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. __s 09/20/2003 14:37 9252836121 AEI CONSULTANTS (SF) PAGE 01 <br /> 09/19/2003 12:45 46413 ENVIRONMENTAL T H PAGE <br /> t�E; 01 <br /> DATE RECEIv9D cnu� um +: <br /> on <br /> O <br /> ;p�E <br /> SAN JOAQUIN COUNTY <br /> W ���� ENvm0" ENFAI.IMA.Lm DElPARTClvi>E: a <br /> SEP 2 2 304 E Weber Ave Yd Floor Stockton,CA 95205 <br /> 468-3420 Fax:(209)464-0138 Web:www.CO.san joagtt1Jn.ca.us/&d <br /> cNViRONMENT HEACf H �U$LIC mcons RELEASE APPLICATION � <br /> S <br /> APPLICANT: ke1�t1pdC._._...Bt1sINF•SslA(3ENCY: �---�©VI.$�1{ Y1` , � 7� <br /> c. ADDRESS:a5oo avnih() 'PiQ l O , s IAA-, oo WaVy-k <br /> PHONE: 0000 —FACSIMILE• <br /> TENTATIVE&APPOINTMENT DATE. <br /> (pl=40 allow 10 business days*=date of application submItMI) (� <br /> $SED IN BUSINESS DAYS <br /> CHECK SOX TO EXPED RE T:ST 83. 1=EE- tlFST PRbC>; 3 <br /> `, - SIGNATURE OF APPLIC DATE Q O <br /> Depaltmant Use 0 <br /> FILE ADD UNIT <br /> ❑ Unit 1 :J� <br /> a. sovot aro► in <br /> a street 3,2.0 0 f p` 0 Unit2 q. <br /> easel m arrt� Qci r� �J <br /> - s. Strcel 10 o a o Unit 3 <br /> a. sneer <br /> y stroel Unit 4 <br /> 8. Steel Ci <br /> 9. s6�t <br /> Ou ❑ Vnd 5 <br /> te, Slreat <br /> G�/1 co vY�j7 GC(►1 ,�v <br /> ' NpW'r` ENVIRONMENTAL-HEALT D�eE ARTMf~NT FILES CA v `��/J �Jz2 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT �SOUn WASTE FACILITY <br /> OTHER CLUNUP SITE(NON-1.013) O FOOD FACILITY G SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONI1'ORINOMEM110YAL) D 0013 KENNET.- O DAIRY <br /> 4:0 <br /> HAZARDOUS WASTE GENERATOR M CHIMH RANCH O PKO TREATMENT'Pi•ANT <br /> TIERED PERMI'(TED F ENER1' 0 lwoTELIHOTEL o PUMAPER TRUCKrYARUICHEM TOILETS <br /> TATTOOIBODY PIERCING Q POOLISPAD LANL7 USE APPLICATION SITES <br /> MEDICAL WAS'T'E FACILITY O OTHER(PLEASE SPW <br /> �, 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 selected. Fax to 209 4 or mail to the <br /> address indicated above. <br /> 2. EHO will notify the applicant if any EliDfiles exist.. An appointment for review will be caltfirnted <br /> approximately fere business days but no later than ten(10)days after receipt 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 fie 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, Any file not retumod in the same condition as released will be reorganized by EHD Staff a _ <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to renn <br /> Se <br /> 5. *TENTATIVE appointment dates must be confirmed with FHD staff. <br /> :00 p=n will be proCesaed the next business;day. <br /> 6., Applications received after 5 <br /> CONFIRMED APPOINTMENT DATE TIME <br /> PHONE . FAX INITIALS <br /> DATE CONFIRMED <br /> REVIOWED YES NO RI;YII�W DATE <br /> t.N9 4�-05906 <br /> E�SAD� <br />