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GEOLOGICAL TEC' <br /> 06/03/2005 12:23 209522 " S <br /> PAGE 0110 <br /> E"D LO©NUMDER <br /> DATE REGEIVM SAN JOAQUI1 COMITY <br /> ENV tUNNi1rN'TAL HEALTH DEPARTMINT <br /> o ��, �� C'IJ 3a4 E Weber lave P Flom S#oaktor*,C.A 952 5 f <br /> � �" 0 Faa: (209):464-ol33 Web:WWW-00-SM-1 pa�uilh.ca.uslehd #� <br /> (209)468.342 `` <br /> o n ' <br /> U� � I <br /> CATION <br /> PUBLIC RECORDS gEEA�EAr. E <br /> E A - VAI h3VWt4 SWAG£NCY: <br /> PtiC1NE: t}Gt b'�-- � `' FAChitM61L�: 5 . <br /> or\ CAut s <br /> Thr = I <br /> TENTATIVE`APPOIN'MI&a DATE: <br /> IPIe860 !aw 10 ""1"" <br /> CHECK DUX TO EXPEDSTE RS4 ST• -1" -REQU P C D M 8 GUSINIM DAYS f <br /> DATE !0 S <br /> SIGNATURE DF APPLICANT Depart"%nt Use only, <br /> FILE ADDRESS <br /> �. sly" - - - - ✓,_ <br /> � 2 <br /> 4. t3 it 3 <br /> a ' , <br /> a. 1 N. fl+ . to rMA Unit 4 <br /> r I <br /> e s fit /aa IfS,6n65 <br /> Cb <br /> Ub <br /> a. sum <br /> ENVIRONMENTAL HEALTH DEPARTMENT.FILM <br /> jl UNOURGROUND TANK(U"CLEANUP SITE(1AP) Cl 140tl NG ABATEMENT G SOLID WASTE FACILITY <br /> OTHER CL.E.ANOP SITE(NON-LOP) M FOOD FACILITY C3 SOIdD WAS1 E VMC" <br /> ES VNIMRAROUND TANK(rMM0KtTGRINGIREMOYAL) ❑ DOG KENNK 13 DAIRY <br /> HAZARDOUS WASTE GERATOlt ❑ CHMEN RANCH O PKG TREAT C1tt1C1UYAREkCH�ili TOILETS <br /> UOW PLANT <br /> V� EN <br /> © TIERED PERMITTECi FACILITY CJ WT"OTEL ❑ PUMPER <br /> ❑ 7ATT004300Y A1IwRCING C1POOLISPA ❑ UW USE APPLiCAMN SrMS <br /> CI MEDICAL WAVE FACILITY ❑ OTHER{!'LEASE SPE <br /> 1. List up to ter,addr eaft irr the,space above. Select the type(s)of files frwm the list above by checking <br /> the appropriate box(ea). At least one file type MUST be eeleciaed. a 464-Oi II to the <br /> ladd lndlcated <br /> 2. EHD wHl notify the applicant H any EHD files exist. ASI appointrnSt t for reviow will be co�tflrrh�ed <br /> appra dmdely five business dap but no later then tan(10)dq$atter receipt of application. The files <br /> will be held for a maXimurn of five busrirto"days for review. Appointment$should be scheduled <br /> accordingly. ' <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately W81181)16for review. Anew <br /> application may be s0brnM9d when the file is available. <br /> a. Any Brie not a Fut refifile pie+condition <br /> air a apPl�t may reorganized <br /> gi it ea$933..00 depoosli sftff pry to ,%w. <br /> of the app Y - <br /> 5. *T!_NTATIVE appointrnent dot*$must be confirmed with EHD staff. <br /> B. Applications received after 3,00 pm will.be processed the next bus+rhetis day. <br /> CONFIRMED APP(XNTMEM"DATE ' TIM. <br /> DATt CONFttg'RW1 D !3 PHONE FAX INITIALS -- <br /> R#Y1VWEb YES NO RI=VII_'W DATE <br /> ,ala <br /> aareaea <br /> d <br />