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FEB -14-2002 12:25 FRON:TWINING L S INC. 5592687126 TO: 46 138 Paul/001 <br />10-17-2000 10:28Rr1 <br />VA1tKLLUV&W - TU 1.5592687126 P.02 <br />ASUM " <br />SAN JOAQUIN COUNTYPUBUC HEALTH SERVICES Nueauu. <br />ENVIRONMENTAL HEALTH DIVISION <br />rn) <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />RECORDS STOCKTFON CA 85202 <br />11 <br />(20 46"20 r7 rV <br />PUQLPUBLIC®RLiS 9R��.EASE APP1_1+;q�'1QNAV <br />APPLICANT � <br />r� BUSINESSJAGENC:y_ <br />AI?DRESS G-- ` � Z � � � � ,ry / •-�.r�i:G� X01' J Cy,� <br />PHANE <br />FACSIMILE <br />TENTATIVE* APPoIHTMXNTDATE �f . <br />(Pieria give to business da s tr —' TIME _�S <br />w PIIaon submittal) <br />.ECK BOX YO EXPEpt-TE REQUESFEB 4 <br />r WOOEF-e)P r - ®- _ <br />SIGNATURE OF APPLICANT <br />DAYS <br />— DATE /y <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />* UNDERGROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT <br />O 50i R) WASTE FACILITY <br />O OTHER CLEANUP Slav (NON -LOP) ❑ fC+OD FACILITY O SOLD WASTE FACILITY <br />1; UNDERGROUND TANK tr�iONiroRINGIREMpvAL) ❑ DOGFICAKENNEL <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ DAIRY <br />C TIERED P£Rm TTEo FACILITY 0 PKG TREATMENT PLANT <br />❑ 11�QTt L/iiOTEL <br />C TAMOfSODY PMRCING 0 PUMPER TRUCK/YARDICHEbt TOILETS <br />Q MEDICAL WASTE FACILITY 0 POOLlSPA ' ` O LAND USE APPLICATION M'r <br />• Q PUBLIC WATER SYSTEM Q OTHER (PLEASE SPEGFY ABOVM <br />F <br />UA up to ten addrusses in the space above. select the type(s) of flies from the Out above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to 209 •073 r mail to <br />addreasdlea ' abov th <br />EMD will notify the applicant if any EHp files exist. An appointmo•nt 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 a maxirnum of f)v® business days for review. Appointments should be scheduled <br />accordingly. <br />A file that Is actively being worked on by EHD staff may not be immediately avaItl�bis for review, A new <br />application may be submitted when the file is availablq, <br />Any rale not returned In the Same condition as released will be reorganized by EH10 staff at the vxpenso <br />of the applicitnt Future file revieWs by the same applicant may require a $87.00 deposit prior to review, <br />'TENTATIVE appointnient dates must be confirmed with EHD staff. <br />Applications received after 3:00 pm will be processed the next business day. <br />I <br />CONFIRMED APPOINTMENT DATE <br />CONFIRMED <br />YES NO <br />TIME <br />PHONE FAX <br />DATE <br />INITIALS <br />TOTP„ P.02 . <br />