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Aum rr]. 369�_� Feb. B9 2888 09:0BF7t PS r.,. <br /> TO-AQL'1N <br /> "." Ct7L1NTyPUHL{C ""d`� c•Ol <br /> ENVIRONMENTAL HE HEALTH SERVICPS <br /> 304 Fr srw ALTH DIVISIOU <br /> ESER AVENUE THIRD FLOOR ` OO O <br /> STOCKTON CA USZ02 <br /> P11BUC R �9)466,9420 <br /> ECORDS Re ComS <br /> `'"at.ICANT-' �N{ (n J ��+'�JEAFPL.fC/ATiO{V <br /> ADDRESS GG <br /> Pt UNS tr1+ YJl�YSrw E .+ <br /> 91nrLe <br /> TENTATf VE`APPadr.MEPAC <br /> (ptB1L WYT T la IO C <br /> Twr <br /> CHECK BOX TO oWentrr REOas7�tro+n 4i[o a*�PPC04vun•ubmfgali EB 2000 <br /> jLMT."'7Ae0 PLS{_ <br /> SIGNATURE OF ApPLIREau�r PrtDc>=slFD td l HU"WFiSd OATg <br /> CANT <br /> J `� DATtIL q '�z az- <br /> \V <br /> z- <br /> \ - FILE ADLHtE.� O <br /> v Y CO — 1 <br /> o r 2 . O <br /> D <br /> oal <br /> ENVIRCMMENTAL HEALTH DNISION FILES <br /> RUHCEit3ftOUHniOo <br /> Q OrHER CLFAr:up sliE(UST)GLEAKP UIT tLUP) O 1{pW+IHO A$ATptAEj(y <br /> UNDERGROVM TAMC mowwp) ttLHCY(MONITOC P00D'ia ASTT .�SOLW WASTE FACi1l <br /> A41 II ❑ 5DUD WASTE VFJII <br /> TILRL�D PERtAr77e0 FA TDa O CHK:7CcN RANGH II DAIRY <br /> M TAD ICALwAYP rtACu1D O Mtr1E7,A1p7 Q PKtl TR ATMLNr Pt A.Vr <br /> O MEDICAL WASTE FACJLITY POD49PA PyMpEn TAUf:K/YViyp1E0.1 TOx)ryF <br /> ❑ PUSM WATSH syaTMl Q u O USE APPLICATION SiTPS <br /> rt- Llat up to ton aaaroScoa in the apace above. Solea the q oT"M(PLE.�SPEC"ADOM FEB 25 2000 <br /> the ea cro bax(es}- At Isast one H!e type MUST he tyW t)of Iles fr=the lisr <br /> i eaisctad. Fax m(209 a�Ve by decking <br /> 2. SHE)WIII notify thtc:above J- a ma" o he <br /> ""innately I've busln SS ay but ntl aPPahlirnent for review wUi hp corMrttuttl <br /> wdl bo held far a m ess d s ten(10)days after recei PP <br /> a>cimlan of rtvr)uyfm�days for rovievi. Pt n}a Gcation. The I.es <br /> A Gle that <br /> Is APPaIDtnlMt5 shoal <br /> 3' A Ile that Is fy'act d h8 S�a671.d <br /> A lveiy being Workad Y D staff may tmrn"d'iatef a <br /> 4 Any <br /> ion r eY be submitted when the fila is avatlAble. net he <br /> Y not returned in the Y vatlabk for relrioW. A new <br /> of the QPPiicant Fdfeer!IfegmeWdt}iOn yx released will be rear <br /> 5. 'TENT the same a gantxad by EMD staff at the ex <br /> B' <br /> Applications nrco ved int'after 3, <br /> mUat be confirmed with E}may IA stat vire a$7g-Gn dcpoa;t prior to reviovr. <br /> Pro will ba Processed the next <br /> � business day. <br /> CONFIRMED APPOINTMENT DATL <br /> I OAT Ti CONF1R1VlED TI/WF <br /> PHONE FAX <br /> R2VtEWED INITIALS <br /> W , ,,,, YES NO <br /> REVIEW PATE <br /> TOrfi x.01 <br /> 036 -Lo lZvduhw.e_eZ <br />