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11/05/2004 15:28 7077•" ''71 CERE CIAT PAGE 02/0 <br /> A <br /> • ; j9 EHD EAG NUMBER <br /> nrsq.`, ' SAN JOAQUN C777, „//�`2.�D� EPARTMEN� <br /> v FI�IMONMENTAL HEAT, <br /> NO U 0 5 2004 304 E Veber Ave 3rd Floor Stockton,CA 95205 <br /> (209) 46$-3420 Fax:(209)444-0138 Wtb:WWW-00-=-j 0ZqU1t-M&eW <br /> ENVIRUM-N-i HEAL[H <br /> PERM.IT!SER`JICES P TgLXC RECORDS RELEASE APPLiCAT TON <br /> AP�.rcrwr. 1 r � 1 Busa�ssrAosl�cir:��� �ny1�'�� <br /> ADDRESS: ` ` t 1'• I t/�l� <br /> PHONF-_ ` g'_??( FACSrDAM <br /> TENTA,'r*APPOINTMENT DAT>_:. RQQPA� i TkM' Lp <br /> r sz' (Pbesse allow 10 kusrnosS days from date of appriaaftn wtxntitad) <br /> CHg*$ k1rexpUnlin REQUEST;¢93.00 FFE-PX-QUEST PROCESSED INS BUSINESS DAB'S <br /> SIG 70FAPPLICANT RATE I'IT, <br /> Depart=11 Use Orgy <br /> FU ADDR.999 urtrT <br /> __---. s-.' La Urxt 1 <br /> s> <br /> a ti ❑ Unit 2 <br /> A <br /> sow 0 Unit 3 <br /> R sheet <br /> ahat .0000"LlnR 4 <br /> ❑ Unit 5 <br /> ENVIRONMENTAL HEALTH DEPAI i'1't`a.ES <br /> �o �E.-Am MWERIMOUNDsn�May.�errs�� o ��rE � �SOLID wAM Vr:MCM <br /> 1$UNDERGROUND TANK(NONMOftMMEMONAL) o Wo KER14M In DArRY <br /> X HAZARDOUS WAs7E GEHERxIOR V CMCKGIR RARN G PKG TRFATMENT PLAXT <br /> A TWAED PERIATIIEiU FACUMY 0 MOTEL440TEL 0 PUIVER TRUCKJYARLH+C "TOV-M <br /> 0 TATFOOIB60Y PIMMING El POOUSPA C] LA”USE APP fCA710N SITES <br /> UMCA L WASTE FACAR Y O OTHER(MAASE SPIEC>FYI <br /> 1. Last yup to ten addresses In the space above, select tne.t rWr.)of files from the fist above Jpy checking <br /> the appropriate box(es), At least one file type MUST be Selected. Fax to C2d91464-0138 op motif t2 the <br /> address Indicateq akove. <br /> z END will notify the applicant If any EHD files eit. An appointment for revlsw will be confirmed <br /> approximately five business bays but no later than ten(i D)days after receipt of application. The files <br /> Will be hold for a maxknum of five business days for review. Appoldtments should be sohedulad <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A now <br /> alpplk;AbOn may be SUWUed when the file is available. <br /> 4. Any file not returned in the same condition as released Will be reorganized by EHD staff at the expena+te ' <br /> of the applicant_ Future file reviews by the same applicant may regtdre a$93.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 ptn will be processed the next business day. <br /> iL't MF(F 7I~b: +pd1 ElYT DATE TIME <br /> ME71. <br /> •r.� S. .;s ;.: <br /> Y. <br /> 1 EVIlrvVED YES NO � REVi>wW DATE <br /> TO 3Jtid F-1L-IV3H -1ViN3W0NTAN3 GZ:ET V2GZ/90/TT <br />