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-04/05/20@@ 16:54 13107982841 PAGE 02 # <br /> a M a(r 1H6o 12;45 45a'-'1,8. ENVIRCJNMENTAL(-�LI H PAGE 01 <br /> DATE RT;CIwIVEp � -` -SAN JOA,QupN CoUNW VIMt�G n��atrc <br /> E'�\ D 1ENY�. o NTA,L WAL'><H DEPA RTMEN7r304 East Weber A u veauc,3"4 Floor,Stockton,CA 95202.2708 <br /> T elcPhone:(209)463.3420 Fax:(209)464-4138 Web:www.sjgov.arS/shd 1*74 <br /> f !4',V` <br /> r,,r - PUBLIC RECORDS RELEASE .A.PPLICATIO14 <br /> tj <br /> �} AMppms: UD Crit TA,TFti � <br /> 17 ti NONE{i f21: FACSWiI~ <br /> TENTATIM AFFOIRr M DATE: <br /> (Plowe snow 10 b mid days Front data of fflV Iron rAxnoal-•r@n*Afte only-mint be ecefinned) <br /> M=BOX TO EXPEMM RN T- F5(CASH OR C H-9G C ONLY)-ReQUEXT P(iQOMIM IN 3 B!.Sams MAYS <br /> 'i$IGNATUR1;OF AFPL1DANT RATE <br /> Eraotronie <br /> El Liat 0 VW.I)eesripNi ; <br /> (fA�Qrlr19t�011 <br /> FILE ADORES$ ONLY <br /> nfi Street Frame City <br /> ❑ Unit 9 <br /> 3• G Unit <br /> h Fes, I <br /> 7. 'ul,i 4 <br /> 8, <br /> ❑ Ung 5 <br /> 10. .000UM <br /> Specific Onto Range of th%rmation]toque !From (jey'r" to <br /> � <br /> r ENVTROMMENTAL Hl=AI,TH DEPART�Ill=111T FLzs <br /> ,�+�1hvnERE MUNG TANK(1j3n OLr,Il WSrM(LOP) 0 HwA=A9A'i'E wxT )4XW WAM FAClLfPrMl CLF- <br /> ;toTWR ctz4nur srm(tdora-t,Op) o Foos Fr qnm 13 WAass TtpM <br /> X URPORcrtouNo TAw(moMraRw;me=YAj.] C3 DW KaNM O PAW <br /> WHATARt OW YKAM(31149MMR ❑C RAWH >iCW*T*WATM TNaATMM PWW' <br /> CI TMM0 PMUWMb FAMM G Mso . PuePR TRUCcYARe►CpEcaL TSLS <br /> TArreolper P»ua M <br /> ❑LAM UW-APPLPATKM 91TT:t; <br /> C1 tea:Wr=F#aun* d C7M9(PLEASESP®CIF1') <br /> 1EYCtt.AHD&TMc P�RMtf Rs 0W Atte AVM JWKI FSR RI:vIRW*MONDAW-l:RiDAY 6:00 AM—OM re - IUMM09 HWMVL j <br /> 1. List up to ten addresses in theopace above. 5eled the type(a)of film frorn the lint above by cheaking the <br /> appmprtate box(es). At least acre file type MUST be selected_ N 1 8 or "t to 2LILatidmu <br /> 1909iWa-bim. Address ranPq9 will not be acraepted--for additional asajoancs v4M file addreaas,contact <br /> the EHQ.AppliaaiiOns r+ owed afls~r3:00 pm w1l{be procet"d the no*businaN day. <br /> 2. The EHO will notify the applicant if any RHD files exit. An atipubftent fnt review will be corftmed <br /> approxirn,aft(y ten(10)day*after receipt of application. The flies will be held for a maAmum of five busir]m <br /> days for review. Appointment Should he ach0dulad accordingly. <br /> 3. A flle that is actively being worked on by EKD staff may not be immediately available fur review. A novo <br /> apPficatiap may bq submitted when the file is available. <br /> 4- Any file not returned In the same.aandlllan as reiawmd will be reorganized by END cd*ff at the expense of the <br /> applicalnL-Future file raviewz by the same applicant may require k$93.00 deceit prior to review. <br /> GH0 Allft <br />