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\ 12-1T.-1933 C'3 �3Ffl TO <br /> Sir-18147 v :'err'>. <br /> VV f "E fH6ld.`+VMaErt <br /> AQUISd COUNTYpiJSL)r, HEALTH SERVICES x <br /> ENVIRONMENTAL HEALTH DIVISION yr <br /> DEC 13 1999 39v cAST$TBFR A N CA 95202RO FLOUR <br /> .-_:NvI 0N(v EN"!AL HEALTH (209)4$8-3420 <br /> PERM11T / SERV1CF�8L1C RECORDS RELFASE AppLiCAl'ION <br /> 4,It, <br /> Calif. . Geophysical Gp . 5rr <br /> BUS1NE391AGE�_ -- <br /> APPLICANT ^' <br /> A,DOREss P.O. Eo, 578341. Plodesto CA 578341 <br /> 527-1247 FAc51MILE 527-4810 <br /> PHONE — <br /> TENTATIVE"APPOINTMENT DATE ' "' r lb _ TIME Anytime <br /> 1�t (Please 9ivo 7 la TO business claystram dofe of appGcaHon su6Mittal) <br /> EA.tCHECK BOX TO EXPEDITE REQUEST-y7ii.0a FEE-RCOU EST PROCESSED IN 38USINE95 DAYS <br /> SIGNATURE OF APPLICANT �✓ -- <br /> �_—�� .. FILE ADDRESS <br /> d T- Tiers 4907 Waterloo Road Stocktun_y CA _�—�-- <br /> r^ r rr s 4(14$ rl Stockton CAA <br /> ----------------- <br /> ENVIRONMENTAL HEALTH nIVIS1ON FILE5 <br /> HOUSING ABATEMENT ❑ SOUD WASTE FACILITY <br /> bt ijunErGROUND TANK(HST)CLEANUP SITE CLOP) P FOOD FACILITY r7 souD WASTE VEHICLE <br /> 7L OTHER CLEANUP SITE(NON-LOP) p PCG KENNEL 13 DAIRY <br /> Q UNDERGROUND TANK(MONITORINUVREMOVAL) p CHICKEN RANCH U PKO TREATMENT PLANT <br /> ❑ HAZARDOUS WASTE GENERATOP. p p/HC't'KENN ❑ PUfaPER TRUCKNARa CHEM TOILETS <br /> ELIHp -NE,ED pEn.mmED FACILITY c3pUOUSPA b LAND U9F,APPLICATION STYES <br /> El TATTOO'BODY FORCING ❑ pUBWCWATERSYSTEM OTHER(PLEASE SPECIFYAUOYE) <br /> O MEDICAL WASTE FACILITY <br /> q, List up to ten addresses in the Space above. Select the type <br /> of flies front the list above by checking <br /> the approgidd 081( ). <br /> At h S aceRI)v In?lyre MU5T be 6eleeted. Fax 209 4 _138 or all to e <br /> address fndiCated above. y for review will be confirmed <br /> 2. EHD will notify the applicant iF an EHO files exist An appointment <br /> approximately five business days but no later than ten(10)days after receipttshould be scheduled <br /> Of application. The files <br /> will be held for a maximum of five buaineos days for review. Appointments <br /> accordingly. <br /> 3, A file that is activety being worked on by£HD staff may Not be Immediately available for review. A nsw <br /> npplieation may be submitted when the file is available. nse <br /> 4. Any file net returned in the same condition as released will be ro- <br /> of <br /> a$78M by <br /> depositat <br /> to review. <br /> of the applicant. Future file reviews by the same applicant may ro4 <br /> g, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm Will be processed the next business day. ,r <br /> el <br /> ritiPi�� .Pg Fi?f <br /> JC-)TOTI-IL <br />