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d/21/2004 '14:-22 92528 AEI CONSULTANTSF) - _ PAGE . 01 : - <br /> 01/03/2003 15:16 4640138 ENVIRONMENTAL H PAGE 02 <br /> EIN 4=MWbth <br /> a SAN JOAQUIN COUNTYPU13LIC HEALTk SERVICES <br /> S F P 2 1- 2004 <br /> ENVIRONMENTAL HEALTH DIVISIONE <br /> _L <br /> 304 EAST WER AVENGE,THIRD FLOOR RIOSTOCKfON GA 952D2202 <br /> (209)468-3420 <br /> -' qi2i�i j i iLALTH• PUBLIC RECORDS RELF-ASE APPLICATIO14 <br /> IL F)VIUL <br /> (rAPPLICANT t S A BUSINESS+AGENCY ,.0 Q,6\-k <br /> ADDRSSS 2,50_ COVY1 vlo Qi 1 �� Wal <br /> PHONE. -t2-5.— '2-19 3 `t_P 00 0 'FA&WiLr fI 2,5-- <br /> TENTATIVE"APPOINTMENT DATC TIME <br /> (Pterin W"T to n business drys from dstb of appllcnUon sub milial) <br /> CHECK OOX TO EYPEDITE EQUEST• .00 F QUEST PROCESSED IN 7 BUSINESS DAYS ' <br /> 'SIGNATURE OF APPLIGA DATE R t C <br /> FILE AOORE3S THIS SIOE END STAFF USa ONLY <br /> PROGRAM ELEMENTS SL•ARcX <br /> 2.80 k ) i`:. <br /> 4-I'L C I, t71 vel V �( <br /> t6 ZS ;.na l <br /> 33 oytzq 1A S;k- C = <br /> A <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ,,,���///UNOEROROUTIO TANK(USTT CLEANUP SITE(LOP) 0 HOUSNG ABATEMENT 0-SOW WASTE FACRJTY <br /> OTHER CLEANUP SITE iNON-LOP) 13 OoG FACILITY El SOLID WASTE VEHICLE <br /> UNOERGROVi10 TANK SMONIFORINGfREMOVALI A DDG KENNEL 0 bAIRT. <br /> HAZgRDOUS WASTE OENERATOR I] CHICKEN RANCH D PKC,TREATMENT PLANT <br /> TIERED PER'MMO FACJL N 0 MOTMJHOTEL 0 PUMPER TRUCH/YAT10H SrTFS <br /> M TOILETS <br /> tl TATTOO/OODY PEIRCMG .0 POOVSPA 0 LAND USE APPLICATION ABO <br /> ❑ MEtliCAL WAFYE FACILITY 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ton addrosses in the space above. Select the type(s) of files from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (20.9)464-0136 or mail to-the <br /> address Indicated above. <br /> 2. EHD rill notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than tem(i0)days after receipt,of application, The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 5. A file Ihat.ls,actively being worked on by EHO Starr may not be Immediately"aHabie for review. A na, <br /> appGcaUon may he submitted when the fila is available. <br /> 4, Any lite not returned ih the same condition as released will be reorganized by EHD staff at the expense <br /> Of the applicant. Future rile reviews by the same applicant may require a 589-00 deposit.prior to revicv <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm Will be processed the next business day, <br /> --' CONFIRMED APPOiNTMENTDAT E, TIME <br /> DATti CONFIRMED PHONE FAX INr7IALS <br /> REVIEWED YES NO REVIEW DATE <br />