ 9 Z51 3 7/-- <br /> 7f=NTATw APPOINTMENT DATE- Time, <br /> (Please Altai 10 business days firm dale of applloation sub+mlttaq <br /> 'CH$CK$OX TO EXPEDITE ItEQUE8T.W.00 FrzE-REQVW PROC go 9 439 BAYS <br /> SIGNATURE OF APPLICANT DATE o <br /> owart'ma use 0* <br /> FIXAD utm <br /> 3 C I ( Unit 1 <br /> iio/ <br /> i O a vCkv <br /> Z o 1AIL <br /> t O/'tr eC a Unit 4WK e <br /> ' <br /> z e <br /> / r p Unit 5 <br /> faUri- <br /> ENVfRONMENTAI,HI AL.TH DEPARTMENT FILES <br /> UNDERCIROUND TANK(UST)CLEMUP SITE'(LOF) 0 HOUSING ABATEMRNT 0 BOUD WASTE FACIL.rrY <br /> O OTHER CLEANUP BM(NON-1-OP) . Q POW FACILITY 13 30U WASTE WHK:LE <br /> C3 UNDERGROUND TANK XONiTORINOMMOVAt O DOG KENNEL T3 DAIRY <br /> G HAZARDOUS WASTE OMRATOR O CHICKEN RANCH 0 PKG TREATMENT PUNT <br /> . 0 TWM PERMIT=FACI.(TY O MQTMMOTEL G PUMPER TRUCK/YARDX*MM TOILETS <br /> CL TATTOOMQDY P1mma O POOLJ4PA ❑ LAND USE APPLICATION SITU <br /> O MEDICAL WASTE FACILITY 0 OTHER(PLR"R SP@CllY) <br /> 1. List up to ten Addresses in the space Above, Select the types)of files from the 11A above by chetidng. <br /> the appropriate box(ea), At least one file type MUST be selected. Fax_to j20 j jA 1:0;8 or mail to be <br /> 199138 MUM ahgw . <br /> z. EHO will notify the applicant if any EHD files exlrL"An appointment for review wilt be confirmed <br /> approximately five butinese days but no later than ten(10)days after receipt of application. The files <br /> wig be hold for a maximum of five business days tor•review. Appointments should be scheduled <br /> accordingly. <br /> a. A file that Is actively being worked cn by EHO staff may not be immediately available for review. Anew <br /> application may be submitted when the file is"liable. <br /> 4. Any file not returned In the some condition as released wilt be reorpnized by EHD staff*at the wgwnse f <br /> of the ipp11cAnt. Futuro file reviews by the same applicant may require a$93.00 deposit prior to revlaw- <br /> a•' ' MNTATIVE appointment dates must be confirmed with EHO staff. <br /> 6. Applications received after.3:00-pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT GATE ' TIME " <br /> PATE CONFIRMED PHONE . FAX t 4frIALS' <br /> REVIEWM YES No REVIEW DATE; <br />