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10/09/2002 13:44 209--579-2225 MODES'TO ATC PAGE 01 <br /> F. <br /> ea,*13 i41 FRG TO x`9222 P,01 <br /> SAN JOAQUIN COUNTYPUBLiC HEALTH SERVICES <br /> 4NVIRONMENTAL HEALTH DIVISION <br /> 104 EAST WEBER AVENUE.THIR FLOOR <br /> STOCKTON CA 95202 1OCTO ZOOz <br /> (249)468.3420 <br /> PUBLIt RECORDS RELEASE APPLICATIONFLMRONAAH"I HLAJLTH <br /> 1�APPLICANT sBQSIN !AGENCY I ,� t5 Pp/SERVICES <br /> PHONE .T -79-19� _ FACSIMILE Y I 1 1 " <br /> TENTATIVE'APPOINTMENT DATE f O TWE <br /> {y Bive T to10 is tn. ya data f plication sub"ttwi) -��— <br /> CHECK BOX TO EXPEDITE REM -RC EST P S r INN"3 RU91NE55 DAYS <br /> Cit14ATURE OF APPLICANT PATE <br /> FILE RE33 THIS SIDE 914D STAFF U 1 ONLY <br /> 4 PAOCRAM FUMBN13 SEARCH <br /> tj L k1 Yl 4 11, a <br /> I <br /> ;ktr I <br /> ° I <br /> 1 a E1On ss <br /> Q" 2�51ie I <br /> - <br /> El�race 16 1 t4y j I j <br /> f,4 13 R= aI <br /> I=NVIRONMENTAL HEALTH DIVISION FILES <br /> IEROROUNO TANK',U37)CLEANVP SITI£(LOP) ❑ HOUSINC ABATEMENT 10 SOLID WAST!FACII_tTY <br /> YMXA CLE=ANUP SITE(NOM-LOP) G FwO?ACILrry G ZOLt01NASTE VBHI(. <br /> VNDERUROt=ND TANK(MONITORING1REMOVAL) C DOG KENNEL O DAIRY <br /> ❑ HUARDOUS WASTp GENERATOR! ❑ CHICKEN AANCM (7 PKO TPEATMENT PLANT <br /> o TIERED PERMITTED FACILITY C MOTEUNOTEL C PUMPER TRV0VYAFRDICHEM TOILETS j <br /> ❑ TATTOO/VCDY PFIRCING a POOLMPA Ca LAND USE APPLICATION SITU <br /> C MEDICAL WASTR FACILITY C FUSUC WATER SYSTEM 13 OTHER(PLEASE'3PECIPY ABOVE) <br /> 1. List up to ton addresses In:the SP20a above. Select the types}of Was from the IIsi above by Checking <br /> the appropriate box(es). Al least one file type MUST be safe'cted. FjX tQ (Z22jjj6&1jj.or rnpll to th <br /> address Indicant[ahoy*. <br /> 2. E>iD will notify the app <br /> licaelt If any EHO files exist. An appointment for review will be confirmed <br /> approximately five businasis days but no later than ten(1 days after receipt of application. The File* <br /> witi be hetd for it miximurrr of five business days fot review. Appointments should be scheduled <br /> accordingly. ' <br /> 3. IA lite that is actively bainp,worked ort by EHO atgff may not be Immediately available for review. A now <br /> applicativan may be submitted when the fila Is available, j <br /> 4. Any file not returned'in thelsamo condition as released will be reorganized by EHa staff at the expense <br /> of the applicant. FutLre III*reviews by this same applicant may require a$OT.00 dep sit prior to r*vlew. <br /> 5. 'TENTATIVE appointment dates trust bo confirmed with EH staff. <br /> 6. Applications received atter.3:00 Ori:will be processed the ni xt business day. ' <br /> CONFIRMED APPOINTMENT DATE TIME _ <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> + REVIEWED <br /> a++ Ya:S : Nis REVIEW(7A7•E l <br /> TOTAU P.01 <br /> I <br /> I <br />