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�' � �i8d+.13138 rp pi <br /> DATE RL'GEIVED EHO LOG NUMBER <br /> (_ SAN JOAQUIN COUNTY <br /> ll�\l'9 ENVIRONMENTAL HEALTH DEYARTMENI' <br /> 304 E Weber Ave 34 Floor Stockton,CA 95205 <br /> APR 0 8 2004 (209)468-3420 Fax: (209)464-0138 Web: www.co.=-joaquiILcaus/eht <br /> s " ' T HEALTH PUBLIC RECORDS EASE <br /> NVIRUN1vleP )REL AkPLICAIIpN <br /> PERMITiSERViI, <br /> I <br /> APPLICANT:_Frank T_ Sin,gcxT BUWNESe(AGENcY: Y)oyn�y Brand 7TP 4 <br /> A60Fw 6: 555 Capitol Mall, 10th Floor, Saeramento= CA 95514 <br /> PHOM, 916-444-1000 FACSIMILE: 916-444-2100 <br /> TENTATIVE*APPc4NTmr-4TDAre: 4/26/04 TIM 10:00 a.al <br /> (Pleaao aflar 10 Iwa[n days hnm date of application aubMttpd) <br /> CHECK BOX TO EXPEDITE REQUEST- PR Ni 3 BUSINESS DAYS <br /> SIGNATURE OF APPUCANT DATE -i/8/0 f ' <br /> DsombMM Vas Oth <br /> FILE ADDRESS UNIT <br /> 81 Swift way "sr HW Stockton <br /> ❑ Unit t nfI1�c <br /> a. 0 I <br /> saa.e ❑ U" ' <br /> t <br /> a. <br /> s� Unit 3 1 <br /> a <br /> C1 Unit <br /> cly <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES, <br /> X) UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HO"G ABATEMENT 13 SOLID WASTE F.WILI Y �. <br /> C7 OTHER CLEANUP 39E(NOg1OP) ❑ FOOD FAOLITY In s(=WASTE V;111CLE <br /> Rl UNDEROROUHD TANK(AWNnvmGAEGWAL) ❑ Doe KENNEL ❑ DAIRY <br /> EI HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKO TREAINEN r PIANT <br /> O TIERED PERYITTEn FACILrrY I] MOTELMOTEL Lt PUMPER TRUCK YARDICHEM TOILETS <br /> O TATT001900Y PIERCING El POOL SPA C] LAND USE APPLICATION BITES <br /> 13 I1IEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> —*44P <br /> 1. List up to ten addresses In the space above. Select the type(s)of fit"from the Its+ above by checking <br /> the appropriate box(es). At least one ftle type fdUST be selected. Fax to(2091464-7138 or mail to the g <br /> Indicatedaboveabove. , <br /> 2. EHD will notify the applicant If any EHD files exist An appointment for review will Ix Confirmed ' <br /> approximately five business days but no later then ten(10)days after receipt of sp Nlcatlon. The files <br /> will be held for a maximum of fl"business days for review. Appoh*mnts should be scheduled <br /> accordingly. <br /> 3. A file Li=t 13 actively being worked on by EHD staff may not be immediately availab19 for revlew. A now . <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition Be released will be reorganized by END staff at the expense <br /> of the applicant Future file reviews by tha same applicant may require a$83.00 do Melt prior to review. <br /> 5 'TENTATIVE appointment dates must be Confirmed with END staff. <br /> B. AppltcatlD received after 3:00 pm will be processed the next business day. <br /> 0 <br /> ' `,y " ^4 2+w.'f P -�.'' >, �[".... '�`+6I"�r•�` L3 �' i . ��e T ry, �# :-.] �. eT, ,v <br /> nsrzow <br />