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_FROM Geo-Phase Environmental Ir}` FAX NO. : 2095690295 02 2003 09:1.1 All P2 <br /> SAN JOAQUIN COUNI_Y PUBLIC HEALTH SERVICI'_ <br /> ENVIRdNMENTAL HEALTH DIVISION <br /> 304 EAST VVESER AVENUE,THIRD FLOOR <br /> JUN 2 2003 STOCKTON CA 95202 <br /> (209)438-3420 <br /> NMENJ <br /> -?,EALIH PUBLIC RECORDS RELEASE APPLICATION <br /> PERNj1lT;/ ER\11CFS <br /> APPLICANT_ e__ -�4,v BVSIXESSIAC-ENGY <br /> PHONE <br /> FACSIMILE <br /> TENTATIVE*APPOINTMZNT DATE TIME <br /> (Picise giva I to iG business day:-,froin datc:of applicallon subtnillalj p63 <br /> 041CHECK BOX TO,EXPEDITE Rr-QUI-ST-$G .00 FEE-REQULST VROCeSSE-D IN 3 BU51N ESS DAYS <br /> SIGNATURE OF 14'PPLICANT r)AT-11 <br /> SIDE EFID <br /> 47- 70" rf_rr_ Ehj,�dc) _a5 98 :A ................. <br /> rXzr_res IPQ 10 A-1 A-rir) �WZL__ <br /> ENVIRONMENTAL HEALTH DIVISION FIL12S <br /> X UNDr-RGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSIN-3 ABA-MMENT 0 SOOD WASM FF%GII_ITY <br /> 0 OTHER CLEANUP SITE(NON-LOP; 0 FOOD FACILITY 13 SOLIC WA TE VIEHIGI-V <br /> NDERGROUND TANK(rf ONITORINGIRCMOVAL) El DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WAS_;'C GENERATOR 0 CKICKEN RANCH 0 PKQ TREA-WENT PLANT <br /> 0 TlIaRlZo PERmif-rit'r-ACILJITY 0 tAOTEU:1015L 0 PUIAPERlitUC?V)'ARGICHENITOILI:'iTS II <br /> 0 TATTOOleODY P14IRGING 13 P60LI5'A 0 LAUD USE 4PPLICATION VN35 <br /> i2 MEWCAL WAST9 FACILITY Q PUBLIC WATER SYSTC.m 13 <br /> 1 List up to ton addrossos in the space above. Select the typq(-%) of filas'.rom th(i list above by chcckili!) <br /> the appropriate box(es). At least one file typo MUST be selected. L-gx t,,t Q09',464-0138 or mail to tho <br /> address inclicated above. <br /> 2. EMD will notify the applicant if any EHD files-!XiSL An 'appointment for review will be confirmed <br /> approximately five business days but no latei,than ten.00j days after roccipt c,f application.-The filer, <br /> will bo hold for a maximum of five business days for revio%4. Appointm,2nts should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immodiu-tely availalale for review. A ncvt <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition an relca5cd!will be rcorgani;tcd by EHI) .ntaff at the expense <br /> ofthe applicant_ Future file reviews by the s<-.mo applicant may require a S87.{0 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates Must be con-'irmecl with EMD staff. <br /> 6. Applications received'after 3;00 pm will be processed the next busines-i d <br /> r <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED F HONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />