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APR-11-2012 WED 07: RS W ATIONAL FAX NO. 4755102 P. 02 <br /> 04/10/2612 10:37 26 1 tt hh i ENtlSRDNMENTAL H H PAGE 62/02 <br /> 1�P A 2U1� EHO LOO NUMEER <br /> DATE VECEIVEDEN1�1�11�4PJAt. COUNTY <br /> REcjEIVE OW L HEALTH (DEPARTMENT <br /> 600 Fast Marin 5t. Stockton, CA 95202 3028 ov.or /ohd <br /> APR 11 Z*phonei (209)468-@:420 Fax: (209)464.0136 Web,.W wv,ajg 9 <br /> RCr NME4ERv_,cv HEALTH PUBLIC; REI aOR REV.!^ASE A IGATIQN <br /> iy`f�Eq.IC EIUSINE$VAGENOY: (.001e-44_. — <br /> APPLICANT:- &V'r` CITYISTATElZIP: r po(�,�pT1 5 Z I -� <br /> ADDRESS: '3�1.3'I ark•Sti�-�- •d,� <br /> I Monl6(21: Zoq b39 1-17 o FACSIMILE: 09 47 S-5 02 <br /> PHONE (1): 2�1s S �b— Time: <br /> TENTATIVE"APPOINTMENT DAT E; <br /> (Pleeise allow 10 4udnaa Wom date a epplloetlon BMmIItU •'Tents!va only-must be oce rmedl <br /> (] <br /> NLY) RBQUEST PROCESSED IN 3 BVEPI <br /> CHECK BOX TO EXPEDITE <br /> me �5 FEE(CASH OR CIieGK G • DATEi i'3`A — <br /> SIGNATURE OF APPLICA -- <br /> Electronic information: F1List 0 Map•-Dee criptivn: EHO Use oNiA — <br /> 2 LE ADDRESS- �— <br /> City <br /> niII <br /> ^BGect M street Name _,._. --'---" <br /> STUt•ka'Gh <br /> I• 655 L hero �� M�'�d�.._— 0Unit2 <br /> 2. — <br /> W14 t <br /> Unit <br /> -,: 6,r <br /> 73. <br /> 31 trills <br /> 70. SY L P D n.� o a:Tafc o r 4f1+fM"r4- <br /> 41pac1}Ic Pste Ranee of lnformstlon Requeetedt from N y°re /naul'j r{w1 e0.N1 eS YN Lff <br /> ENVIRIDNIMEN, ..ALHE t ENT FILE �SOUP WASTE FACILaYIVEHICLE <br /> UNDERGROUND TANK(UST)GLEAIRIP SRE(LOP) I HOUsINC ABATEMENT WASTE TIRE <br /> OTHER CLFANuPSITE(NON-LOP) DFOOD PACTUTY DAIRY <br /> (]POG KENNEL 0 WASTEwATEA TREATMdT PLANT <br /> UNDERGROUND TANK�(MONITORIN9N�MOVAL) CHICKEN RAIVCN <br /> HAZARDOUS WASTE QNENERATOR CHICKEN Ro ❑Popm TRUGKIYARDiGNENIICAL 701l.1ET9 <br /> TIERED PETtMITTED pACI4riY MOTELIPOOLISPA []LAND USE APPLICATION SITES <br /> TATrODIBODYPiERCING FICOMPLAINT RECORDS [�OTHER(PLEAIIE SPECIFY) <br /> MEDICAL I&STE FAOILITY <br /> R REVIEW: <br /> 1NIELLA�NP SePTIG PERMIT RECORDS AVAILABLEREVIEW: MONDAY-FRIDAY E:00 Am-5:001"m(IExOi�UDIWO HOLIDAYS) <br /> q• L t r%„ ,,, fan addresc5a in the space above. SlaieG�tthe type(a)s Tllosa pm„ahl to „�a��by�cs- �tlik �titenlebspLU Arddress <br /> box(ss). At Isast one file type MUST be t,olacted. R x t 1�. 1lostions rcicelvad aNer <br /> ranges will not ba accepted-for addifler al aselat&nee with filo addressna,contact the HHG. ARP <br /> 3:00 pm vdll be processed the next businnesa day. <br /> IsL An appointment for review will be 2• <br /> The ENO will notifytho daysfter receipt of apptloaiGant if any f11EN Will be held Po a maximks ex um of fivo business days tot review.Apr onintments 110) <br /> should be scheduled accordingly. <br /> 3. Awhon th <br /> fills thshe fllbeing <br /> wor ed on by EHD staff may net be immedlatelly avallable for review. A new application may ha <br /> t <br /> 4. Any Rle not returned In the same condition as Milled will be reorganized by CHID staff et the expense all the apply <br /> Future Nle reviewa by the same epplieart may Irnqulre a$126 deposit prior t4 review. <br /> EHD URE ONLY <br /> 6NG a•oR �.� <br />