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Den* Inc <br />82S*1250 <br />P.1 <br />Et10 L^ -G NUMBER <br />DATE RECEIVED <br />R (r'J7 D SA]Y.T+C3J�faUIN COUNTY <br />ENVIRONMENTAL REALTH DEPARTMIEN'T <br />304 E Weber Ave 3r11 Flooz Stockton, CA 95205 <br />JUL - 8(W-468-342!,) East (209) 464-0138 t�rxia: wwtia.co.sati o t h.ca usleru. <br />ENVIRONMENT HEALTH [�y pg p �4 `/ (� y� ` rypy g( a j 7 p� TVVT"'JJ <br />\u+n\rrTC^CD\RPCC JL UBA,IC Jft.LCORDS R.FlUCH1.S A$A I1ICAA ON <br />APPLICANT: <br />ADDRESS: 2-L %�'�_ <br />T� <br />G+USIrtlasstnoErtcr:.—_; h� IJ_•<.ri?/,' cro��� - <br />PHC-NE:. <br />TENTATNIE' APPOINY:TBENT DATE: <br />Time: 9 •. x <br />::'r'teasr. allow 10 business diTs from date of aPnfiea(k n sutra?ttai) <br />L� CHECK f1t•Y.'(C> CYr' t7�TE i'1'JL'cT • y9:i.:T9! FEE - R.=V;tUEST NRQCESSF:L' IPd 3 SU';IrfGS4 DAYS <br />SiGNAl'UREOFAPPLIi..ATO'--�_;(c t r _ v� z•c•v� ? DATE <br />V <br />HEALTH DEPARTMENT FILES <br />Departm nl Use Only <br />UNIT <br />+� U1ii1 <br />(] Ur, `:2 <br />Urit3 <br />Xriit. 4 <br />{ j,j U7it5 <br />?JF:IDER3:tOi3riD T.7iJK iNSTj rLE.`,PStFU':3°4E ('-OP) Ci HoUsma AAAYERFrOf n SOLID WASTE FACSUTY <br />01 nIT R xZ"" h Stir flow -1.137'. Ci Foci,) r -PCH t•" t" iM SOLID WASTE VPHIMi: <br />93 VNDER04tnUN) TANK (Mf7N'ICMWWRUNdDVAL) :7 DC<. KER T-1- 0 UA?Ry <br />10 tiAZAWi OuS Ta STC OENQV�P"JR C7 CirMEh FtlI&*1 r: pKG TREATME-.wrFi.AJd'r <br />TIERED PERMITTZ12 FACKP Y O H:DTLLJ'r?t'J IE•L, 0 FUMPER TFVUCKIYARDICMe35 TCILETc V1 <br />R TAT'M3Q1B0DY PIERCldei 6 P;,01-ISPA. 12 LAND USE APPLICATION S41'ES <br />M MEDICAL WASTE FACILITY 0 o-nw;LR(PLCS:SI. SP3:z'':IFY),_•,�;____am <br />_ <br />1. Lis" up to ter eddressaa Sr the space above. Sefe t t€fe ope(s) of files from the fee above by checking <br />'fie s-pon-lrpriate tf.nm1 # ki least one fa F> `3. rra %,41rT ` r ue)ac:lord. Fax to j9P2L46tjjN or mai! tD tY;e <br />ark iv s _k1diraterl K:Saov._�. <br />2. t=h1D w)It r'6 i th Ppzirc ,ni, if any END VOcz- er:i;•,t, An <ippointmant ft seviewr will be carnrt ed <br />approxiri•ateiy atve business a uys but no jafser than ten (1 Df day:I affef receipt of apocaNkon. The fates <br />YAP tin held fore; Ir:asz.imun7 of five bushness daya f'nr review. Appoinflnents shouts be sch(Wuled <br />accordingly. <br />3_ Anew <br />iy.�29C7t*"JYI>Y'lat �`�Z�_4�14A1Fi?)'tkt'[3 dk'ffi'rt 's➢e 41J.. ^ xN��'f�1FT=!E <br />4. iiy FP -s- ;,of. rete eJ en the smrA conditioki as r.Neaseri will be r';' egani, ed by EHC- 7>U f at ('tte, expense <br />C)f Arird a PpBc tnt. Riture file reviews by Me safBie appftant may reg0ro d $93.00 deposit prior to review. <br />5, `TEPP'!"A FV E a,lipa€ntment dates muFt he s-<.sn*(Ped wht, E.HD staff. <br />6_ AunKcations rezeivra3 a'ffer 3:00 not av311 sr .urcvr a;a t @h.a ncx1 Fu snir; claw <br />