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OG/13/2008 14 :58 FAX 0 . I�j001/00? <br /> DATE RECENEQ SAN(Jo.kQUIN COUNTY . <br /> ENvjjlonv IENTALREaLT-zDnF-R"YL''E�'iT <br /> o CL NED 304 B Weber Ave Std Floor Stockton, CA 95205 <br /> (209) 468-3420 Fax: (209) 464-0138 Web: vrnw.co.san-loaquiaca uslehc <br /> Ji_A 1 3 2006 <br /> )?UBLiC i Co-RDS &P-PLICATION <br /> ION� �_ <br /> A,pP Eu MIPSEA' ��- <br /> _N'ttn� <br /> I� S FACSIMILE: y1–^ <br /> PHONE: C, <br /> Time:,,,�...�.—•�—•— <br /> ( <br /> TENTATIVE'MPOINTMENT DATE:�-•. <br /> tPleaee allow 70 bust,,:. lolls from ate of application submittal) <br /> CHECK SOY.TO EXPEDfT£REQUEST S93,00 F/E:E•-PSQUFSj PROCESSED W 3 AUSINESS DAYp ATE <br /> A �_ <br /> SIGNATURE OF APPLICANT k Oeaa tnAntU a OnIY <br /> TI(n <br /> FILE Al1DRESs Clt 1 <br /> o JS P, Y OFFltAr <br /> z. oma Z..•"7 1 it 2 <br /> a, swd � f <br /> ,. 5aea to (� �=.tl •-- �i'�....�._ � Unit a ' I `l,� <br /> \I s, wen <br /> -Z. <br /> i b <br /> Urti,4 <br /> 2--131 Pv"S.F <br /> 7. 5'rva—1 b <br /> 6. Tavel <br /> ZZ-7 1f=lLl, r - Cl Unit 5 <br /> tat s Loa? MAtQ1 (i'r R.Q <br /> ENVIRONMENTAL HEALTH DEAARTMENT FILES <br /> ❑ HOUSING ABATEMENT SL SOLID WASTE FACILr Yr <br /> ❑ FOOD NG ABATEMENT <br /> ❑ SOLIO WAST VrWCLE <br /> UNDERGROuNO TANK(UST)CLEANUP SITE(LOP) 19. DAIRY <br /> III OTHER CLEANUP SITE(NON•LAP) c ❑ DOG KENNEL <br /> ❑ ctitc1�N RANCH a pU PERTRUCW P FD"- <br /> F} UNDERGROUND TANK tMQNITORING/R..MOVALI <br /> HAZARVOUS WASTE GENERATOR ❑ MOTELJHOTEL ❑ P.,USS APFLICATlON 5rM TOIL`c13 <br /> ❑ TIERED PERhirT=FACILM ❑ POOUSPA LAND u5E APPLICATION 51' s —� <br /> R TATTOOrSoOY PIERCING ❑ OTHER tPLEALF <br /> O MEOVC:.LW0.STE FAC0.ITY <br /> List up to ten addresses in the space above. Select the types) of ales from the list abase by chat tngo <br /> 1 nate box e. At least On <br /> file type h1UST be selected. Fax to 'tO3 464-0138 ar rtis__ li1�°the <br /> the appropriate box(o:;). <br /> address ind ted above. ointment Joe review will be confirmed <br /> 10 da flet receipt of appiication. The Flies <br /> 2. EHO will notifytheapplicant if any EHO files exist An app <br /> approximately five business days but no later than ten ( 1 y' giniment: should be scheduled <br /> will be held for a maximum of five busines-n days for review_ App <br /> accordingly. <br /> 3, A file that is actively being worked on by EHD staff may not be immediately available for review. now <br /> application maybe submitted when the file is availabie. <br /> 4 Any fiie not returned in the came condition as released will be r cr9anized by EHD staff at the expens <br /> Of the applicant Future fde review, by the same applicant may require a $43.00 deposit prior to review. <br /> ith <br /> 5. nfirmed w <br /> 'TEt4TATIVE appointment dates Must 11 ba processed ed the next b siness day. <br /> 6. Applications received after 3;00 p p <br /> k?5;• ; <br /> TIME :;. i:.:oma-- f•^---- . <br /> ;.Gt3NF1 MF—D AP?O'NfTMEN7 ?..; . . k..;isitJflIAL9 '_ r =" <br /> i ''.` F'WONE . FAX <br /> :DATE caraFit?riE1a, <br />