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173/3F�/2libi I i: 11 2b9-573- <br /> MODESTU A I C: HA6E bl <br /> . . . . _ %.01 TO N%0$0 5792225 P.02 <br /> fl -S1`2Yflfl 39;45AM FROM. �wn.JRocn <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,TSIRD FLOOR L <br /> STOCKTON CA 95202 <br /> (209)488-3420 <br /> _ <br /> PUBLIC RECORDS RELEASE <br /> A1A-PPLIICATION 1 <br /> AppLSCANr <br /> Dr4tw vc A �,1�[V� BUSINEaWAGENCY Yi 1 A's S'3C"q� l�G. <br /> 4^� ,f� 45 j s l <br /> ADDRESS ( 1 Y f Lau-(, �"G.l W1 --- <br /> PHANE <br /> TENTATIVE'APPOINTMENT DAlf � TIME <br /> (p1A.Vxe give 7 t0 40 bu5irleA3 days from Cate 0(apPi1C]tiQn subltilrtal) <br /> or <br /> GHL Csc 90X TO EXPEDITE -$76,00 FEe-REQUIiS�yT�P-ROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> PILE ADDRESS <br /> IQ <br /> i <br /> �ta; <br /> ..J .�, S�o �! 35• <br /> .. j 5� 5�..•., tamed �4ac�� 35.E <br /> 1 t I 0aTZ, <br /> 5 3� lr•1a {lea o-�� She � �� S. <br /> + X23 5 G -4•�'o�e �.o�l, S cJ�- � _ .�r•1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �(UNDERGROUND TANK juST)CLEANUP WIL(LOP) G HOUSIYC AIRATEMENT C1 SOLID WASTE fACIUTY <br /> ❑ OTHER CLEANVP$ITE(LION-LOP) 0 FOOD FACILITY n SOLID WASTE VEHICLE I �� <br /> A UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL 0 DAIRY <br /> O HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C] PKG TREATMENT PLANT <br /> TIlREA PEfirAfTTEI7 FACILITY O MOTEL/MQTEL d PUMPER TRUCKJYARD)CHEM TOILETS <br /> M TAT-1-001800Y PIEMCING t3 P00U3PA CI LANA USI:APPIJCATlON SITES <br /> 0 MEDICAL WA5TI!FACILITY 0 PUBIOC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE} <br /> 1, List up to ton addresses in the Space above. Select the typo(3) of files frorn the list above by Checking <br /> the appropriate box(es). At leas!.one Elle type MUST be eel@cted. Fax to(2Q2) 454AO rmit9i""llakiwo- <br /> -413$ttLrn�IU;rr t� <br /> 2• EHO will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> Approximately five business days but no later than ten (1D) days after receipt of application. The files <br /> will be hold for a maximurn of five business days for review. Appointments should be sthedtiled <br /> accordingly. <br /> 3. A file that is actively bring worK/d on by EHO staff may not be immediately availabia for review. A now <br /> application may be sut�rnitted when the file is available. <br /> 4 Any file not returned in the sums condition as released will be reorganized by EHO staff of the expense <br /> of the applicant. Future file reviews by the same applicant may require a $18.04 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 9:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT GATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> LREVIEWEO YES NO RIEVAEW DATE <br /> kl+ Do 1T D7�YNa �� <br /> TOTAL P,02 <br />