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TEL Feb 25 '0.5 ; F -52 No -001 P -01 <br /> SAN JOAdVtIN COUNTYPUBLIC HEALTH SERVIbE:,j <br /> s ENVIRONMENTAL. HEALTH DIVISION <br /> F E 8 2 5 2003 W**AST WEBER AVENUE,THfkb rLooR ' <br /> STOCKTON CA Of= � <br /> FAVIRUNMENI HEALIH (248)4W3420 ' <br /> PERMIT/SERVICES PUSLIC,MCORDS RELEAMPAPPL.ICAXIONi <br /> - APPLICANT G�G- �" ' aiat' sU31NG&SfAGENGY <br /> ADDRESS t CA tom • o�ere'.++�t�{•t. C A - <br /> i'.. <br /> pkdtit: �I 4 ! <br /> TENTATIVE'APPOINTMENT DAn` ' Timll �� ��' �( �"03 <br /> t '' (P1o.ar�a4w•t'i�'14 auslMasiz days r IIp1►11enupa�u�s i all _ <br /> CHECK BOX TO RXPEDITE REQUEST $111 0I40 li5TPROCESSE(Y IN 1OUSINE3S DAYSun' <br /> ' 22 . <br /> 1 <br /> S NATUR*OF APPLICANT T DALE <br /> �f-i <br /> ° t r FILJE ADORE$ IS 81VE EKr1 tiTWF 1151.' <br /> 1 } PROcrt1W ELEMENTO 80IRGn <br /> 0o E• r l� <br /> 'r fT rl I U r\ i►6{Q+i t <br /> G <br /> t, C 6jLr #- _. <br /> ? S 11-06 •i` .�Wc f j <br /> t- <br /> cyY ENV AOMIENTAL HEALTH DIVIM0,14 FILESIA rg2L+ UJ Al 10% <br /> {" <br /> r atu <br /> IaIII UNVEROROUND TANK(UST)CLEANUP SrM(L*P) © HOUSING ABATCMENT G SOUL W11t1 T xACILITY <br /> 11111 07HER CLEANUP SITU(NON-LOP) 10 POOD FACILITY 13 SOLID WAt111 VEHICLE . . <br /> 0 UNDMAGROVKP TANK(MONITOItINGiREmOVAta 0 41"KENNEL 13 Dimity <br /> 41 j4ACAt V0Q5 WASTE OENERATOR 0 CHICKrim RANCH O PKa TRENI'141191'PLANY <br /> ■ TIIER sU Pt!RMITTED FACILITY 0 MOTEUHOT EL, 13 PUMPER 71RUCX1YAR0MTIZM T01IXT3 <br /> 0 TATTOOMODY PBIRCM0 G FOOLWA 4 LANG USE ns'VI.ICATiON i7T;E <br /> ❑ Mr0CAL WAST>e FACILITY ti C7 OTHER(PLCAir-GP1irsFY ABOVE) <br /> 1, List up to tan addresses to filo aaa at=Ova, Select fifetyp!{ <br /> a}of Pilo$from tho list above by chal;klnq , <br /> , <br /> the appropriate box(os). At 14M On flte typo MUST be soT4etod. FW y484.0130 or mall,�a thg r <br /> r <br /> addry5f ladicbtoo. V , <br /> 2. Elio will notify the aspplexist. An appalntment for review will bo coni<rm4d <br /> approximately five bushes ,*dara'but no later then ton(1d)d�.ys attar r�ocotpt c�T apptication. The Elle) <br /> will be hold for a maximum of'fiVa businoxa clays for revlow..Aprinintmonts&nolutd be scriadUlad <br /> accordingly. <br /> 3. A filo that Is ar.11voly bbinq worli'OQ an by EHD staff may ngt_bp Immadlotoly ay.lilntale for review. A new , <br /> - appllraftri may ho 1FUbm1ttdd` A the 1110 iS 2valls1014. <br /> 4. Any filo not returnod If%the sathq.eandition as raloasod Atli be reorgamlxvd by END staff at the exlaans o <br /> of the applicant. Futuna f1lo t'4n/Wws by tha same apptlGantsy regvlra a$99.00,deposit prior to inview. <br /> 9. 'TENTATIVE appalntment dr1t�9'Y9�ust be confirmed with I#H�Staff, <br /> Appticallons received after SiddIm-will be procossed the llw buainvs:a day. <br /> GONFIRMED APPOINTMENT DATE. .�... 1.,_.�:.�.._., ......r t <br /> 1 <br /> OATEIr CONFIRMED PHONE INmAILS -- <br /> j 1lIEWt:t3 YES It£Vl � <br />