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uCu4v�,ILl��1IC.; ; r 415 597 7880 � r <br /> a ' JUN 11 -0�_ 1 :2.FIS; FAGr 1 / <br /> ©6/10/2093 23:54 <br /> 4b4b138'�/ <br /> DAT6RQCGVED ENVIRONMENTAL HEALT`111" , <br /> JUN 11 2003 SAN JOAQUIN COUNTY 'PAOE e2 <br /> >=NVIRONMENTAL HEALTH DEPARTMENT <br /> r'J'�'1 .0rJIV1pr 1 i.,EALi H 3044 EAST WEBER AVENUE,THIRD FLOOR15-5 . <br /> f <br /> ERVICES STOCKTCN CA 95202 <br /> )468-U20 <br /> PUBLIC RECORIDSgRELEASE APPLiCATION <br /> APPIICANr �OUSINt:33/AGEN�r 0/-O 6 1 GA <br /> ADDRESS 5'9y kocv�4Jpp S�' Bio o .v .�'_._ ------- --�� <br /> r' — ., 5�nr PHONE y'S- .5 2 %a'�/ FACSIb11LE� �/S• u�4' 78 —"`^- <br /> TENTATiVE'APPOW"AENT DATE TIME <br /> tt��•I (Please give 7 to 10 buslne3a days from ddte of aPPilcatlOrr 3ubmlE!Id) �.—o_. 02 <br /> u CHECK BOX TO EXPEDITE REQUEST.$89 E-R I S ®� <br /> /J 6Q1 LST 1 ROCE�SED IM 3 BUSINES..DAYFi <br /> SIGNATURE OF APPLICANTUP <br /> b�hTE <br /> FILE ADDRESS SiDE iUSE CMVLY <br /> PROGRAM ELEM l iT $01 CI 11 <br /> t <br /> I• 2.8ot WFC L IVF^ 7-V0c70N j&Fr... <br /> vo r <br /> -4kL,jjLQLj21A – <br /> 2 35' p I AI E g GK L <br /> T.1 z E; ' � /N ih L �Ta7 ro n/ <br /> - M <br /> ct, 23a &V t- N E V�Tyjy .. <br /> to. N. w/Esau o ti/ <br /> 11 01- Uve9'f LftN ) ��N RONMENTAL HI-:ALTH D'I&t`IILL sp <br /> tZ. v4R--,rr'& N- W/1-PUN 14y1� <br /> IX UNDERGROUND TANK(UST)CLEMUP SITE(LOP) O HOUSINO ABATEMENT W SOLII TF FAG <br /> OTHER CLEANUP SiTE(MON-LOP) O FOOD FA.'ILITY C1 SOLID WASTF Maul la• a <br /> UNDERGROUND TANK(MONITORINWREMOYAL) 0 DOG KENNEL DAIItr' r 11 <br /> lR HAZARDOUS WASTE GENERATOR iZ CHICKEN RANCH PKG iRI ATM FNT PLANT <br /> IX TIERED PERMITTED PACILnY ❑ MOTEUF/DTEL. 5t PUM11IR TRu:,KfV AFMICH .M T41LMi <br /> 0 TATTOOMODY PEIRCING ❑ POOi SP k it LANI)MT dP PLIC:AI'ION S TIES <br /> MEDICAL WASTE FACILITY ❑ <br /> 3. Utt up to ten addresses in the space above. ,;elect the type(s)of 6145 frtlm the lisp abrrve I�y checking <br /> the appropriate box(es). At least one file type MUST ba selected. F$&o ',L Ott ! C.l u►e <br /> address_indicated above. <br /> 2. EHD will notify the applicant if any EHO files a-dst. An appointmant'for rrFnriow w HI ue�3prtfil i[►a+f <br /> approximately five business days but no tater than ten(10)days after recolpt of IpplicatlorThe files <br /> will be held for a maximum of five business days for review. Appointments should he schf dulad <br /> accordingly. <br /> 3. A file that Is actively being worked on by EN13 staff may not be Immediately ova.1 IBlblle for ra iew. A new <br /> application may be submitted when the file is avrallable. <br /> 4. Any file not returned in the same condlftn as released will be reorganized by W IID s-toff ar>he expanse <br /> of the applicant. Future file reviews by the salne appllaant may require a:$199.00 deElaidt p r b3 review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHb staff. <br /> 6. Applications received after 3:00 pm will be processed the next business da;p. <br /> Post-W Fax Note 1''3T'I ���2^ PX�DSR I <br /> CQNfIRNIEIJ APPOINTMENT DATE — To �� m <br /> K �......_.�. •".....Isis <br /> DATE CONFiRMED PpION CoJDW, <br /> REVIEWED YES NO � I <br /> I <br />