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10/17/2005 15:35 53067""'95 STRATUS NO CALT PAGE 01/01 <br /> 05/11/2004 14:50 4640138 ENVIRONMENTAL iEA-TH � <br /> DATE RECEIVED SAN JOAQMN COUNTY <br /> 3p4 Webes Ave 3 Floor Stockton,CA 95205 <br /> (209)468-3420 Fax: (209)464-0138 Web:www.cO.san 3oagt in.ca us/ehd <br /> XIJSLIC RECQRDS RELEASE APFUCA.xTIQN <br /> APPLICANT:_ �,�i�n � i3MINESSIAGET'ICY: <br /> �hv,i n <br /> HONE: CIAZ FA=tMiL E: <br /> TENTA7fifE'APPolhriw�NT DATE* 1 ,Zoe 5 Time. Q�M� <br /> (r Dass atkrw 10 business days from bate&appiieailna submi"o <br /> CHECK BOY,TO REGU - 3,,09 UEST PitOC1=SSEa IN 313UsINES5 HAYS �n <br /> E1 ASL DATE jU <br /> SIGNATURE aF APPUCAN- pep=nent V39 Only <br /> UNIT <br /> RLE ADDRESS Ej Unit 9 <br /> '• CIwo <br /> 2. s�, a ❑ Unit 2 <br /> a. Stree! <br /> ,, cnv Unst 3 <br /> s. s� <br /> e s C3 Unit 4 <br /> T. sure <br /> e p g Unit 5 <br /> A. &1Kel G <br /> ENVIRONMENTAI,,HEALTH DEpARTMF-NT FILES <br /> C3 SOLID WAs'5 FACILITY <br /> UNDERGROUND TANK NST)CLEANUP SnE(LOP) ❑ IiOUStA1t's ADATEMEt3 r ❑ SO1.W WAs-rE VEHIRLE <br /> 0 FOOD FACILITY ❑ 13AIRY <br /> OlUER CLEANUP.SITE(1`10t)rLoP) G DoQ KENNEL ❑ PKG TREATMENT PLAPiT <br /> ❑ UNDERGROUND TANK(MOi3iTOWhIG/REMOVAL) a CRICKET(RANCH ❑ pU9VtPF�i TRUCK►YAtiD1CHEM TOILETS <br /> C7 faAZAE$oU5 WASTE GENERATOR p MoyEi MOTEL_ Q LAND USE APPLICA.TIOrt FTI <br /> *' p �D P£.RMS' D FACIU Y ❑ POoUSPA <br /> ❑ TAZTOMODY PIERCING p p�{ER(PLEASE SPECIFY) <br /> * MFMAL WASTE FACIUrY <br /> l.is!up#o ten addresses In the space above. Select the types}Of files from the lick above by checking <br /> the appropriate box(es)- At least one file type MUST be seteeted. Fac to 209 46et-013>3 nr mail to the. <br /> address Indicated above- mtsnent far review will be confirmed <br /> Z" <br /> EH p will notify the applicant if any FID files exist. An appo• r r®G2i flf applleation- The files <br /> Appointments should tie scheduled <br /> approximately five business days but no Later than ten(14)days after <br /> will be held for a rnax[murr of five business days for review. App° r2ilable for review. Anew <br /> ac=rdingly. <br /> 3. A file that is aativelysbbm itted when the RisH17 Is r-aillable not be immgdiatefy D s at the expense <br /> application may be <br /> 4. the same applicant May require a$93.00 deposit prior to review, <br /> Any fife not returned in the same canclition as released wilt be reorganized by!= <br /> of theapplicant. Future file reviews by <br /> 5" �T6NTATNF appointment dates must be confirmed with GtIO bu$ <br /> 6, <br /> Applications received after 3:00 pM will be processed tre next business day_ <br /> Timzi . <br /> CONFIRMED AppOiNTNl�fri vAT� PRUNE FAX IDNiTiAL.S <br /> DATE CONFIRMED REVIEW DATE. <br /> REVIEWED YES i4o <br /> Eh'7 <br />