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11/17/2004 09:40 FAX 209 9480 ;, � 002 <br /> ( 1 s.. <br /> + � UZV LVJ•�Y..+u a..4 <br /> SAN,JOAQU134 COUNTY <br /> 'ENMONNiENTAL HE D�pARTMENT <br /> NO V 1 7 2004 304 E Weber'Ave 3"' Floor St ckton, CA 95205 ' <br /> ENVIROi' l ,Z?R1 b8-3420 Fix: (20�}464-0138 Wcb:www.co.san-joaquin.muslehd <br /> 13 <br /> PER L ' <br /> v�c�sT" <br /> pUBLIC RFCQRDS RELEA _E APPLICATION <br /> APRUc+'UtT= fir. 05" BUSINESStAGEHCY: <br /> ADoREss; a <br /> LUVr4l. 4A a- <br /> PHONE; <br /> 9Ln - FACSIMILE: <br /> TENTATP**PPOIKMF-14T DATE: <br /> (Please allow 10 business days"M dat of 29011;*40n subm-ttal) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PliOC ED IN 3.BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> DepatirnentUSe ORIY I <br /> ' t1Ntr <br /> FILE AIa0PESS <br /> Unit 1 <br /> -� <br /> e o Unit 2 (� <br /> a. sxees / <br /> GN J <br /> K7, <br /> s4va <br /> ¢ � Unit3 <br /> S��saectG City Unit 4 <br /> s---- <br /> e, sac+ [] (7nit 5 <br /> 9. 5� <br /> lF� <br /> ENVIRONMENTAL HEALTH EPAFtTMEN7 FILES <br /> �nWfir. <br /> L3 }LOUSING ASA MI;t;T ISL.SOLID WASTE FACILITY <br /> Ot UNDERGROtJNDTANK(UST)CLEANUP SITE(LOP) L3 Fp U' t'AGIL ❑ SOUD WASTEYF-HICLE. <br /> I Q7HF-R CLEANUP$rM(NON-LOP) O IDW}FENNEL 119DAIRY <br /> ID UNDERGROUND TANK(M0NTT0 WNGIREMOYAL) 0 CHICKEN RANCH I1L PKG TREATMENT PLANT <br /> ISI ;•IA7AR3OUS WAsTe GENERATOR t3 MOTELfHOTEL 0 PUMPER TRUCXNARUICHEM TOLLM <br /> Q '1 EKED pERMf TF-9 FACILITY 1:3 PpOLrSPA to LAND USE APPLICATLON SrircS <br /> Q TAI-r001500Y RIMCING 0 OTNER(PLEASE SPI=CIF`() <br /> i7 MEDlGAL1NA5TE FACILrrY <br /> 1, List up to ten addresses in the space above. select the type209 qrr¢-0138 or mail too the <br /> vE files from the list at►ave py ch he <br /> the appropriate box(es). At least one file type MUET be selected. Fax to <br /> address indicated above. <br /> 2, EHD will notify the applicant if any E140 files exist An appointment for review will be confirmed e <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> Will be held for a maximutrl of five business days Jor review. Appointments should be scheduled <br /> accordingly. , <br /> " g_ A Elle that is actively being worked on by EHD sta may not be immediately available for review. An( . <br /> application maybe submitted when the file is available. <br /> anized by F-HO <br /> at the oxpem <br /> �{_ Any file not returned in the Same condition as rel as;cant May rerguire a$93.0 deposit prior to e <br /> of theapplicant. Future file reviews by the salve pp 4 <br /> g, 'TENTATIVE appointment dates must be confirmed with EHD staf#. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> {NTIuIENT�ATI TIME <br /> F.RE�VIEWED <br /> iRV'!_DFA7CF �_ YES i10 REVIEW DATE. <br />