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Seer 15' 04 02 13p HanovPr" Inc 530 ;342 1490 p•;2, <br /> I'. /'�7'�1 LYJYJt1 U �r_u ,•• �..� `� EKG LUG NVYAER <br /> DAT[REOt7VC0 <br /> i ' ' SEP 15 XOM SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> HEALTH g04EBTWE3ERAVENUE,THIRD FLOOR <br /> BV1R0JEi STOCKTON CA 95202 <br /> Ci7 <br /> PER (209}48420 <br /> 0� LEASE APPLICATION� PUBLIC RECORDS RE ' <br /> " y7BUSINESS/AGENCYoov:- v � <br /> APPLICANT �# <br /> LA 01.51F3 <br /> ADDRESS <br /> z, ur�uder � S��G z2o. <br /> 0� M 5�• o[.• I `�' <br /> I 3 FACSIMILE _ <br /> PHONE - �1 O <br /> `f/13�0-1 _ TIME <br /> TENTATIVE`APPOINTMENT DATE <br /> (Piaase give 7 to 10 business days from date of app6caYa+ouhmiUa <br /> ❑ CHECK BOX TO FXFEDITE REQUEST.$$7.00FEE—REQUEST PROCESSED IN 7 BUSINESS DAYSDATE1 5 d <br /> SIGNATURE OF APPLICANT N <br /> THIS <br /> SID EH STA F USE ONLY <br /> FILE ADDRESS <br /> PROGRAM ELEMENTS SEARCH <br /> 8355 Io H; 1 5+n �N SzsX. <br /> [ u - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> / O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> M��ii11NDERGROUND TANK(UST)CLEANUP Srm(LOP) FOOD NG ABY ❑ SOLID WASTE VEHICLE <br /> t°I�OTHER CLEANUP SITE(NON-LOP) ❑ DAIRY <br /> VIONDERGROUND YANK(MONRORINGIREMOVAL) 4 DOG <br /> NNRANCH ❑ pUMTREATMENTPLANT <br /> [t��I HAZARDOUS WASTE GENERATOR ❑ MOTE�{OTEL _,. ❑ LAND U TRUCWCATION SIT TOILETS <br /> ❑ TIERED PERMITTED FACILITY ❑ p0OUSPA "' t7 LAND USE APPLICATION SITES <br /> O TATTOOrBODY PEIRCING p PUBLIC WATER SYSTEM Q OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACIUTY <br /> List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate boxes}. At least one file type MUST be selected. Fax to 209 464.013 or m it to the <br /> (:address Indicated abpove. y p ointment for review will be confirmed <br /> 2, FHD will notify the applicant if an EHD files exist. Ana p <br /> approximately five business days but no later than <br /> an ten (70)days after ents should pbe scheduledf es <br /> wil'be held for a maximum of five business days for review. App <br /> accordingly. <br /> 3. A fill:,that is actively being worked on by EHD staff may not be immediately available for review. new <br /> applit,,ition may be submitted when the file is available. EHD <br /> a of ilit not <br /> returned Future file reviews bytthe same applicant may require on as released will be Ira $87.00 de sit prior to rat the eview. <br /> 5. `TENTA' VE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOIikMMENT DATE TIME <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW PATE <br /> eH m u ow�I — "-- <br />