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1/2004 13:53 FAX. 1 209 234 7727 STOCRTON 1 ]442/042 <br /> 2/2�6/ 464f `9 �ETh�M11`1I/�R�Q7h7I�7MEt+NvTg �`.EAL.TH PACE '01 e <br /> �'.- Z�jq <br /> 7 - - #JtL1\ JL7AQ�Ji1� COUNTY <br /> i 1 �� GC7L Lvi+.iVnw��. <br /> JJ pill �/ - E ONMENTA,I-iEALTg DEPaRrmN <br /> MAR 0 1 20�0g4 �g 304 E Weber;A,vc 3`'door Stockton,CA 95205 <br /> ENVIRONMENTgLA�1 H$+3420 Fax: (209)464-0138 Web:www.co.san;joaquia.wLuecbd0 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> �1 <br /> APPLICANT: e acr WMINE AGEricY• A2e11ace_- Yu� �t55DG. 1 <br /> ADDRESS: 3,1410 <br /> PNoNE: o !L Z- FA=�R, - <br /> TEMAYIVeMPollc mEwDATE Tkm; <br /> � <br /> { (P1�&Mw 7o buslm=dap f m bale of appliceUvn submidat) <br /> J�-�- CWCX 60X To ExPEDRE RE4umf_6 AO FSE— PROCESSED IN 3 AUSMESS DRYS <br /> SIGNATUFM OF APPLICANT A C_ DATE �✓` ! D�- _ _ <br /> . Departnarl lase Only <br /> .P <br /> I"ADDLrHIT <br /> Z.D ey• a C] Unit <br /> P!M3 1 <br /> �+ 0 Unir2 �fJ�'o <br /> "Id � <br /> 4. Sleeet Z J J <br /> emd 14 oil, <br /> ink 3 <br /> k4m j. 4 <br /> Unit 4 <br /> 9. sec Unit 5 <br /> 0. ply <br /> ENVIRONMEWAL HEALTH DEPARTMENT F11-05 <br /> UMERGROUND TAN ( SCLrM511E( OPo <br /> iOJ6MABUFdET SOIW YA 'TEALLTY` <br /> OTHER my-wuP srm woNuw) C] FOOD FP43UTY 0 SOLID WASTE VEI lC LE <br /> �.uHDCRGRotm TANK wowrom CmmovAL) 0 DOG XMML is DAIRY <br /> HAZAfPOW WAM GENERATOR V CRPOIMN RANCH. 0 PKG TREAINIENYPLANT <br /> TtEMM PE dAl I I.D FACKM 0 MOTEL 10TEL 13 PUMPER'iIMMAR U TOILFM <br /> 13 TATT000WY PIERCING C POOLISPA 0 LAND USE APPLICATION SITES <br /> C MEDICAL WASTE PACIL W 0 0VHek(PLeASE L.,. - <br /> 1. Llat up to teen Addresses in the space above. Select the type(s)of files from the list above by eheoldng <br /> the appropriate box(es). At feast one file type MUST be+elected. Fax to f209)4640138 or mail fo tftie <br /> fires indicated above <br /> 2. EHO Will notify the applicant if any EHO tiles exist. An appointment for review will be confirmed <br /> approxlrnately five business days but no later than ton(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should bo scheduled <br /> 3. A�th�att is.actively being worked on by EHD staff may not be Immediately avallable far review. Anew <br /> application may be submitted when the file Is available. <br /> 4- Any filo not returned in the sante condition as released will be naorganized by EHD staff at the expense <br /> Of the applicant, Future ti7e IreAews by the&me applimnt may require a$93. opsit oxl ) <br /> 5. <br /> "TENTATIVE appointment dates roust be conf"iritied with EHD staff. s' <br /> i `3 <br /> 6. Applications r+ecelved after 3;00 pm will be processed the next business day. <br /> ra'�.iiF'.�t'{JI1�f1lYIId11 �V„ �.M1�.�'•7•.:�.:.b 1�11•r •�4':":Sy'Cw%i�'f'.�Y.�'.:f- .�i+e.i•.i:r r.- <br /> dAtC�kR14l=D '• .'; �' bpii's'. FAX <br /> t1:VIDx; <br /> .�1 •YES .'ht0 R>~VI EW DATE" •]�.w c„ ., <br /> .mem <br />