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12/10/2004 16:56 1866i&1329 RYAN 11 FONG <br /> PAGE 02 <br /> ✓�' 12/10/2004 15:51 4Lqp38 EWIW4,ENTAI_ r� TH PACE 01 <br /> EtSD <br /> 1013 NUMBER <br /> DATE RECEIVED SAN JOAQUM(vOUNT7' <br /> FNmONMNTAI,MA.L'iu DEPAnTMENT <br /> 304 E W eber Ave aro Floor Stockton,CA 95205 ca uslehd <br /> DEC 1 0 2004 (249)468-3420 k'ax: (209)464-0138 Web: •cv.san joauul- <br /> ENV/ihlI4 � '� FNi" <br /> PUBLIC Rt <br /> CORDS �pLICA xld�i <br /> PERf 11 FRS 10;�����p(� 1� ausuLessiACENcr <br /> APPLlCAP1T' Ob - <br /> ADDREs "lq oa)S OIL - - Ta- <br /> PHONE: — 'a FACE <br /> PyON£: `11 <br /> TENTATIVE"APpoDrMe <br /> tNT oATt:: <br /> 1 t m^°' <br /> (PII allow 10 busin"m Gays ftm data or appucim"o4bmmet( <br /> UE •S 3.00 M-REQUEST PROCESSED a1 a BUsINM DAYS <br /> CHECK DOxTo i� REQ <br /> DTM 9 <br /> DATE <br /> IGNATUM OF APPLICANT paper4onntUse ONv <br /> uNff <br /> FILL DRESS n Una 1 4 <br /> Unit <br /> Unit 4 <br /> e. <br /> Unit 5 <br /> e. <br /> a. <br /> FNVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ HOVSM AMTEMEHT O SOLID vrASTE FACILriY <br /> �IJNDPRGROUND TANK NST}CLEANUP SITE(LOP) ❑ FOOD FAMLJTY Q SOLID WASP£VEHICLE <br /> 13 DAIRY <br /> WONER CLEANUP STE MON--OPlN0RE ❑ Pt6T <br /> FT PLANT <br /> WIF TANK�ptOR L <br /> TOILETS <br /> CHICKEN RMI <br /> MTRUCKIYARMCHEM <br /> Q lSVSWASGNkRTOR lS6APPLlCATIQNSrrES <br /> C31 TIRPERtn-ED FACaY d pooUSPA <br /> 0 0T}{FR(PLEASE SPECT <br /> V 7ATTOOf6aDY P{ERc4lG <br /> O NEDtCALWASTEPACa-rTy' checking <br /> es <br /> of <br /> MU9Tbeselected. Fax to(2091464�138or a fl1e <br /> 1. List up to ten addresses in the spaco above. Select tho tyD ( - <br /> theappropriate�(m). At least one file typo <br /> ddra=s Indl6ated above- <br /> 2 EHp wi ttli no^o�fy the apPl�can`.It any END files ex15t N°8pP°a�at3eY�rec�Rlp�t o a1PPGoatnfirmed <br /> lon The files <br /> approximately five business days but n: later than ten(10) Ys Idtments should be scheduled <br /> will bo held for a Maximum of flue business days for review- APPo <br /> acoordingty. worked oh by EHD stall may not be tmmediatety available for m4ew, A new <br /> 3. A fire that is acGvety being <br /> appficaGon may he submitted when the file is available, <br /> 4. AnY file not returned in the same condition as released will be reDrBare a 93 EHD staff at the expense <br /> of the applicant. Future fife reviews by the szme applicant may fe9ui S G <br /> It <br /> ' TENTATW apPointment dates must ha confirmed with END Stall. <br /> g, Applications recd R ed after 3:00 pm will bo processed me next business day. <br /> ('sG3NFlh'9VII=��PbtN1h91ENT;DATE Sr, n.': <br /> &IAtE CONPittM6p. '- PHONE - FAx, ' aKrTIdCS <br /> diL'YIEWED YES NO REVIEW DATE. <br />