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L <br /> ` t/- � a���:�:s�:tne� a„u•�w:.:+,estK <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST Wa MER AVENUE,THIRD FL.0011 <br /> y STOCKT'ON CA 95202 <br /> (208)468.3420 <br /> PUBLIC RECORDS RaLF-ASE APPLICATION <br /> ARPLICRMT �.l11,(�r V/t� �it2StN�'3SI/A�GFiAiCY <br /> ADDRESS 17/1/-&!;& 7�ler-7r <br /> PtLOKE L FAC 1MILF. <br /> TENTATiV$7 APPOtMMF.NT 0A-M -5-r;-0 _ '11{Ifie <br /> +� Sp1a n.Brve 7 to 14 p lnosn caj�from Gate of Vppfica:tort au!;.ittA) <br /> G„-f Cy,ECK 8oX TG EY,Pii!]Fi E REgUE3T FEE r1U'6T PROCE89:>a IN 3$U$INESS BAYS <br /> SIGNATURE OF APPLICArtT DATE <br /> Ftl>:AAnRE$5 T8ilS S:SE Eµp STAFF USE ONLY j <br /> PROGRAM ELF-MEWS GEARCt E <br /> 3 S2- I <br /> Jr L <br /> f <br /> s <br /> l <br /> ENV1E,OPIlY3ENTAL HEALTH DIVISION FILES <br /> u; DERGP,0UNa TANK(UST)Z;LF.ANU P SITE QGkP) C3 HOUSIK'a Aa.TEtrE4T 0 Sa::U 1tiA'Ti:FACILITY <br /> G ppT)iER <br /> CLEANUP SITE(NGN.LOP) ❑ 1`000 FAC)LIrY u SDLID Y'3.s-'.VEFItGL E <br /> �UIvCI25ROU ND TAKK 1,MON rTO)RL'i31MIA OVAL) Q DOG KENNEL iW DAIRY <br /> HAZARDOUS WASTE GENMA.TOR CI CWCKEN RANOH J Pt(G TRZATa6.hTPLANT <br /> G TIERED*ZW,T:ED-ACILrrY G MO'TELdHCrrZL C PL'hSP.R 7RUG►ClYARQFGHEh1 Tt3;LET5 <br /> C TATT100830CY PEERCING M POWSPA Z; LAND USE APPLICATION SITES <br /> MEDICAL WVA TC FAGt:.ITY C1 Pu8LIC WATc(t SYSTr.IA Z; OTHER IPM:SPECEFY ABOVE) <br /> 1. _ist up to ten sdareascs irI tnE.spape above. Se,'"t thie type(:i)of f;les from the list above 4y checking <br /> the upprupriate Dox(es). At least one file type MUST be selected. Fa-.-c to 1299)464-P13$ar mail to the <br /> add[:'ss inrrticafed ahovP_ <br /> 2. EKG will notify the applicant if any EHD flies exist. An appaintment for review will I'D Confirmed <br /> approxiatately foe kt?rsi;less days put no latsr than ten(9 0)days after rcr¢zipt of applicat%an. The fifes <br /> wil)be held for a maximurn of five b"(P-Ots days for reviow. Appairt neat5 should be schsduTed <br /> sacordingly. • <br /> 3. A fife that Is activoly being worked un by E1-10 staff may not bet immediately available for rev-aw. A neW <br /> apPGc>rtion may be submitted wb*n the fila is avaital)Ta. <br /> 4. Aty ilia not returned in the same condition as released will be reorganized by EYID Stdif at the 9xpvnae> <br /> of the applicant. Future file reviews by the same applicant may require a Vr$,a0 deposit prior to review, <br /> 5. wTEN TATIVE appoinatment datea must be confirmed with EHO staff. <br /> d Applications recelved after 3;00 prn will be pr4cms3eKd the next business day. <br /> [CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INMALS <br /> REVIEWED YES NO REV]Elrj DATE <br /> f n �d artwa TDTNL P.101 <br /> eci 1Jd90:ET 000- 8Z, 'ud�J X886 8�8 b�3� t PJ BNOHd 3 FsFi j•E+{i aaa` punoa8 1,jod <br />