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J�2�/2004 13:53 FAX 1 2�0G9*234 7727 STOCKTON t�0o2/002 <br /> /Et21p3^SLiI����� 9 EWIRi�NTP EALTH PAGE 01 <br /> MCD \./L� Cf71J Lw ir4mW41 <br /> SAN JoAgvnv CovrrrY <br /> ENYIRONmNTAL HEALTH D EPA RTm, NT <br /> MAR 0 1 2004 304 T Weber Ave 3"Floor Stockton,CA 95205 <br /> ENVIRONMENT'I#EALI N 5-3420 Fax: (209)464••0138 Web:w•ww=.san jwquin.ca.us/chd / 10 '7 <br /> PERMITISERVICESPUBLIC RECORDS RELEASE APPLICA,'TION <br /> APPLICANT. e. t46 EUsWESSlAf3EeNG'lf: Wad lace,- Zu 4 A 5' 50c-. <br /> ADDRE98: 3410 W, ird L - 4 <br /> PHONE 0 2.3 Z FAMMUM (Z D al ?-3q - -4-j?,-4- <br /> T <br /> TENTATf VE•XPPt)ptT IIT DATE Tww: <br /> 0%830 bid 10 b=fnsF.a fts frons date of OpplicaUca zubmitfaf) <br /> CHECK BOX TO itXPED"E REQUEST-& .00 FELE— PRCKMSSED IN 3OUS1MMS DRYS <br /> SIGNATURE OF A>PPLiCAMA c_ DATE 3 f~D <br /> Dem Use Ody <br /> FRE ADDRESS UNIT <br /> Z-D rv` [] Ung 1 <br /> png3 3 a I �- 1 <br /> ., `DLA <br /> A Z © Unit 2 <br /> 1 E 1 r c�.r + a!3' Ung 3 J <br /> Crr ✓ <br /> ung <br /> E1- <br /> CRY 5 <br /> 8. Saes{ city -j <br /> ENM0NMENTAL#IMTH DEPARTMENT FH-ES <br /> IX UNDERGROWD TANK MT)CL:EANW SITE(IJOn o HOLISM MAT'EMENT fa SOW W FAt�i�Y�-� �� is <br /> c <br /> J� allieR LF-muP srm(NoNAxil - 0 FOOD FAC LI Y la SOLID WASTE VEHICLE <br /> �uKDE RGROuNDTANK(uowrOmonmmom) O DOG KENNEL 0 DAIRY <br /> E] HAZARDdUS WASTE dE NEEtATOR V Ctg41MN RANCH M PKK TREATIYII_NT PLANT <br /> fl TIEJWD PERMI I I D FAG MY G M070JH TEL 13 PUMIER 4RUCIVY/IRb40WM TOLET'9 <br /> 13 TATTOOMmir Pwitermo C POOusPA O LAND USE APPLICATION SrMS <br /> MEDICAL WASTE 1=ACUSY 13 OTHER(FLeAsE <br /> 7. List up to ten addresses in the space above. Select the typos)of files from the#1st aboye,W cb*Wng <br /> #I0 ap OPdate box(es). Af least one file type MUST tae fid. Fax to(2041464-0158 or mail.�a tfie <br /> fddress Indicated above. <br /> 2. EHD will notify the app(lcint if any EHD flies exist} An appointment for review WHI be confirmed <br /> approxlmateiy five business days but no later than ten(10)days after recelpt of alppikcation. The files <br /> WHI be held for a maximum of fire business days for review. Appointments should be scheduled <br /> accordingly, <br /> 3- A file that is actively being worked on by EHD staff may not be immediately available for review. A near <br /> appltcation may be submitted when the file is available- <br /> a- Any Elie not returned In the same condition as released will be reManixed by 9HD staff at the expense <br /> Of the applicant. Future fila reviews by the same applicant may require a$93F71:17" %j <br /> o i <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHE staff.Ilcatlons rEacelved after 5;00 ApP pm will be processed the next business day. =' y� <br /> F YwiIAP,p <br /> •'�y'bt7 7:-:i` '�•'S '� � y't`r.,:• .f.•::ti�'•' i>i.^• <br /> .:� •'r .. ' ' .. .RD'S "�'•.'',�' •.,�::`e",, r ••'• r�:. �'�' <br /> •K3A G N :i..'r.5. s:�a7V 1;'. TAX' �r'•ti"'• i l i.A4S ':Z". <br /> 'i�rwYlQ,lf Ti.,Y - <br /> }i. YES X10 - Rf MEW DATE <br /> r• <br /> • •AOC <br />