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10/23/2006 1u:03 915-371,:-1809' RANEY GE CTECHNICA! PAGE 01/01 <br /> WED E=HEi�L7G N�MBEFt <br /> SAN JOAQUIN COUNTY � <br /> ElVV! 304 East vVebsr Avenue, 3'd Floor, Stockton CA 95202-2708 <br /> RONMENT HEALTH Telephone: (209)468-3420 Fax: (209)464-0138 Web. www.sjgov.org/eh <br /> z I <br /> PERMIT/SER�ICES <br /> APPLICANT: m Lair' : 'C e , flUSiNE$SfAGENGY: . <br /> 94 91TENTATNE*APP01NTMEN'F-t3ATi=: Ji e V ?Gsr <br /> (Plesse aflow 3C bsusfrIESS daIrS troM 00te of application aubtndttal-"Tersfatfve only-must be con". ad) <br /> © CHECK BOX TO FXPEDUE REQUF $P3_99 FF�HAR CHECK ONLY1-REEQUEST PRnCESSED 174 3 7'1NnS nAYS <br /> .SIC-NATVRF 0F,AFPL1CAN'1 '' f DATE , (0 t.0 6----- <br /> iPt�l71]iSTFiiBtlTTON Q Unit t ❑1 iit z L, U Vnit 4 ❑Unfit 5, i3 F,Init 6 0 Other(alectr9ni0f.5U maps) <br /> i -- FIDE ADDRESS EHD USE ONLY <br /> street# Street Adams Cky <br /> f a �� ; <br /> a. <br /> 3. <br /> 4. <br /> 6, \ <br /> . Specff€e Data Range of Information R®rpLdasted:Frc+rn <br /> 0WIRSysNil ENTAL HEALTH DEPART LENT FILES <br /> t}NI}E±RumouNn'rANK(UST)CLEANUP$ E(LOP) 0 DOUSING ARATEME W SOL.fr1 IJ AM FA6Li fYEHIEGE <br /> OTHER CLEANUP SITE(Nal-LOP) ❑Facie PAWLrry IAIATFTU TRE E <br /> _ pNDER6ROUNC?TAWS(M03SrrnRioWREEeFQVA4) 0 Dorn KERNEL [.l OAERY ; <br /> HAZAR6d4JO WASTE:GzNcRATun CYe=KEN PANCH wASYMMAM TREATMENT PLANT <br /> Ew T)5rEG PERMn7Eo FACELETY' `f MOTELdId:7M 0 PUMPEA TnvcrJYARU/CHErA TOILETS <br /> El TATrao/Bvvy PIERCFNG PG�sLfw9PA LANA)U5EAPpucAmoN STrEss. . <br /> Q MEaiC+AL WASTE F,AiCFtM Q oTH$f;(PLUME SFECFF, - - <br /> -WELL AND SEPTIV,PERMIT RECaRQ&AF:E AVAtLABT_H FOR REv'EW- MONaar+RlDAr 8=I3t1 AM,5:O$PM - EXCLUMMO HOLVATS. <br /> 1. List up to tan addresses in the sp;qco above. Select the type(s)Of tiles from tho fist ebov'e by checking the <br /> AMOMPOate bvx(et,). At least one filar ty i MUST be selected, L*j9( 4%-0T38.or Dail to the address <br /> Indicated above. Address ranges will rust ass accepted-for additional assistanan with filo addresses,contact <br /> the EHE.Applications received after 3:00 pm will be processed the next busineus day. <br /> 2..The EHD w"l notify the applicont if any EHO files exist. An appointmT nt for review will be confirmed <br /> approximately ten(10)days after receipt of applicatlolt. The files will beheld for a maximum of five busines$ <br /> days for review. Appointments should be scheduled accordingly. <br /> 3. A fila that is actively bong worked an by EHD staff may n6t be imrnetdiatoly avaailoble for review. A now <br /> aaPP11catiQn mey btu submitt0d wheA the file is available. <br /> 4. Any file not returned in the same condition as released will be reorgari d by EHO.staff at the axpQnse of the <br /> applicant. Future file reviews by the saute+applica nt may require a$93.00 depn.7it prior to review. <br /> E <br /> EHo 4a 2.06 l <br /> 41•:SltIS <br />