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Sep 10 05 02: 36a Sier 1 Delta Corp 1-559-229-1452 p. l <br /> LREft#0a9 7 d640138 EWIit NWWAL HEALTHPAGE011 SAN.TOAQUxN COUNTY � J <br /> SEP - s 2005 FNVRZOtwt tALHRALTUDEPARTMENT <br /> 304&eat Weber Avenue,3 Floor,Stocbton,CA 95202-2708 <br /> ENVIRONMENT HEALTH lWephoNc(209)466-3420 Fm=(209)464-0138 Web:wwW48ov.orp'ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELF.ASE APPLICATION I <br /> APPucart: eves sura __ - <br /> Ptlot+�Hk 9 nroM:i3k FACSDAI.E: Z`� � �, <br /> TCNTATiM APVCOMM T DATE TOM <br /> (Pleas eow ie 6irsMrrso dayc Mas nob of apppeerlerr■�nueal••Taob47ve ardy-aaea 4e <br /> Q CHOCK K%TO FXPom REQ=T. CHECK WLLY)- .teTaUMT pF=E&3W1K a Frr8H1M UArs <br /> RE <br /> IONATUOF APPLICANT ty],e0 DATE <br /> UNIT OtSTWElU"�rCM rAra1 Det . Veal t►alte 000w �) <br /> FILP ADDRESS DNO USE pHLY <br /> WOO Nam wh <br /> 2 <br /> L 9:11P IL <br /> 7. <br /> 0. <br /> sPscKic Dap P-mvp of wormadion Reaunua:From to <br /> ENVIRONMEWAL HEALTH DEPARTMENT FRES ' <br /> TANK(USTl L1.eaARpw[(LAP) <br /> 1"OUNNO ANATBrerr 90rAw%sra FAcuryNovmx <br /> 0naeelsnwr Wm0WWL0P) u a� Tau . _ <br /> WsyaLROIea TAeKltlRnoaNOrna M' WAffTNMT n,'MFA"MMP ANT <br /> TW=F N W FAcL1TT �RaNgl feaNOlTralC n'ANadtii we TO¢Era <br /> TA r o Pn1a PaimcAcun LAre Iha Av►uoArrOa Sitar <br /> TAnOoraovr PN�N•a0 PooLlSVA . <br /> MmcAL WAM FAC L" ORK0Pt RF <br /> Y1K4Amser petiMTIkeONna AAa AMAawerar'Oa RWRw-i01oAYfIaDAI'�'OeANd�OerM - l�rcvneer6r,xnAre.- <br /> 1_ List up to tan addresses In the apace above. Sded tb4 tYps(a)of tAes fvom tlrs Ret above by ohaekhrg u1e <br /> appruptlW bagm). At least one Me"MUST be felected Ems("Pj 9G.,. 38 or(p}p to!hs address <br /> kAtaKAkMA, Addnse rahges wal not be aocapt+d-for addt8onat aadatarws VAM fie addtom",cordae <br /> OW MWA Appdostae m received attar 1:00 pro win be processed tho na d business day. <br /> 2 7M EW wW notify Vis app&cant if arty MD 90 mdet AN appoinbMf t for nvfeW WW be con"ad <br /> approx5mattly ten(10)days efter rKsipt of oppUcegee_ The foes MAA be befd for a maaiW"offive business <br /> days for review. Appotntmtnts should be sohaduled aoconongly. <br /> c4 <br /> 3. A toe that W acUv*beMS worked on by ERR staff meq not be immedla *ara"W for roVWW- A Hary <br /> appaCetion mq be submWed when#0 Me le avagable. <br /> 4. Any fate not reh med In the same con==as released will M reorganized by EHD staff of the expense of the _ <br /> applicant Future Me reviews by dw 6*1 apPUcaM rosy requke a 393.00 dopeatpfW to review- . <br /> r <br /> 1tIAb1 <br />