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0 < 50 4640138 ENVIROWENTAL HEALTH PAGE 01 <br /> Q �1 <br /> )AM tnU LW NUMaCR <br /> °� 9f i '�"/ ICU SAN JOAQUIN COUNTY <br /> ,,� <br /> MAY 1 1 2004 E+NVIRONNXNTAI�HEALTnDA <br /> EPRTMT' <br /> EN /3 <br /> 304 E Weber Ave Y4 F7ooT Stockton,CA 95205 usehd <br /> ENVIRONf�E(( 4 I L1$t3420 Fax; (209)454-0138 Web:WWWCO.SaIl joamlir,ca / <br /> PERMIT/SERVICES <br /> I1 �1 l 1PiJBLIC RECORDS RELEASE p),PPI,ICA.'ZTON <br /> /nY'1' lJ)TTin4rl 9USMESSIAGENCy: d '� <br /> Ttc <br /> rAPPLICANT:<. ,/..- --,T <br /> 7ADDREss:-33�( �f7&CA Par ( Sv'k 5 a t/ I�9ik� CLl- 9a"o8z <br /> LPHONEdl b�d r7"i Z- F-FACSIMILE:�30 ln'76-boos <br /> -Tme: BOD <br /> TENTATIVE"APPOINTMENT DATE: <br /> (Please allow III bUSireus days from data of application submlttal) <br /> In CHECK BOX TO EXPEDITE REQUEST•593.00 FEE-R£ EST PROCESSED IN 3 BUSINESS DAYS <br /> �^ �^ DATES f"O� <br /> SIGNATURE OF APPLICANT ? peparpna7Useonly <br /> 014T <br /> FILE ADDRESS <br /> t to 15, w'l W a p Unit 1 <br /> I <br /> b 5. v: 5 6k6 • 0 5 !vn p unit 2 <br /> s Sob 5 c �10 <br /> ' S . S Unit 3 <br /> U <br /> e s+rca o <br /> tnUnit <br /> r. 512e1 <br /> a se e <br /> MY <br /> 9. SrcK <br /> 10. S�I <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> El l) <br /> ABATEMENT C3 SOLID WASTE FACILITY <br /> UNDERGROUND TANK(l1STi CLEANUP SITE(1•CP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-Lop) G DOG KENNEL 0 DAIRY <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) CHICI�N RANCH 0 PKG TRFArMFNT PLANT <br /> d' HAZARDOUS WASTE GENERATOR Q MOTELlHOTEL G PUMPER TRUCKIYARD7CHEM TOILETS <br /> ❑ TIERED PERMITTED FACKM O POouSPA O IAND USE APPLICATION SITES <br /> • TATTOOIBODY P>FRCING V OTHER(PLEASE SPECIFY) <br /> O MEDICAL WASTE FACILITY <br /> 1 List up to pen addresses in the space above. Select the type(s)of files from the list above by it t otheg <br /> the appropriate box(es). At(east one Nle type MUST be selected. Fax to 208 464-0138 or mail t0 the <br /> addresslndipted hove. <br /> 2 An appointment far review will be confirm <br /> EHD will notify the applicant if any FID files exist The <br /> approximately five business days but no later tha'an ten(10)days after receipt of a dpbe lication. <br /> led Iles <br /> will be held fora maximum of five businessdayfor review. Appointments <br /> accordingly. <br /> 31 A file that is actively being worked en by EHD staff may not be immediately available for review. new <br /> application may be submitted when the file is available. at the eXPOnSO <br /> 4. Any file not returned in the same condition by the sa ereleased <br /> a s applicant may require ra$93.00 dDeposit prior to review• <br /> of the applicant Future <br /> file <br /> reviews <br /> ust be confirmed with EHD staff. <br /> 5. 'TENTATNE aPl� <br /> 6. Applications received after 3:00 pm <br /> will processed the next business day. <br /> TIME. <br /> CONFIRMED APPOINTMENT DATE INfifA!S <br /> PHONE . FAX <br /> DATE CONFIRMED REVIEW DATE <br /> REVIEWED YES NO <br /> END 49.•006. <br /> Rim <br /> 0/10 39tld AI-1V0 ON SnivNis 90099L90E9 9b:bT 600L/11/90 <br />