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12/10/2004 16:56 18669^ 329 RYAN & FONG PAGE 02 <br /> 12/10/2004 15:51 46W8ENVIROhf�ENTALOALTH <br /> PAGE 01 <br /> - EI-ID LOG NUMBER <br /> DATE RFM VED SAN JOAQUW COUNTY p <br /> 1aNmo NmyNTAJL MALTLi DEPARTMENT �®{ <br /> 30413 Weber Ave 3r°Floor Stockton,CA 95205 <br /> DEC 1 0 2004 (209)468-3420 Fax-(209)464,0138 Web:vr�vw.co.satt joapirL w/ehd <br /> ENW"11 r:,;�.r' r r1a 4 k PUBLIC RECORDS RELEASF, APPLICATION <br /> PFR 1;`;i R','iC}NcSnYiP ��rJrdCt(c7'P� susrNFss zFN Y <br /> APPLICANT: ^-1' <br /> ADDRP.S M W�-s 'If (� <br /> PHONE: � FACS �(- <br /> Q11n^q�31� <br /> TENTATIVE'APPOINTMENT DATE: <br /> (PMise alloy t9 busln"a day's from date Of AWcatloa"I'malan <br /> CHECK aox TO EXMITE REQUE .$93.09 FEE- REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> IGNATURE OF APPLICANT DATE <br /> Dayadment Use ONY <br /> UNIT <br /> FiL6 ApDRESS <br /> 1S0 I it 0 Unit 1 t l <br /> Unit 2 <br /> 4. <br /> 5. <br /> VIE <br /> ° Unit 4 <br /> r. <br /> a [J Unit 5 <br /> 9. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> VUNDEAGROUNO TANK(UST)CLI_ PW SITE(LOP) 0 HOU5e4 ABATEMENT O sOLID WASTE FACILITY <br /> �OTFIER CLEANUP SITE(NON-LOP) <br /> FOOD FACILITY O SOLID WAWM VEHICLE <br /> VUNDFAGROUND TANK jfAONIPDRINGtREMOVALI 0 DOG ttffi 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKO TREATMENT PLANT <br /> (71MOTELIHOTFL 0 PERTRUCK/YM0N!9rr TOILETS <br /> t3 TIERED PERMIT"FAcxM <br /> Q tATT00fBODY PIEACe,G O POOP-/SPA 13 <br /> USE APPl3CAT109RE5 <br /> 0 MEDICAL WASTE PACILrrY 0 O'rtIFR(PLEASE SPE <br /> 1. List up to ton addresses In the space Above. S0lect the typ0(s)of flex from the list above pY eking <br /> the appropriate box(es). At least one file typo MUST be selected. <br /> Fax to(209)454-0138 or malLto the <br /> address Indloated above. <br /> 2. EMD Will notify VIe applicant If any ENO files cxiSt M appointment for review will be confirmed <br /> approximately five business days but no later than ten(1 D)days after receipt of uldbe!a the Tho files <br /> wi <br />