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Va/Vz/ZVV6 11 :z� k8x 1 002/002 / <br /> R-11""ED SAN JOAQU N COUNTY <br /> • E1 N moN jzjTAL HEALTH DEPARTMENT <br /> MAR - 2 2006 304 E Weber'Ave 3"F100C Stockton,CA 95205 <br /> ENVIRONMENT IE�Lipp) 468"3420 Fax: (209)4640138 Web:www.co.saa}oaquin,elLuslebd <br /> PERMIT/SERVICES PUBLIC pECORDS R.ELEAST APPLICATION <br /> APPL]CAMF. BusLNESSIAGENCY: <br /> ADDRESS: IS <br /> PHONE — 9 y ( y FACSIMILE;L, . — L LO ! a�j _ <br /> TENTATK*APPOWTMEtTi DATF; �J 7Time: <br /> (Pwa�5a allow 10 businass days frOM date of application submit== <br /> CHECK BOX TO EXY£DfTE REQUEST.S93.0C FEE-REQUEST PROGESSE-0 W 3 SUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Dnpactme L--&only <br /> imrr <br /> FILE ADDRESS <br /> I. awry 9 ' ❑ Unit 1 <br /> Unit 2 ' <br /> .. <br /> Unit 3 <br /> s. sa.a <br /> _ <br /> lt 4 <br /> T. Sired Un <br /> Qrf <br /> L 0 Unit 5 <br /> L S4r�l <br /> -ENVIRONMENTAL-HEALTH DEPARTMENT FILES <br /> LrrY <br /> UNDERGROUND TANK(UST)CLFJINUP SITE(LOP) <br /> C3 HOUSING ABATEMENT 0 SOLID WASTE VSHFAr-ICLEZ <br /> OTHER CLEANUP SIT£(MON-LOP) ❑ FOOD FACILITY Q SOLID WASTE YEHIGL£ <br /> 19 Ut4DERGROUFID TANK(MOHM)FUINGlREMOVAL) Q OOC"KENNEL JO pKG D R'f <br /> a HAzARDOUS WASTE GENERATOR ❑ CHICKCH RANCH �•-pUMp U=A�UENT FtANf' <br /> t7 -neAEn PER ArmEO FAciu)'Y Q MOTELlHOT'1EL ❑ LAND USE APPLICATION Sn TOILEfs <br /> O TATTOOISODY PIERCING O POOLISPA l� LAND USE APPLICATION SIl ES <br /> ❑ MEDICAL.WASTE FACILITY G OTHER(PLEASE SPECT <br /> 1, List up to ten addresses in the space above_ Select the type(s) of files from the list aboya by checking <br /> the appropriate bax(es). At least one file type MUST be selected. Fax to 203)464-0136 or mail to the <br /> address indicated above. <br /> Z. EHO will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately rive business days but no later than ten (10) days after receipt of application_ The riles <br /> will be held for a maximum of five business days for review_ Appointments should be scheduled <br /> accordingly. <br /> ively being work <br /> A file that is acted on by EHD staff may not be immediately available for review. new <br /> application may be submitted when the File is available. <br /> 4. Any rile not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future rile reviews by the same applicant may require a$93.00 deposit prior tG review. <br /> 5. `TENTATIVI appointment dates must be confirmed with EHD staff, <br /> g. Applications received after 3:00 pm wilt be processed the next busineSS day. <br /> FREVI.EWED <br /> ':Z-P1lOTlEFAX' rte: 'tNFFYI±S NO REVIEW DATE' <br />