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Y,,oYi LvYv 11 .44 rnn rML HEAL LSIAIE IQ 002/002 )� <br /> SAN JOA.QLtIN COC71VT1' r �1 rNVL. Gl <br /> lf1lECp�/] enu+.vuNUN9ER <br /> ENED ENlUONMENTALREALTRDEPARTMENT <br /> 304 Bost Weber Avenuo,3"Floor,Stockton, CA 95202.2908 Z343 k1f t 1 2006 Talaphonot (209)468.3420 Fax:(209)464-0138 Web: ' sjgov.orglehd <br /> ENVIRONMENT HEALTH PiJBLIC RECORDS ULE,A,SE APPUCA,TION <br /> A 8USINaa61AQENCY; � E <br /> Y —�/° <br /> AOPRFSS: r aSlivZ6 <br /> PHONE(1): <br /> rACSIMU: <br /> TENTATI'MAPPoiHTMaNTDAMM p . l✓ <br /> T10169T10169sG anew 10 Euslnosa days arom dam m appliaaeon 1tmrsutxrrlttsl-•renfethro Only-Mn'St be C'mnrmed) <br /> C7 014009 FAY YO EXPEDITE RLEq EBT.493. It(OAsH CH®OK ONLY).Rlioui:BT PROOE88aO rN 9 9U&NEa9 Ya <br /> $IGNATURI'OF APPLICANT DATE '�.V (�fr <br /> tPl file <br /> iarom7atlon I Last o map-cvaanptlon_ <br /> FILE ADDRE98 <br /> at�ets 9tmvt Name coy END USE ONLY <br /> [I Unit '� <br /> a. <br /> 4. ❑ Unit 2 <br /> L) <br /> e, fif Unita <br /> e• 103Unit 5 <br /> 10. <br /> - ❑ Unit 6 <br /> Bpeci is Date Rouge of Information Requested:From f 9 to C>(� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILM <br /> (BNOCKROUND TANK(UBTI 0WANVp an$(LOP) 0 HOU909 AaATIMaNT 0 69M WASTE FAgUT MIH?= <br /> OTNETICLEAMPSrii(NOR-1.0121 OF OPFAGanY ❑WASTE Taw <br /> 19 UWIMRom TMSK(mowrroNkwpEMOVAL) PDoe"Nei. tlDART <br /> 0 HASARD9us WASTE OCNaMT9R U CMMR RAN*k O WASTMATeR TRSATmeKT PLANT <br /> Q TiRND PNRMITTED FACUTY C3 motELMoML 0 FUMPEATRU=NANDICHaMt4AL TUE1T8 <br /> 0 TA7r9"0DTPIER=':; OPoouBpA to WD <br /> WO rA _ iWEA Pyu;�lAlCiICtMIDAlWASTe FAcanJ[6QfRZts <br /> [ ( LmePeftT <br /> L_.— •��"� <br /> WELL AND 611"M PEW!r Rac9rcOa ME AVA1WLe PORRE ww_MONDAY+RDAY 0:00 Ar":DOpM - EK0LUDWGM%IDAYG. <br /> 1.. List up to ten addresses In the apace above. Select the type(g)of files from the list Libove by cheoi'9ng the <br /> .appropriate box(as). At least one filo type MUST be selected. has to(2191464.0138 or mal .to the address <br /> indicated above Address ranges will not be accepted—for additional asslstanos with file addresses.contact <br /> the EHp,Appllca'dons received after 3:00 pm will be processed the next bus meso day. <br /> 2. The END wltl notify the applicant If any END flies exist An appointment for revlewwHl W confirmed <br /> approximately ten(10)days after maelpt of application. The files:will be hold for a maximum of five huslness <br /> days for review. Appointments should be scheduled accordingly, <br /> 3. A file that Is aotivaly being worked on by END staff may not bo immediately available for review, A now <br /> aplt(Ioatlon may be submitted when the file Is available. <br /> 4. Any file hot retumed In the same condition as released will be reorganized by EHD staff at the expenaa of the <br /> Applicant. Future file raNsws by the same applicant may require a$0,00 depaalt prior to review. <br /> . r <br /> EHP 41+77 —� <br /> SG7'dfJP�1 <br />