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Apr 18 06 08:10a <br />APPLICANT <br />p.I <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />DEPARTMENT <br />1.4 EAST WESER AVENUE, THIRD FLOOR <br />T:i •=02 0,3/41 <br />1. t <br />PUBLIC RECORDS +" , i ;, <br />• � lug■�clt�y�>v>l[�•>r ��uf1�Y�■►�ra�t[���iru��.1i�7 <br />TENTATNE' APPOIN'nitENT DATE TIME <br />(Plane Sive T to 90 Waimea dep from date, of eppi&wNon autmliuW) <br />CHECK BOX TO EXPEDITE REQUEST •589.06 FEE- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />FILE ADDRESS <br />DATE <br />UNDERGROUND TANK (UST) CLEANUP SITE (LAP) 0 HOUSING ABATwENT 0 SOLED WASTE FACILITY <br />OTHER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br />UNDERGROUND TANK ( TORINGM MOVAL) 0 DOG KENNEL 0 DAIRY <br />HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH E7 PKG TREATMENT PLANT <br />jq TIERED PERK r"W FACILITY 0 UOTMA40TEL ® PUMPOt TRUCKWARDtCHF A TOILETS <br />L <br />TATTO01SODYPEIR=G 0 POOLISPA 0 LAND USE APPLICATION SITES <br />0 MEDICAL WASTE FACILITY 0 OTHER (PLEASE <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selimted. Eax to 1209) 46M138 or mail to the <br />dMa Ind#wa eve. <br />2. - EHD will notify the applicant If any EHD files exist. An appointment for review, will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of fire business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file Is available. <br />4. Arty file not returned In the some condition as released will be reorganized by EHO staff at the expense <br />of the appiicanL Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br />5. *TENTATIVE appointment dates must be confirmed With END staff. <br />G. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMRP Appoimmm <br />DATE.tr t r r: ; <br />. 1NITIALS:- <br />r YESi C_`11 D.4TE <br />Im <br />