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a 01 8/2004 13:53 -FAX 1 209 .234 7727 STOCKTON 9002/002 <br /> 1022/26/ 0 464' ' ENVIRONMENTL' 'HEALTH PACS" '01 <br /> SAN JOAQUIN COLTNW� u <br /> ENVIRONMNTAL.HEALTH DEPARTMUNT <br /> MAR 0 1 200��0gg41 304 B Weber Ave P Ploy Stockton,CA 95205 <br /> ENViRONMEfJT'HEA M"4"Fax: (209)464,0138 Web:www,eo.san joaquiiu.ca,ps/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELE"E APPUCA110N <br /> APPLICAW: G rabacr gUwewAaeNG'Y: Wa�tacCf r"41 4 �55aG. <br /> ADDRESS- 3 g 1 o W 14 ; ; S Q11�6757,11 <br /> PHOH 0 2, Z FACSft :1 z 0 g) z 3 q T 7-7Z.'j- -- - - <br /> TENTATIVE"APPoINMElrr DA-m- <br /> Mease Scow 10 buckifts dAys f wn date or A"11 aUam aubrtiHar) <br /> CHECK EM TO F.XPEOffE REQUE51''�5 .00 FEE— PROGESM 1k 3 ktUSSMS WAYS <br /> SIGNATURE OF APPLICANT 44Wa c; DATE . �✓" J!'"0�� ti <br /> vDepstroert use only <br /> I FILE ADDRESS UN(7 Ij <br /> i <br /> Z65, r✓' it 77As <br /> $ L. '?S Unit f , <br /> Mock" VCft D Unit 2 _3'�iV 1 <br /> a. Z <br /> Unit 3 1 <br /> a. <br /> > l Unit 4 <br /> a <br /> 9. swat unit 5 <br /> �o, saes <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1771-1=S <br /> - ate <br /> UNDERGROUND � <br /> GROUND TANK &��n o ING HOUSADATUMNT G SMJD WASTZFAc' f <br /> OTHER CLEM1UP SITE(hON� � C] FOOD FA LffY o 8MM WASTE VEHICLE <br /> UNDERGROUND TANK(1AONMORINGIRl MOVAL) O DOG XMNEL d DAIRY <br /> HA2APj)WS WAMv*MERATOR C CHIGI RANCH a PKG IMATid04T PLART <br /> 0 TFJWM PERMI tt:D FACMXTY a fAojELrtKn cL C1 PUMPER iR1AC4VYARDK*WM ME= <br /> 0 TATTDOS WY PWjtctNc C POOU WA o LAND USE APPUCATMH SnTs <br /> G MEDICAL WASTE FAMUff n OTHM(PLeM <br /> 1. last up to ten addresses in the space above. 5elaat the tyl*z)os fifes ft orn the fist above by checking <br /> the appropriate box(es). '.At[east one fife We MUST be selected. Eax to 12091461-0138 or mail�a the <br /> ddress jndicatedabave� <br /> 2. EHD Will ratify the applidint If any EHD files exist. An appointment for re4lew Witt be confirmed <br /> approximately five busln6m days bort no tater thank ten(10)days after receipt of application. The films <br /> WHI be held for a maximufn of five buslness days for review. Appointments should toe scheduled <br /> 3. A file thaat Is.actively being worked on by EHD staff may not be immediately available for review. A new <br /> application May be submitted when the file Is avalWe. <br /> 4. Any file not retumed 1n the same condlHon as released will be reManbred by EHD staff at the expense <br /> Of the applicant. Future fila reviews by the same applicant may requ"a$93. 1 � . <br /> 5. 'TENTATIVE a '� s <br /> pPaintment dates'must be con�nned with MD strsff. � � ,.�� � '� - <br /> & Application's racelved after 5:00 will be processed the next business day. J, I <br /> APP <br /> tONfIYiA _o.` Pbitrrrlslt [tA `"'�. .:stat~ 1 . <br /> VAriCNRiVD <br /> y.. ..; >.�.. <br /> 'ttpYl s1A7ED ' .,�. YES INC R!~Y1EV11 DATE. � <br /> i <br /> i� a` <br />