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FROM : FAX No. ar. 17 2003 03:09PM P1 <br /> 12-39-2000 05 (SM TO 16263554347 P.02 <br /> OAYs(&� �} uWtuv►:uaauuc <br /> "SAN JOAQUIN COUNTYPUBLIC HEALTH SEMVICES AOWA <br /> MAR 1 7 2003 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 804 EAST WEER AVENUE,THIRD FLOOR <br /> STOCKTON CA 98x02 <br /> lVir+uivi��1EN1 HEALTH (209)468-U20 <br /> F)ERMIT/SERVICES PUBLIC RECORDS RELEASE.6PPLICATION <br /> APPLICANT BUSINEr'WA(3LNCYAsk <br /> r <br /> AUDRMS T j/ 2 3 <br /> T-NTATtVE*APPoi»T'MsN7 PATe TIME <br /> (Plain VIVe 7 to IQ business days from dat0 of applIcation subm <br /> CHECK BOX TO PaCP£DrM AEOUP-3 -$ 7.00 pea—pa sues-r p> s3ab IN 3 SU$INP.S'S dA <br /> SIGNATURE OF APPLICANT DATE `- <br /> sa <br /> TM Mr.ENA 51 JIFF USE blk Y <br /> PROGRAM ELE M9NM SEARCH <br /> — <br /> �r <br /> ENVIRONMENTAL HEALCH DIVISION FILES <br /> " UNDERGROUND'LANK(U811 CLEANUP SITE(Lop) 13 H011SM ABATEMENT 11;r$CIL 1O YYA81 lE FACILITY <br /> .-x'oTHER CLEANUP srrg(NioN-Lop) 0 FOOD FAc4.l7Y 0 301111wASTE VRRICIF, <br /> -M-UNDERGROUND TANK(MONiTORINGMEMOVAL) ® DOG KENNEL• D DAIRY. <br /> ~CrIiA APMOUS WABYU C-9NsMTOP. CI CHICKEN RANCH 1.7 PKK TREATASW PLANT <br /> "FJM PIRMlTrt ?FACIUTY C1 M071r1./Fitl•CEi.. ® PUARPERTFIi1GK1YARDICHEIA TOILEM <br /> O Ar70bJ000Y PLIRCiNG 0 PdOUSpA 13 LANs?USE APPUCATION SM <br /> "MEDICAL WASTE:FACILITY Q PUMX WATER SYSTEM C1 0THEk(PLI:kSF.SP6CIFY ) <br /> 1. List tap to tort addresses In the space above. Select the types)of flies flxx�t this list above by checking <br /> the approprlato box(es). At 10ast one file type MUST be selectet ax • ,p(21911 l g <br /> Addran krwiratel obdv <br /> 2. EHD Will notify the applicant If any EHD files exist. An appointment for review v611 be confirmed <br /> approximately five business clays but no later tha11 ten(10)days after receipt Of$ppilca(ion. The flies <br /> will be held for a rn2x1MUM of five business days for review. Appointments Should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO,staff may not I)*Immedi'ttely avallaMbie for review. A now <br /> application may be submitted when the file is available. <br /> d. Any file not returned in the same condt0on as rates W will be reorganized by IwHD staff at the expense <br /> of the applicant. Future fila reviews by the same applicant may require a$87.00 tieposit prior-to review. <br /> 5. <br /> *TENTATIVE apgointMent datost must be confirmed With EHD stem <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOiNTI wr®A'l'e <br /> TllF <br /> �fl <br /> TE"CONFIRMED PHONE FAX INITIAIS <br />