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11/10/2083 16:30 464 <br />ENVIP.ONF£NTWALTH <br />ILlnkf{-Rc,CFNER.; � [��1�T •� TT[ �r.��.�� <br />SAN JOAQ NCO COUNTY <br />PAGE 02 <br />EHO LOG NUMUEK <br />h1'IItOVIVS�NTAL $E A.L'1CH DEPARTMENT <br />NOV 304 E Weber Avc 3rd Floor Stockton, C.A. 95205 <br />1 O � b9) 463-3420 Fax_ (209) 464-0138 Web: www-co.san-joaquinca uS/chd <br />ENVIhtJiJbltNi <br />HUMi I 5b3 <br />PERivlIT/S Rv1p.pQ PUBLIC RECORDS ktELRASE "PLICAnON <br />&ARESS; <br />LICANT:_.�L&J /tCo I�60 NS BUSINcSSIAGENCY; I CO✓1Std �u7 <br />•7�b0 Can..., i a o Iq (T (o/ 5 tC'2oO vSs y2 <br />NE:_Zs Z$3 6000 k fOS FACSIMILE:. /rZS! <br />TENTATIVE* APPORMAENTDATE: 1 lIl� Time: 10,00 I <br />(Please allow t0 bu;lnoss days from data of applicnUon suhmatal) <br />CHECK BOX TO EXPEOrrE REQUEST S9 E EQUEST PROC£$SEO INa BUSINESS DAYS <br />SIGNATURE OF APPLICANT �o �l // - DATE O ! (tl / 03 <br />Department Usa Ony <br />l UNIT <br />.1 <br />it <br />1 <br />xf <br />0Iv <br />❑ Unit 1 <br />❑ Unit 2 <br />t <br />ENVIRONMENTAL HEALTH DEPARTMENT FIL I-�S fl ZJ <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />0Iv <br />❑ SOLID WASTE FACILITY <br />o <br />raC <br />hot 1'v Fl <br />z <br />scea <br />75 Wut <br />L 'wL 2J <br />C3CHICKEN RANCH <br />rrt <br />❑ TIERED PERMnTEO FACILITY <br />3 <br />n, <br />Z31SBIv <br />11POOLrsPA <br />0 LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE; SPECIFY) <br />A. <br />W: -r. <br />1 i-, <br />rcwlGI <br />G <br />rac <br />O'j/t.Q <br />S. <br />6".09/ <br />. <br />LRJ <br />6°�'ti' J e .1 ' <br />G <br />r <br />c. <br />Sm•• <br />Grv^cs F <br />G'`'� 5 f -.-•ay <br />n c <br />fin <br />a. <br />scree <br />. rae K01 m <br />S IiLfio' 5;' <br />r e <br />6' 6q'. <br />9. <br />Sun <br />G <br />10. <br />5're•i <br />G <br />Rnluj <br />❑ Unit 1 <br />❑ Unit 2 <br />t <br />ENVIRONMENTAL HEALTH DEPARTMENT FIL I-�S fl ZJ <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />0 HOUSING ABATEMENT <br />❑ SOLID WASTE FACILITY <br />�(- OTHER CLEANUP SITE (NON -LOP) .. <br />❑ FOOD FACILITY <br />❑ SOLID WASTE VEHICLE., <br />UNDERGROUND TANK(MONITORINOIREMOVAL) <br />13 DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR <br />C3CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />❑ TIERED PERMnTEO FACILITY <br />13MFJ. <br />13MOTELOTPUhiPER TRUCKlYAROICHEM TO <br />❑ TATTOD/BODY PIERCING <br />11POOLrsPA <br />0 LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE; SPECIFY) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one flle type MUST be selected. ax to (2091464.0138 or mail to the <br />address Indicated above. <br />2. EHD will notify the applicant if any EHD files ezisL An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of application. The filas <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be submitted when the file is available. <br />4. Any filo not returned in the same condition as released will be reorganized by EHD staff at the expense <br />of the appllcQnt Future file reviews by the same applicant may require a $93.00 deposit pdorto review. <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff, <br />6, Applications received after 3:00 pm will be processed the next b.uslness day, <br />CONFIRMFED APPOINTMENT DATE _ i <br />DATE CONFIRMED <br />r7 TIME u'•5ztln <br />PHONE FAX INITIALS* - <br />RIMMED - YES NO REVIEW 17ATE, <br />ua`aata"°° 11'1(3 (i3 /UJ (or kis ac�(,rc's� (�+F rr fpr>Pt c,� of (v d'Ce <br />PU.ia�re,(-Ice l✓v�11 e, <br />L0 39tldII j7v;. �C�e Lt/GiC-%t7 ttJrJ/7ri/'17+�F!.l�vrG� f RC�� <br />(dS) S1NVI-nSNOO I3V 1ZL9E8ZSZ6 bE:LL E00Z/01/11 <br />