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Oct 12 05 06: 12p 9a 4mento Office 916-0.2222 p. 2 <br /> _ 02/0 0,04=n��12 4640138 t�vv�reu�ivared .vr«.i,i <br /> r-' � Lnvlvea .4nww.. <br /> Lv� SAN JOAQUIN COUNTY <br /> ENVIRONMNTAL jjEALTn DEPARTMENTAF ff <br /> 304 E Weber Ave yd Floor Stocktorh CA 95205 CAN <br /> Ei'JVe; t�l\FeliF..(\l i ;1 r, P9)468-3420 FAIL=(209)464-0138 Web:VWVW.CO.S=jhva-gWrL us(cd <br /> 0038 <br /> PP C ':T/SSE` '\.l4CE S <br /> PUBLIC REcORDS RELEASE A.1PPI.ICATIO <br /> WMESSIASOCY-1 AI, <br /> iAPPLICANT- 7/4 P hit <br /> ADDRESS: <br /> PHONE: <br /> Ttm®: <br /> TENTATPIV MPOINTWNT DAT£: <br /> #,t =o*pow to bueUW&dap*M 41"of aPCiaatktn sabaottt* <br /> 13 CHECK BOX TO EXPEDITE REQUEST' <br /> p _NEWEST pROCLEIBED IN 3 W$RMS <br /> DAYS <br /> - — - RATE <br /> StGNATtlR)E OF APPLICANT CwacE n*M Use Only <br /> UNIT <br /> fILE <br /> /�Affi� O Unit 1 <br /> MVV 9. eu.« 4 T19' d d ' � <br /> ® Unit 2 <br /> Urn <br /> ° se <br /> Untt 4 <br /> ,C3---U <br /> a. aee► nit 5 <br /> 9. <br /> ENVIRONMENTAL Tl i DEP ENT FILES <br /> q HOUSING ASATUMENT XSOLw WASTE FACILITY <br /> UNDERGROUND TANK(UST)CEAT U SITE(LOP! O MW FACI&M C3 SOLID WASTE VEHICL.E <br /> OTHER CLEANUP SITE(HON-Lop) a DOt#KENNEL ® pKGDAIT <br /> UNDERGROUND TANK(MONITORIMGMSMt9VAE,a to CHICKEN RANCH iO PKG TREATMENT P PEJEAIT <br /> WES <br /> HER <br /> WASTE GENERATOR p NOWAMOSEE. Q PtI1NP1"It TRUCtUYAA CHrION si LETS <br /> TIEi�D pOWITTED FACILITY C) POOLISPA n LAND%WE APPL C <br /> O TATTOWBODY PIERCING C3 OTHER Fn EAs6 <br /> C9 MEDICAL WASTE FACILITYchecking <br /> addressee in the above. Select the typL of files from the list abave.by <br /> I. Ust up to ten MUST be selected. ti+ax to[209}4sa-01 or m�! t <br /> the apps to box(es)- <br /> At least one Ella type <br /> addtess lnd•Icatedaboye. 9XISL Iia • The files <br /> atter I,ecalpt of app- <br /> Z ENI?wlll notify lWliicant If any <br /> Mess days but nEHDo hater than tan(a�d�ant for review Witt PIka6 Etna <br /> approximately fivefor review. Appointments s:hot°ld be sctleduted <br /> will be held for a maximum pf tivo business days available for review. A new <br /> acowdin9ly. EHID staff may not be iatety <br /> 3. A file alae Is actlxaly being w on by E140 staff at the expense <br /> may be submitted when the file Is released <br /> e <br /> applicationfor to review. <br /> 4. Any file not returned In the same condition same PPlicant�y t'eciuire� $93.00 deposit pt <br /> of the applicant. Future Elie reviews by <br /> S. 'TENTATIVE appointment dates must be cottflsttlad with EHp staff. <br /> g Applications racelyed after 3:00 pm will be processed the next busir+ast day <br /> TIME <br /> CONFIRMED AppOiNTMENT DATE Fes.. . n4firIALS _.�----� <br /> PHONE <br /> DATE CONFIRMED REVIEW DATE <br /> REVi�D YES N® <br /> erw <br /> MUM <br />