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09/16/2005 13:30 209472E9 PAGE 02/02 <br /> 07 ,(CWF D 4640138 ENVIROMENTAL HEAL PAGE 02 <br /> (f &xo bac�eaIIa <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> SEP 1 6 2005 M ENVIRONMENTAL HEALTH [DIVISION j <br /> 304 EAST WESER AVENUE,THIRD FLOOR <br /> ENVIRONif ENT HEALTH STOCKTON CA 95202 <br /> PER!vA T!uERViCES t20s)408.3420 <br /> PUBLIC RECORDS R,BLBASE APPLICATION <br /> APPf.AC�wT ori >�uslt�ss►AgrAcir <br /> ADDRESS 62C2 <br /> PHONE �J ��] �' Lf s FACSIMILE <br /> TENTATIVE*AppolNTMM DATE f"6 t'� Twe <br /> (Meau ow 7 to 10 bushuew 00 from daft of aPPftN0*"submittal) <br /> *CKCK:OX To EXPMfTP R@QUEsl- 89.40 -R CESSED IN 3 SUSIONATUOF APPLICANT <br /> FILE AGTS THIS SWE F."17 STAFF U=QNLY <br /> PRQGRAM ELEMENTS SEARCH <br /> 325 <br /> div r"Gr� (�S '6L.0— <br /> IE. <br /> L.0EIn rp2> <br /> ENIIRONMENTAL HEALTH DIVISION FILES . <br /> L Y, Zo <br /> UNOERGRMNO TANK(UST)CLEANUP SITE(LOP) ❑ 14OUSlMO ADA'PEIMENY o S�WADS'E FACILITY <br /> R CLEANUP SASE p�AQWN OP) O FOOD FACILITY 4 DAIW <br /> rUAMZAROM <br /> RGRQUND TANK IM4NATC�iAffGtRIEMdYAU a CtWKEN RAPPCH 0 PKGTREATiMENI'PLANT <br /> CWASTE GMRATCR Q MOTEL 49ML 17 PUMPER TRUCWYARMHEM YO(Low KERNEL <br /> ETS <br /> O fit: ED PERI&Tn"FACA.n'Y 0 PD A p LAND USE APPMATION&M <br /> * TATTQS►80DY PERM* q PUBLIC WATMR SYSTEM G OTHER( S SPECIFYAGOVE) <br /> * MEDICAL WASTE FACIVT Y z <br /> 4. List up to ten addresses in the sprace above. Selgr�i the types)of files from the list above by checking <br /> the appropriate box(e4 At least one file We MUST be selected. to the <br /> ss' a <br /> 2. EMD will notify the applicant if any EHD Files exist. An appointment for revio of application,l be confirmedhe fils <br /> The <br /> five bftlness drys but no later than ten(90)days attar receipt <br /> will be held for a maximum of five business days for review. AppointrtAents should be sc(teduled <br /> Becomingly, <br /> 3. A tide that is sctjvely Whig` ork6d an by CHH staff may not be immediately available for rerletiv. Anew <br /> ApplicAt(on msy be submitted when the fie Is ava;Asb(e, <br /> a. Any tits not returned in the carne condition as r>eleasmd will be reorganized by EHD stat'f tilt the expense <br /> of the applicant. Future file eeviewc by the=me applicant may require a 889.00 deposit prit►r to mv;eW. <br /> y. Apps catio►E aeMeted after 3:t0 pm W 1 be procemust be ssed the next business day. <br /> with END SUM <br /> .6. ADP <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> j GATE CONFIRMED <br /> FAX -INTIALS <br /> REVIEWED YES NO RMEW DATE <br />