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10/09/2002 13:44 209-57 5 MODESTO ATC PAGE 0" <br /> 05-16-200: 08.1981 FRGS+ TC S?9 R25 f.01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES I\4 <br /> ap 4NVIERONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 93202 OCT 10 2002 <br /> (709)448-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION 1 LTH <br /> ` ' <br /> ASSOC;/� }r. P /SERVICES <br /> �7 APPLICANT tiU$u1 !AGENCY a f t 5 <br /> ✓✓ ADDIRESs 1 1 )--Q n-&. Q-Iwf Z R. L� t M q a�� [� S-3 5"1 <br /> , <br /> PtiOne t,�a9 S 7 I-:7-7-� 1 FACSIMILE 9 1 7 !-2-i-•S <br /> TENTATIVE"APPOINTMENT DATE I OL-L4 011- 1130 ,Q«... <br /> opleast Five T to 10IRCESTP <br /> ys t)ato I PlicatIOn sUb"Kal) <br /> tK' <br /> CHECK BOX TO EXPEDITE REQV E IN S BUSINESS DAYS OCT l <br /> RNATURE OF APPLICANT OATS J ej `j <br /> FILE I RLS9 THIS 315E Go STAFF Ugg ONLY <br /> PROGRAM SUM11INTs SEARCH <br /> \ , y Via <br /> \fid. C <br /> IL 4L I" <br /> V a <br /> �►� �. o �) s.. 2002 <br /> '14i___L <br /> :Ent 314 1 t4r <br /> >+NVIRONMENTAL HEALTH DIVISION FILES <br /> C'_ ROROUNO TANK(UST)CLEANUP SITE(LOP) O HCUSINC ABATEMENT Ci SOLID WAST!FACILITY <br /> IER CLEANUP SITE(NON-LOP) G FOOD FACILITY 0 SOLID WASTE VE1,11C E <br /> IJNO6ROROVNO TANK(MONITORINGMEMOVAL) C DOG KZNN" O DAIRY <br /> 0 HAZARDOUS WAST9 GENERATOR C CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRVCK(YARD(CHEM TOILETS <br /> 0 TATTOOISODY PFIRCIIrt3 C POOLJBPA 0 LAND USE APPLICATION SITES <br /> G MEDICAL WASTE FACIUTY C Pu®LIC WATItR 3Y3TEIM 0 OTHER(PLWE SPECIFY ABOVE) <br /> 1. List up to ten addressee In1he space above. Select the type(s)of tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(ZQ914844138 or fmall to the <br /> adgrida IndI"jt above. <br /> 2. EHO will notify the applicaiht.If any EHO files exist. An appointment for review will be confirmed <br /> approximately five businQs's days but no later than ten(10)days after rec..aipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. ' <br /> 3. A filo that is aCtively being Mrorked on by END staff may not be ImMediately available for review. A new <br /> application may be wbmittsd when thv file is Available. <br /> 4. Any file not returned'in the:same Condition as rele03ed will be reorganized by EHO staff at the expense <br /> of the applicant. FutVre file reviews by the Sartre applicant may require a 547.00 deposit prior to review. <br /> 3. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> s. Applications received atter.3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> i DATE CONFIRMED PHONE FAX <br /> INITIALS <br /> REVIEWED YES NO REVIEW DATE I <br /> w <br /> TOTAL P.01 <br /> s <br />