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St)0AQQ1N G0UfqTypU8 14 <br /> LiC 8E`ALTN ,�aLOGru+°OE, <br /> E,NV'R0Ni EJ 'CES YTAL HEALTH bvISION - 031 <br /> W4 EAST 1NE$ER AVENUE.THIRD FI-C)OR O <br /> STOCKTON CA mid <br /> (Z9)46a-34M <br /> 1 PUBLIC RECORDS RELEASIN JPLI�CATIQd+t <br /> BU5IA6EIVCY '.� �. £ <br /> mss , <br /> nAa <br /> !ONES i <br /> RAt34Mr,E <br /> TWIATNE* vAT, <br /> ij <br /> �IaasA Ek vs 7 Co TO Ovsia�ss <br /> TWE <br /> Y trent�iin Msppr�sCoR�t10mFi�.rij <br /> CHECK B*x To Exprorm r �� E <br /> + T,31,100 F"_�gUtsT pROCESSW JN a elssu�saa <br /> SiGMATURE OF APPUCANT bAY <br /> �i DATE <br /> flLe AGDPJ= <br /> r C40 <br /> Lei <br /> - v <br /> ENVlTii7HmEmL HEALTH ON" <br /> N FIL.E3r <br /> UNOrRUROUND TANK(UST)LCLLANVp SM ji.Cpj � lipq Aa TE6t�� <br /> Q Or-(r:A CLE wUP 5rM 3f)L1Q WASTE FdC1L17Y 3 <br /> UHgERCSRt;�tt{1]TAl4X(�SC>I�lYOR1i9C73C71( IrGOT!FAd(tIY i7 SOLlC WASTir VFNICt,g <br /> NArAttDOi1>s wAaTB �XXNNELcP1cvT1 Q May <br /> PEPJffrtEZ FACIU—.i ❑ RI�iCFi iii cr Pkd ThrAT1tENT PIAN7 <br /> Q TA', <br /> TPI <br /> EQ1CALVWA. EFtAC;LATY a pO a� in WPEA TAUCmAu7vCg TOaEM <br /> ❑ Pt,Ptt1C 1r1IT SYSTQiq 1 q L"13 USE RPPUE:AMN Snrs <br /> f. LJat to tun acrtFrgssos to C lid lP>=Ca=r�►9ov� <br /> 3 the ro the atone f1le r . Soles#13�e types)a#1-des fr�pm the list abCYs b checking <br /> pP �2a hox(es}_ AL least arty file � y <br /> } type M'S7 W 60i"t@d. x:l g <br /> Z. i� he <br /> EMD vulll notify the Wficant if arty E}{C files 6XjvL M � reviewwV1 _ <br /> will be i oid jb firrc btisln urn f F but"0 later ttian ten(10 dey¢after�(Melpt cd appficaticu. The 1143 <br /> wi#,be l id lar A maxim ursa at�vs bu34wss days f raWgw. Appaintritent$should be scheduled <br /> ateordlsigly, <br /> 3• A rile that Ls Actively being worked on by EHc atAff may � � <br /> 1, ;"'"tion MIRY tie suismitted vrh n the file is aYBt##bi9, net be I��fatwiy ave#laktie far ravieu Anew <br /> d- Any fife riot returned In thO same CWditio <br /> of the apg9icant. Future fila revrs es re � <br /> iews day leased will be rrga IrL&d by EHD staff at the eXpenee <br /> 5. "TENTRTppoirrtment dot"lVE am the store xppii�maYrtquirc a S78.00deposit prior 10 review. <br /> cat <br /> I� 8- Applications raved �be conflrMed with EHO Staff. 's <br /> after 3:0�PM will be procewed tie next 4uaines's day. <br /> t <br /> ii <br /> CONFIRMED AppoiNTME47 I)ATE <br /> • TWW' <br /> 0A3�CONF1FtAlAE0 <br /> l PF40NF FAX` iNrTrALS <br /> REVIEWED YES 140 RE1!#EYY QATiE <br /> ° TCrr L ;3.el <br /> t <br /> �F <br /> 'r <br />