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06/03/2005 12:23 2095 ""n27 GEOLOGICAL TEC`"CS PAGE 01/0 <br /> EMD, LOG NUMBER <br /> DATE RECEWED SAN JOAQUIN COUNTY <br /> NVMONM <br /> n E\OE1� lJ 304 E Weber Ave 3 Floor Stockton, GA 95205 <br /> u u (209)468-3420 Fax:(209)'464-0138 Web:www.co,Sw-jos uin.ca•uslehd <br /> 2005 , PU'BL,IC RECORDS RELEASE APPL,ICA ION . <br /> NV ; C �� o fn <br /> P� � � V� a t3lJ�IMI^f•StAGENCY: � <br /> AppRES$: �V^ <br /> 5 <br /> PHONE;: a� , � FAC81WIlLE: <br /> �{ — y7 <br /> W�iti t]eper�d an PAvz <br /> TENTATIVE`APP0IN MSWr DATE: Tfa�e- <br /> (Piva law 1Q !}1es6 of appacaf a submwIl <br /> CHEGtC 80X TO E7CF"ED�EiiEQ <br /> ` F: —REQ1U P [7 IN a 6USIMM DAYS <br /> � � . <br /> DATE <br /> SIGNATURE OF APPLICANT beperlmgrtf U08 only <br /> FILE-ADDRESS <br /> _ 1L <br /> stw - - - -- r 41 Unit 1 <br /> M `[�;�itz <br /> s IYL <br /> �. M <br /> nit a <br /> a 3mee1 <br /> Q. Sveel 1 t'� �- 1sa4 .. 11lI <br /> 7 t Unit 4 <br /> n-5 <br /> 1 <br /> EWRONMENTAL"HEALTH DEPARTMENT FILES <br /> jld. 11N]: VWUNP TANK(U"CLEANUP SITE OP) 0 tIOMNG ASATEMEXT SDTrFFA [U <br /> D POOD FACILITY tj WASTE c <br /> OTHER OLFARIP ST£(NON-LOP) <br /> 19 UKOMOROUND TANK(MONITORfNt WMWVALI Q DOG KF..i�KM ❑ DAIRY <br /> C7 VKGTREATMNPLANT <br /> IjHAZARDQUS WASTE GENERATOR ECHICKEN RANCH <br /> TIERED PERVfPfAoELftY Q "M"OTEL fl Pl3eR TRUCKIYARMH <br /> EM-TOILET9 <br /> ID TATTOOd1 ODY AIERCINO ❑ POOLlSPA Cl LAND USE APPLICATION FETES <br /> fl MEDT AL WASTE VACILITY C1 "ER(PLEASE SPE <br /> 1. List up to fieri addresses in#t*e space abouts. Wed the type(s)of fires from the list above by checking <br /> tho approprate bax(es). At least one file type MUST be selected. 464-d'1 it to th® <br /> addess ind[cated k0m. lnbtterlt far review wIII be coreflrmed <br /> 2. EHO wits notify the Eapplicant if arty EHO files exist. An app0' alffer rsaaipt Q#will <br /> be cortf 1. The files <br /> approximately fire business di"but no iter than ten(10)�►e <br /> will be held for a maximum!of five busing"days for review. Appointments should be scheduled <br /> accordingly. ;, <br /> 3. A file that is actively being worked on by EMD staff may no <br /> be Irttrnedt8tely available far`revlew. A trees <br /> appllcatidn may be subrrr[tted when the file Is available, t the eacperiee <br /> EHD staff a <br /> 4. Arty file not reWrned in the same conditlon as relwaed will be rearVanized by Hol to t'ai►ie�nr. <br /> of the applicant. Future file teylews by the same applicant may require a$93.00 deposit.,p <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g, Appilcat[ons welved after 3:00 prn will be processed the next business day. <br /> C014FIRMED AFaPOSINTMMT DATE [ <br /> DA'££CONE 'W'M PkIONE F" INMALS <br /> REYIIrW b lies NO RWIEW DATr: <br />