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04-16-2001 08:51AM '..�tCJM TO y 19259409632 P.01 <br /> w,Ak raCwrra LM La:nUWA&K <br /> SARI JOAQUIN COUNTYPUSUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOK <br /> STOCKTON CA 95202 <br /> J20PUBLIC RECORDS REE4U-3420 A E APPUCATION MAY 3 0 2001 <br /> APPUCANT L 6114 1� C'4�STt1.Ufl� I�usINESSIAOEr+CY C>•�d GaiC! Cdyye h�!S�T',-.s.r�!!��i h <br /> AOORESS <br /> 5-673 V►r [i1 S Sof%TigS �vex <br /> PHONE 3 Z fAGSIrtuLE ,�'2- s- 9 a- 6 3 2 <br /> 3 TENTATIVE"APPO18 IMPIT DATE ( TiiNai /� <br /> (Pips plw 7 i 10��days ihvrn dab of appu"Uon subril-tial) <br /> 6WIr-5 .�, 3, * <br /> '• CHUCK BOX TO EXHWM REQUE11T-$V.00 FEE-REQUI'sb7 PR ED W 3 BUBIMM DAYS / <br /> SIGNATURE OF APPLICANT ;,,,,, <br /> 2 P � �, DATE �l <br /> F AD s THUS SIDE SHO WiTC&USE ONLY <br /> PROaR^M ELEMEWM SZAR" <br /> puT 3T, S 0Ck ro - <br /> 6 o dVT ST rap xTd 3S� L D. <br /> C w Y o �t 3s - M� <br /> r C A14 A T� WAY S -O C&,TO - -Z9•(0o r <br /> res q c O 3sa <br /> S. �,►A o k o/>/! -295/ <br /> - a a, oa 1 <br /> s - G• <br /> 40 L. COG AG d _ <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> �6"TKER <br /> OERaRC4JNO TANK(UST}CLt^NUP arm(LOP) 0 liausm 9 ABATOUNT �S4LID WA M PACIUTY <br /> CLEAMUP SITE(NON-LOP) 0 FOOD FACZM eSOL.1$WASTE YSHICLE <br /> , ��r- 1Nei RoJiautlo TANK(MOISIITOFtka'WREMOYAL) 13 DW KENNEL 0 VA RY <br /> i gJ�1ULTJYiiDOUS WA9TA OiNBRATOR 17 CHIClCBNRANCH 0 PXGTREATMENT P.LNIT <br /> i (ir Timwn Ply%mn r80 FACILITY 0 NOTFLMOTEL 0 PUMPER TRUCWYARU KLMTOILM <br /> D TATTOOMODY PEIRCWG O POOLISPA 0 L.AnO USE APftXATxM snEs <br /> D MEDICAL WASTE FACtLnY ❑ PUWC WAV9R SY$TEM M OTHER(PLWA S SPECIFY ABOVE) <br /> Z. List up to tan addre$%es-in the space above. Ssleai the typs(s)of Was from the list above by checking <br /> the appropriate boxes). At least one file type MUST be sei*cttad. I=to t2O9)484-M36 or--sell to the <br /> addreag Ind �2yy. <br /> t y. END will notify the applicant N any END files exist. An nppointrnent for review will be confirmed <br /> approximately five business days but no lat*r than ten(10)days after receipt of application. The files <br /> will be held for a maidni un of five busigos;days for review. Appointments should be achocluled <br /> accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be tmmedixtoty available for review. A new <br /> application may be submitted when the file is evadable. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future Rio reviews by the same applicant may requires a$87.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confimod with EHD staff. <br /> 6. Applications-recelvad after 3:00 pin will be processed the next business day. <br /> F - <br /> r <br /> CONFIRMED AF'POINTmw DATE TIME <br /> Q.!N E CONFIRMED PHONE FAX INITIALS <br /> a <br />