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^10130!2000 12.20 2094bb:i 40 <br />FIFTH FLOOR VP2� <br />ilC+TE RECEIVED <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL. HEALTH DIVISION. OCT 3 0 2000 <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 85202 ENVIRONMENT HEALTH <br />(209) 468-3420 PERMITJSERVICES <br />PUBLIC RECORDS RELEASE APPLICA.TIO <br />APPLICANT �a�ry I�'fnw� BUSMESSIAGENCY .d l �� r a�+rdA 'rimt+� <br />ADDRESS <br />4 <br />PHONE (2/b) 92 $' 33 ®O FACS1MILE-- <br />AI <br />TENTATIVE* APPOINTI&ENT DATE iLL� 40?> TIAME <br />(PIroase Dive 7 to 1D busine£s days fraM date of application <br />IN 3 BUSINESS DAYS <br />F-MVIRONMENTAL HEALTH DIVISION FILES <br />U N DERG ROUND TANK (UST) CLEANUPSITE (LOP) <br />cr OTIJER CLEANUP SITE (NON -LOP) <br />UNDERGROUND TANK (MONrrORINGlRF-NOVAL) <br />Q HAZARDOUS WASTE GENERATOR <br />❑ TIERED PERMITTED FACILITY <br />❑ TATTOO/BODY PEIRCING <br />CI MEDICAL WASTE FACAJTV <br />❑ HOUSING ABATEMENT <br />❑ FOOD FAGILITY <br />❑ DOG KENNEL <br />❑ CHICKEN RANCH <br />❑ MOTEIJHOTEL . <br />❑ POOLISPA <br />❑ PUEIUC WATER SYSTM <br />❑ sOLg) WASTE FACILITY " `-' u u L ---J <br />❑ SOLID WASTE VEHICLIE <br />❑ DAIRY NOV - 2 2000 <br />❑ PKG TREATMENT PLANT <br />❑ PUMPER TRUCKlYARDXHEM F0ILET3 <br />❑ LAND USE APPLICATION SITES <br />❑ OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (209464-0� <br />38 or mail to_tFle <br />address indlcated above. <br />2. EHD 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 (110) days after receipt of application. The files <br />will be held for a maximurn of five business days for review. •Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />dppiication may be submitted when the file is available. <br />4. Any file not returned in the same condition as released viii be reorganized by EHD staff at tho expense <br />of the applicant. Future filo reviews by the same applicant may require a $37.00 deposit prior to review. <br />8, "TENTATIVE appointment dates must be confirmed with EHD staff. <br />&. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED. APPOINTMENT DATE TIME <br />BATE CONFIRMEDPHONE FAX, INITIALS <br />REVIEWED YES NO REVIEW DATE:__ _. <br />