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0 _0 <br />1 5211117' : 4 11 <br />ENVIRONMENT HEALTH <br />'PERM IT/SERVICES <br />1707e773276 ANTON PAGE 02/02 <br />. jolk ARD LOG wJ149 ER <br />VF SAN JOAQUIN COUNTY W <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />30A EAST WEBER AVENUE, THIRD FLOOR <br />TOC ON CA 952G2 <br />(209) 488-3420 <br />PUBLIC RECORDS RELEASE APPLICATIO/00#P <br />APPLTCANT <br />__L _7j IV c01%-' VD11NESSIAGENC1° <br />ADDRESS -7 <br />ow 2 <br />7v7 <br />TATiVEV- <br />D 5 <br />(Fiaapsa g1ve 7 W lr �Sbzln-vslz dWs from date of**pplliaqtimn subthiffoo <br />CHECK EOY TO EXPEDITE RFQUEST - ft SUSINESSDAYV <br />SI®RMATURE OF APPLICANT <br />DATE <br />37Z <br />11112. SINVE TH-0—STAW-U9,12----QV ---- - <br />FILE ADDReSS ja MLIEMIEN VIN <br />7 <br />-Y 6 1 ­ <br />SME <br />o <br />U L!ZLV <br />DO— <br />• <br />Pf <br />Mk <br />7 <br />ENVIRONMENTAL HEALTH DVA ENT FUS <br />Tw/uND.ERf2R01tND TANK VLURTI, (I-EANVP $FM,- (IOPr M HOU-91 NO ABATEMENT C SOLID WASTE FACILITY <br />-D7RZR CLEANUP STM (NON -LOP) a `CaOC FACILITY 0 SOLID WASTI1, VEF=LE <br />UNDERG�ROLWD TANK (MONTT, ORiNGJRVVIOVAQ DOG KENNEL C DAIRY <br />I V <br />tit; k�,VARDOUS WASTE GIsNENATOIR CHICKEN RANCH M, PKC TRFA71JTwN`P-3_1AMT <br />2hm.- <br />0 TI FF PRR14FTED FA(4LITY PAOTELINOTEL 74 PUMP'!ZRlrUGMARD/CliEMTOIL ETS <br />f9k-W* <br />0 TATT001800Y PE=iNe POOLISPA 01 LAND USE APPUCATION SITES <br />1w <br />11 MEDICAL WASTR FACkrFY E: OTHER (PLEASESPECIFY)_- <br />(JU <br />4 a a a by 0 ecidenve <br />List UP to, zr"n the, sps(,-a above. Select the type(s) 6f flies from, th ii t V,'e b - h <br />he ?,Pproprlste box(es). At least one file type MUST fas vmlertad- tg_ 4§.-J, U.8 orlo.1 tQ <br />2HP m4fl notify thaa applIcant Al eny END files exist. An appointment f w4ew -i-AN DO confir med <br />a-p.PTOX9Inately five busliness days but no later than tan (10) dizyll; aft recalpt of applicaft.n. Theffies <br />Wfil he haid for a maXiMUM of five business days for ravlow. Appolintments should be scheduled <br />A Ma that is u"'Vary b41-�.Ig j �>y EHO zteff =y rot be Imm; sdiatoly aval-MAlefor' review, A new <br />�Ppflc-atlon?ivy be suhmItted wil", the file, Is Avallable. " - <br />4. Any flis not, the carne ronftian as released will be reargantzed by F'11411D st=iff at the emp9maq <br />of t.4 appllowit. Futwre file reviews y the same applhoant rrav Taquire a SOX deposit prior to review, <br />S.' *TENTATtM appo?ntment datearnuat be confirmed wylth EHD staff. <br />6. Applications recehied after 3.09 pm wIll be processed the next business day. <br />N T <br />CIATE OONFIRMED PHONE. pAY', lhnn.,w�, <br />REM. EWED YES NO Rl"ViEW DATE <br />3719912069 <br />