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PI NO. - 209 369 4228 A eb. 09 20M 89:088 Pi t <br /> sAry_OAQUIN <br /> ENVIRONMENTAL HEALTH DnaSION <br /> COtJNTYPU81{C H 'r <br /> EALTH SERVICES <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA gs; <br /> PUBLIC RECORDS REBLE <br /> APPUCANT A <br /> 3 APPLICATION <br /> AODI�ss 2,� k`�--•--eus,KrsarAc�rcl. 0. <br /> PAC$itliLE <br /> TENTATIVE'AFPC1N7.t1Epff <br /> PA7w <br /> TIME E B -9 2000 <br /> �''') n+7a nam0°r+pa7Wtl°n su6mfaflj <br /> `-' CHECK Bok TO>=7CPwn-Lr ttL`QUE T,17200 F" <br /> SIGNATURE OF I REQUEST PROCJ tSsED IN]auSINUS OAVU <br /> AFPUCANT <br /> r DATE <br /> \ PILE ADDI I <br /> � _ t <br /> � o <br /> aa� <br /> v ' <br /> ENVIRONMENTAL HEALTH DVIStoN FILL=g n <br /> 1U0 UNDERpataOUND KKiNof�.�ocswursircliDPJ ❑ NaI51HQA0ATENEfir SCCIDwAaTEVE111C /O Ipd[EYED <br /> AIOEROROUNp TANK �TUt11U:rd A1.1 G OVOQ F� =y 7 SoUD WAM FACILI <br /> HA2gRDpUa riAaTa . Q <br /> 17 TIEItlO PCRMMED FAMU;C 00 m ocKt i RANCH <br /> OAf6y <br /> ❑ TATMBODV P9IRCa10OTELM 0 PH<'TNCATMB'NT PLANT <br /> MEDICAL WA ,M FACICIN m' POMJ7PA� Q PI TAUCK/Y01IRW;Rpy 7O <br /> 0 PURUC WATER SVETEM p o�AND t�E APp CAFIgy 48010, FEB 2 5 2000 <br /> f' U$t Up fo tan andre6Cas in <br /> thea ro d�e St aceOno above. Solea the types}of Ides from the flet above by checking <br /> EpP prieta ISox(as}_ At least onm Hie tyPa MUST be saieotad. hex�i(209Y X64 ttfaa <br /> HJ10sa Ind4.ted Abora ,_mail to the <br /> 2• t:ND riltl notify the appricant N any Eft❑111611161 An Confirmed roview will be <br /> *bU31n <br /> will <br /> l be hold for <br /> a maximus, days but no lator than ten(1 days after rrecetptat aPP>+ca6o The flier <br /> wilt ha hafd for a maximum of firm buainaSs days for ravlew. <br /> aatl&that Isly. APPnfitmenIS should be <br /> 3• A fele that[a e::flvel bei Scheduled <br /> iPpllcation may be sUlxn(tkad Whr'ulothe fllar? yti0 ' aV 4�1ay not be tmmm6tately available for review. Anew <br /> 0. Any life not Ant Fretuned Irt U1e prn cautdNiort ds refaasad will be rearganlzae by CHD start at the ex <br /> nt the applicant, Future file reviews try me same applicant ma require r'• "TENTATIVE appointment dates must tIe canfhtned with EHA a$78.0a d venae <br /> B' <br /> Applications n+cmlvedepoaa prior review. <br /> atter 3:OOPR1 will ba prote9aed the next business day. <br /> CONFIRMED APPOINTMENT OATS <br /> I! DATETIME <br /> CONFlRNI<Ep <br /> I PHONE FAX INITIALS <br /> R(=VtEWED YES <br /> w p0 !VO REVIEW GATE <br /> i <br /> TOTE- P.©1 <br /> 00 wa o -F4-�.rYl a/_, <br />