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MAR. -08' 07 (THU) 12:58 <br />63/ 67120EI? 16:48 <br />VEVAR, INC. <br />20946,;,x39 <br />TEL:0"9622618 <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY <br />MAR 0 8 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber AYonue, 30 Floor, StocWn, CA 95202-2706 <br />E_NVIRONNIENT HEALr�ophouc; (209)469-3420 Fax: (209) 464-010 Web: www.sjgoY•orF/chd <br />PERY1 T/SERVICES <br />APPLICANT: <br />ADDRESS:- <br />RUSINESSIACENCY: <br />P. 002 <br />PAGE a,/01 <br />31'6I111 1ti'!IdrA <br />q ((Q PHONH (1): A� 4 1 PHONE (2): FACSIMILE: 9(6 " %1-1b15 <br />i <br />�j O TENTATIVE"APPOINTMENTPATE: _kSAP T(me: <br />(0 �tQ (Please allow 10 buslness days IrOM data of appOcatlon submlpal-'Tengdvs anty must pa confirmed <br />I CHECK RO%TO EXPEDITE REQUES , 000 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN S t3USl , <br />SIGNATURE OF APPLICANT -_ "r` DATE S / S ld-7 T <br />EI'ectronic Informallon; ❑ LISt ❑ Map - Descripgon: <br />Q HOUaINO ABATEMENT <br />Q SOW YlAaTE FLOUR- ENICLE <br />Qn1E0.CLENIUP.StTE (NarLOP) <br />�l UrpERORWNd TANK (MONROR ING/ReMOYW <br />�.j I42RPOU*WAM GENERATOR <br />TIERED PERNITTEO FACILITY <br />rT TAT90Of600TPIbRGno <br />171 MCIHOAL WA.10 FArL" <br />Q FOOD FAca,nT <br />Q DO KENNEL <br />QiiQq(EN RANCH <br />QMOTWHOTrL <br />la Poot.(sPA <br />Q Omit IPLf0.9E SPECIFY) <br />Q WALTE Tilts <br />Q DAMY <br />❑ WASTiWATEa TRenTKUNT PLANT <br />0 PuMPERTRucWAPWCHEMTOR.ET: <br />Q LANo Usr.APPLicATTON Sass <br />. <br />WELL ARO SEPTIC PRRur Recixws Pre Av"I,E POR RCMW • MONOAT-FwpAY 9:00 AMb:OaPV • EacLuoea HOUeAYA. <br />FILE ADDRESS <br />EHD USE ONLY <br />Stmat0 <br />Slroet Name <br />City <br />(] unit <br />1. <br />2. <br />U O <br />100 <br />1 D <br />Il <br />'LI <br />5 <br />S°� <br />5a� <br />J a4 <br />Sw <br />C.a <br />L�.t a�.!, <br />LbiteVtw <br />Guu�ktL <br />s�tu l <br />G\aUAhr- <br />GT^areltw <br />O,k <br />p I <br />U <br />la�l <br />Lk <br />�� <br />; <br />H k.) Cl Unit 2 <br />unl! <br />L),sHt Hw'N <br />O -F <br />❑ una d <br />❑ unit a <br />3. <br />4•1ao <br />S, <br />7. <br />8• <br />10. <br />Specific Data Range of Information Requested; F(bM <br />to <br />ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />UKnFRaROUTIe TANK p1ST)q.EANOP Stili p,DP) <br />Q HOUaINO ABATEMENT <br />Q SOW YlAaTE FLOUR- ENICLE <br />Qn1E0.CLENIUP.StTE (NarLOP) <br />�l UrpERORWNd TANK (MONROR ING/ReMOYW <br />�.j I42RPOU*WAM GENERATOR <br />TIERED PERNITTEO FACILITY <br />rT TAT90Of600TPIbRGno <br />171 MCIHOAL WA.10 FArL" <br />Q FOOD FAca,nT <br />Q DO KENNEL <br />QiiQq(EN RANCH <br />QMOTWHOTrL <br />la Poot.(sPA <br />Q Omit IPLf0.9E SPECIFY) <br />Q WALTE Tilts <br />Q DAMY <br />❑ WASTiWATEa TRenTKUNT PLANT <br />0 PuMPERTRucWAPWCHEMTOR.ET: <br />Q LANo Usr.APPLicATTON Sass <br />. <br />WELL ARO SEPTIC PRRur Recixws Pre Av"I,E POR RCMW • MONOAT-FwpAY 9:00 AMb:OaPV • EacLuoea HOUeAYA. <br />1. Ust up to tan addresses In the apace above. select the typo(s) of files tram the Ila aboYa by chat:king the appropriate <br />box(es). At least one file type MUST be selected, Eaug (2091464VIO gr rnallo the ad ss lUdIgated above. Address <br />ranges will not be accepted - for additional assistance with rite addresses, contact the END, Applicallons received after <br />3:00 pm will be processed the next businoos day. <br />2. The EHD will notify the applicant 11 any EHD riles exist, An appointment for review will be confirmed approximately ten (10) <br />days after iecolpt of application. The files will be hold fora maximum of five business days for review, Appolntrnents <br />phould be cchaduleci accordingly. <br />3. Aida that Is actively doing worked on by FHP staff may not pa Immadlately available for review. A now application may be <br />subrniHad when the file Is available. <br />4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $95,00 doposlt prior to rwlaw.. <br />PHO USE ONLY _ <br />