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09/26/2002 14:04 2098'364 K.P.NIJJAR � PAGE `01 <br /> 40 09/26/2082 13:55 4540138 EWIRONMENTAL F.. LTH PAGE 01 <br /> MATH kkutLtno <br /> SAN JOAQUIN COU NTYPU LCC HEALTH SERVIG �` � <br /> w EW110Nl�ENTAL EALTH DIVISION } <br /> 904 EAST WEBER AVS qUE,THIRD FLOOR <br /> 9TOCICTOIV A 93202 , <br /> (909)413A 420 SEP 2 2002 , <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> E== <br /> tN r MLALI h <br /> APPLICANT / /,7� .e 1lU9IHl=5Sl1iG CY_• _ n�onn�Tr�t R1lICES <br /> ADDRM 5o f!/L <br /> PHOME 44 FAdSMFLE 4QO9 r aaaS- a2 <br /> TENT•ATWL-.APPOIPnmErfTDATE ID i/ oL T1ME /47:00 4 <br /> M,. <br /> {PleMse alve r as alk2m n fall <br /> CMCX BOX TO EXPEDrrE REQugn.sa9.00 �5T P SSE Zn1.USINE DAYS . <br /> SIGNATURE OF APP11CANT w M1 DATE <br /> FILE ADDRESS THIS SIDE PJ•ID STAFF USE ONLY <br /> PROGRAM ELEMENTS 39MCH <br /> eoV17'r AW, <br /> • ic/iIn/ G'.9 � 9.4'3. <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> oRcw�fD TANK(U"CkANUP Srt>_(LOP) In KOU5INR/1B t£1111;IVT Z SOW WASTE EACIL 11 Y <br /> 'PTHER CL4AN JP SITE(NoN4mP) E3 FGOI)FA 13.SOUR WAVE VEIIIGLE <br /> 17 UNWRGROUND TANK(MOMORINWREMOVAL) d 000 KMOAEL D DAIRY <br /> Cl HAZARDOUS WASTE aEmmT4R 13 CHICKEN RA CH G PKG TMATMENT PtJW. . <br /> in 7fa:RfO PERMrM]D FACILITY 4 rAOTELJMOTE © PUMPER TRUCKFTARMNEWI TOIL$la <br /> 0 TA'rTMMOSY PEIRCING G POOLISPA C1 LAND U9IR APPU CAT1ON SITES <br /> K) MMOAL WAST9 FACIk,rrY CI PURUC WATI It SYSTEM L7 OTHER PLEA96 8PECWY ABOVE) <br /> 1. List up M ten addresses in the space shove. Solqj.,t the type(:)-of files from the list ob*ve by checking <br /> the appropriate box(es). At least one file typo MU be selected. F8x IQ,(209)48404312r meii to th0 <br /> rest Indicated ah e. <br /> 2. EHD will notify the applicant If 4ny'EH.D files exist. An appointment for review will be confirmed ` <br /> approximately flue buicineSS clays but no tater t1j3 ten(10)days after receipt of application. The files <br /> will be held for a maximum of five buslne:s days f r review. Appointments should be scheduled <br /> accomingly. <br /> 3. A file thatJs actively being worked on by EHD staf may net be immediately available for review. A new <br /> application may be submitted when the file is avai able. <br /> 4. Any file not returned ih the same cond;R*p as rele mad will be reorgalnlxed by ENDstaff at the expanse <br /> of the applicant. Future file reviaws by the§aide a pl;Cant may require a$89.00 deposit prior to review, <br /> 3. "TENTATIVE appointment dates must be confirmm I With EHD staff. <br /> .0. Applications received after 3:00 pm will be procesz ed the next bus;Less day. <br /> CONFIRMED APPblNTMENT DATE, TIME <br /> DATE CONFIRMED PROMS FAX INITIALS <br /> REYI"WED YM NO f7EVIEUI►DATE ^ <br /> .,„. <br />