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a ENViRpp"I TYPUBLJC HEALTh,.�RVICES . '' <br /> 4 FAST WEB R�EUTAL HEA�.TH D1V{$I()TI <br /> aYEhUP-THIRD FE_OC}R <br /> STOCKTON CA"212 <br /> PUBLIC RECE) (2 �dsa a4n <br /> „a►ttT 4 r EJB, Jq,Sg APPLICATION <br /> .SSS �� BdS7Utt,S.StA�tyGY la <br /> FAC31M iE <br /> TEHTArIVl:�, ,pc1�lrM�rJi OAT; <br /> (Pieria rNvt 7 t9!0 Cvr;pny TWE <br /> Ys tTU+n Win otrPp�aL`on svCn'titlalj <br /> Cfi�C1C gOX Tf?�pgp�r�� 7.37dC0 F'-a <br /> SIGNATURE qpPLlCJANT rT ARDCE55W ldl7 81J3t1ubE9 t7AY$ <br /> • (l�`� <br /> DA's VF <br /> P1Le Acnst <br /> _ r CD y <br /> Y 2 l � <br /> Q <br /> a <br /> Vc:' <br /> V 0 L) <br /> EfiilftiZQHAfENTAt I1EALTH BNISION FLES <br /> Ek0 TANK -CLEAVP stM{ccal a 40s4a a rEyErC' orR CLEALUP SM(HONLOF) <br /> II FOOD F IK SOLID WASTE FACUTY <br /> UHOEROO 7Attic mk a ATOR9Ql7t2=7iC7Y O t OC XXy H a WASTE VFRICL.E <br /> rtArARa4ua ttia>sTa Tale ,4 r Q <br /> o T�'d PERMITTED pg FM42 a PH43 T7RFAT> PIAT <br /> DAmy <br /> ❑ TATrC ALWAy+P8iRG;Lt 13 PKIiAPER TRUDWARWCHEM Tp&Rn <br /> � sk>=S1lCALYJAS'i'EF/1tal,lTY a ��� Q LGHO!>SE r <br /> C PUBLIC YJATER SYBTEm APFUCATiOH SMes <br /> �. Ust UP fo ton adtlressos in the apace ebvvef. Select the Qr4n lPLMW SP110PYA80VP <br /> the apPr*P?We bOX(es). At lGaSt one file type MUST be gte pts fd8z from the 113t abOYa by chaclung <br /> t $ + he <br /> 2. ENO <br /> will <br /> notify th*aPpticant if any EHE,f&164 WdVLforreview _ <br /> al'l be hold <br /> fns betsine>ys dayx Eu�i no later than ten 0 d8y*after rewipt of appLigation.wUl be e fl:+Zs <br /> w8l h$Held for tt mttsimui7t Of r'YY bu3ims,days for raview. Appoir tmet>is shoind scheduled <br /> The <br /> aatordEngly. <br /> 3• A file tt'laC is activelybeing ntt Worked an by F-HR r;tztK nsay not be trnrrt�dlataly avaElakt3e ror review. Anew <br /> 4. =PAlicatiflrl ri7ay Ere stllamitred wFi�n the file is aVBtttbls. <br /> Any the not returned In the pme condition es <br /> of the appiicarit. Futur;file reviews by the state tii�wtiE a rtqui c a$5y EMD start at the e <br /> $ ve <br /> "rENTA i IVE APlie>zrrt may <br /> r cite A 578.00 depot:-d prior to reviuw. <br /> recW ntrrtenf dates r1�Et>SX be conflmsad with ZHD stat <br /> Apptirations rec vsd Eeflcer 3:t70 Pm will be processed#tie nsxt business clay. <br /> 1 <br /> CONFIRMED AppQtt4TME4T DATE <br /> TIME <br /> DATE CONFiF04ED f <br /> f <br /> PHONE FAX INITIALS <br /> REVIEWED YES 140 <br /> rH w oNoaao REI/IEW[)ATE <br /> TOTFL P.01 <br />