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-�Oct. 25, 2006 4:06FM I ICON ENVIRONMENTAL HE No. G046 ;F. 1 (32 U4/i° for cnno nts:2e woo�13o <br /> t7HI t IsEL�IVFf1 i - EFtD LOG NUMiSER <br /> (�pp,�S((�� I RR'' <br /> SAN JOAQ•CTIItT COUWY <br /> l(1]LSI�LcTWEV) EXVIROIVNMNTALIUA,LTSDxMT3VbFn <br /> 0 C T 2 4 2006304 East Weber Avenue,P Fleur,Stockton, CA 95202-2708 <br /> T <br /> lephant: (209)463-3420 Faz(209)464-0138 Web:vrww.ajgov.org/ehd 7 <br /> ENVIRONMENT HEALTH j jC SCO RDS RELEASE APPLICATIC1N 111 <br /> P-EBM VICE _ �,. <br /> APP6 MNT Gjl�g BU:3INE£f!F„ENGY n e},_�s — - Y SCR e�J <br /> e�®DRESS; N _ i <br /> PHONE(t).( ^ 2�bR^\I Pr lv)NE(z) (C�4 aQ k-? 1_� —�acslr�(sc � R•: <br /> TENTATIVE*Ai,PPOINTUNT DAYS �TWnrapror,��n F' ne a rft:ne,i <br /> 7:fszr, <br /> p"t",t .c r f. _'�+.'"]K;F^A'T�r7;ifb"df aP9r�WtI4n SNbft4il'p�L> <br /> 0 CHECK BOX TO EXPEDITE REQUEST $'sS Ta,:sE(C,A$H OR CHECK ONLY, REWEST PROCESSED ON 3 DUSBNESS DAY, <br /> sic-MATURE OF APPLICANT <br /> Efe*$Parelc Information , L." ij iNgp Ce_gcription:FILE ADMESS <br /> city LL. unit t <br /> Street# H W <br /> a. pp <br /> JI ' <br /> 7. 0 Unit 5 <br /> M I 006 _.__.. <br /> iD. Ied:i rCs7�Rs. t§ap <br /> specdflo Duto Mln9e of It1f9a ta:tidn NSAue -- <br /> FNVjItCNW..E"TAL HEALTH f)OARTMENT i='IL <br /> G P80usuav AeatitfitRtia A SvGsp WXetT€FAC¢LrrYN6ilcU <br /> ' L+7�OERcnrJUNO'tnruc(U5T)6LJar:aF Sita(LOP) aFOOD FACRJTYrintsTs TlRe <br /> ` Onst(tCLgANtmSne(Nmaa-OP) 6$Daiar <br /> UNpERGRVuNo TANK(MomoafNa F"-PVnt) 0 Des KEnwe� � <br /> - C7 Cwlcta°9a RANCH W,aAti'nwTE2TR�°'trA@HT Ftsarr <br /> -nEvz v0uall( M 6ElUff.S'oR M 111t01VAIHOTEL L71 ppripEn TwCKYAaDfCa>nWtTVRaT3 J <br /> YlEF.ED PFStMITSFO i'AC9trrY ❑Prsoe/EPA �LANDllRe ArPL1CA€iDN SarEs <br /> '7 TATTMOCIDY I'MR(iNG -6TWR(PLJASE5FECtrT)_, __ O� ` <br /> mcpjo&°NASI&miury <br /> WEI.F,AHa;sl*FTt.'=Ev1C1Y'�NC.::R,DS�EFerA4'aAeLf:FOR P.�IEN^ MONDAY�'Pt�aYF�O�A-�`f164M a F.#f.illDING HOLID . <br /> 5. <br /> Clot lip to tett e4drussas in tbo space eboea, " (& ttta types)of files unix the""03§aGaddres 0W by ci eoaated ahW!ng the o D <br /> box(es)- At iDast one Elie tyTtd MUST be salscth!U- Tax t 8 46 9 txtaii fo t Ileations rat¢Ived after <br /> rangeswilt not be accepted—foe addition8i aSaigH�nce with file ad 9 ontaCttit+0 i:HD.App <br /> 3:e0 pm vtiik be garoccassad tile next buSinlns devf roxIMAtel ten(IQ) <br /> in`tment far reaiDmv y'.Il 6m Donfirmssd app. y <br /> 8 Tlae EtiD will roo4if in al9ttS1*rant if any E)iD ill xi for[eyl%V. Appointments <br /> nys r rDDoip vviicetlon. Tit Elia wl d for a maxim m o fdv s ossa days <br /> should tf8 sciTa is aCoa. "srff° t � <br /> 3. shou:bat s h u 6 'sn a rutmtr�diil, a+,3titlk+I'�sur Ps�ftatr�, ,a new ePPiication n'ray be <br /> su(>nitted whe Fi zvaiRabrO. `` Ew e wxponae of the applioant. <br /> 4. Aay file net rata ed ire t cams co i 'nay 1 ullr $95.0Q depoll be a r t kyle` <br /> Put"m file roviowr by the same eppl c� eltt <br /> ��m <br />