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J:D Liz <br /> 0-3126PN P%WKI <br /> - <br /> SAk JOAQUM CoUtiTYPUBLIC HFALTH SERIACE—S <br /> ENVIR-ONMENTAI� HEALTH DIVISI <br /> Z04 EAST WEBEK,NVEMUE,-1111IRD F LOOP- <br /> s-roCKTON CA 95202 <br /> (2091 468-3420 <br /> p "T APPLICATiON <br /> PUBLIC RECORDS R1 <br /> 5jU5INE55)AGENCY <br /> ADDRESS I 'ao-17 <br /> plmiol,IE FACSIMILE dd TIME 00. 204 <br /> AV 40k- <br /> TENTATIVE*APPOiNTMEN't)ATE 23 <br /> E <br /> tplease give 7 to 10 bUSIM 440 dole Of 3LPP <br /> IaOX TO.Ey TF REQUEST pRocrmssEo N 3 8U-SIN856 DAYS <br /> ,poE)j _KecjUEST DATE <br /> ;5j ,NATURE OFAPPLlCA1N,r <br /> THIS SIDE L"J)STAFF USE ONLY <br /> FILE ADDRESS pftoG <br /> + LA 3527 l <br /> 3 <br /> 511; <br /> +b <br /> ? lit <br /> 4 art L.Lt <br /> Q. ENVIRONMENTAL ALTH DIVISION FILES <br /> 0 HOUSING ABATFMEI�T 0 SOLID WASTE FAMITY <br /> -jj�tjgjpjiAGgOUND TANK(UST)('LP-ANUP SITE(LOP) 1:1 50LID WASTt!VEHICLE <br /> .0 4DTHER CLEANUP SITE(PION-LqP) C FOOD FACILITY "Ry <br /> R GREMOVAL) 0 IOW <br /> KF-WNEL D PKQ TFtF-ATMENT PLANT <br /> M UN0gRGR0j�NDTAmK(M0tIITQ IN In GKF.H RAMCM 0 ?UMpEk?rtUCKfyARojCHAM TOILETS <br /> rin LAND U-SE APPLIGAMON SrMS' <br /> MAZARt)ouS vVASTE GENERATOR 0 MOTF.LiVOTPIL <br /> 0 yjERED peRmLYTED FACIUTY r-, pMLJSPASPECIFY ABOVE] <br /> 13 TATMOPBODY FEIRCING C3 pt;aLtC WATES!SYSTMA 0 OTKER(PLEA= <br /> Mr-010AL WASTE FACIUTY hecking <br /> a. Select the WOW Of files frOM the list above by C <br /> in the SPar--2bOV <br /> Ust UP to WO addresses t)ST be selected.. x to 2i1 464-0 3 mail to <br /> t"appropriate bo Al least one Me tYPE M <br /> ve eXirg, An appoinimont for review Will be confirmed <br /> Adkis��&�tnt EK0 files receipt of applicaUon. The fifes <br /> 2. FHD will notify the applicant I any (101 days after <br /> y five)),usilmoss deys but no later than ten <br /> approximawor a rn.hy 9!g days for review. Appaint=rlts should be scheduled <br /> witl be held( .1faum Of f1vo busine <br /> accordingly. worked on by EHD staff may not ba jMMOdintaly avzlilabl0 for reviow. Anew <br /> A fila that is acovefy bebeing3. submitted when IncMe Is availaWQ. <br /> application may be'submi. will may <br /> TAO <br /> staff at the exPOnse <br /> 4- Any file not re%urnsci In thBS <br /> Same condition a3 1`0103"d a S97M deposit prior to reYiew, <br /> 110 roviews by 68 same appilcant may eequir <br /> of the applicant. Future <br /> r ith IEND stiff. <br /> TENTATIVIF appoliitment dates must bt Cponfirmad w business day. <br /> 6. Applications received after 3:00 prn will be processed the next <br /> TIME <br /> CONFRMED APPOINTMENT DATE <br /> PHONE FAY INITIALS <br /> DATE-:CONFIRMED REVIEW DATr-- --A <br /> REVIEWEDYES NO TOWL P.02 <br />