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May-18-05 01 :56P ADR Fnvironmental Group 916 �8 6688 P.02 <br /> CHH LOG NUMBER <br /> DATE RECBVED SAN JOAQUIN COUNTY <br /> ( �c��dWD Ei NMONMENTAL HEALTH AEPARTMFN7' y <br /> 30413 weber Ave TO Fluor Stockton,CA 95205 / r <br /> 468 J420 Fax:(209)464-0138 Web:www.co.son-joaquinmuslehd <br /> us/ehd Ii ei <br /> cc EA��N PUBLIC RECORDS RELEASEpAPkI.1I.C,ATION <br /> CC-�Q I atlSeiE AIGENCT:�.ly Q V 6Q.8AI M• l '1 y <br /> ADDRESS: <br /> PHONE: L `i� - ' Zb FACBIWLP: O t910 <br /> TENTATIVE'APPOW HENT DATE: <br /> (Plane allow 10 busln.es days horn date of W 01mtlon eubmmAq <br /> [] CNECH 90x Tp p(PFbITe REMlEBT•e93.00 FEE-RIOtiEST PROCC89E_D SI�aUSWEB9 OAYB <br /> DATE <br /> SIGNATURE OF APPLICANT �— <br /> rMeM the Only <br /> UNIT <br /> FILE ADDRESS <br /> E3 Unit 1 <br /> ❑ Unit 2 'L <br /> awe <br /> a 4PMt3 <br /> L <br /> a, web Unit <br /> a. web ❑ Unit 6 <br /> ro_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UP anE(LOPI n HOUSING AEASEMPKT G SOLID WASTE FACILTrY <br /> uNOeeaROUtm TANK MT)CLEANUP o FOOD FACLLITY P DOLID WASTE vaNICLE <br /> OTHER CLEANUP 3rrE MON-LOP) ❑ DOO KENNEL G DAIRY <br /> UERORWIND TANK(MOMTORn1GIREMOVAL) O CHMJCEN RMCH D PKO TREATIIItiNT PLANT <br /> NO <br /> HAZARDWS WASTE GENERATOR O t <br /> MOTaLmortl. O PIIMPERTRVOWYA O1C1aM TaLH'ra <br /> ITIMMpERMLIge FACMM O POOIRPA 0 LAND USE APPLICATION SLIT'S <br /> O TATTWMdDY PIERCM6 t l OTHER(PLEAeE sPECVYI <br /> * Mao1CALWASTEPACILRY <br /> 1. List up to len addfesses in the specs above. Geleot thetype(s)of files from the list above by checkfn9 <br /> the appToprlale box(es). At least one foe type MUS•f be selected. <br /> 484-0138 Ito • <br /> address indinted abeYa. appointment for revlery will Ifs col>rtTltad <br /> 2. END Will notify the appHCant If any EHD tlles exist. An apps of ill be ala Ths files <br /> approTdmately five business days but no later then ten(Tti)days attar receipt <br /> will be held for a maximum of five business days for review. Appolnlments sttoutd be scheduled <br /> ■coordingty. be Immad(atol available for review. A mna <br /> 3. A file that Is actively being worked on by EM stale may not be <br /> application may be submitted when the file Ir avaltable. <br /> 4. Any fie not returned In the same condition as refeasedl b y moire a 19 anIzOd y F D staff <br /> t Prior to expense <br /> of the applicant. Futuro file reviews by the same applicant <br /> 5. 'TENTATIVE appointment dates must be confirmed With END Staff- <br /> Applications received erlsr 3:00 pm Will be processed the next business day <br /> CdNFlRINDAF�I?OIMfMENT.DATE <br /> TIME <br /> ....? . <br /> p/►TE cONFItiME15 •` r rP.HONE FAx U7ITfAL$ . <br /> IlibnEWED VIES <br /> NO REVIEW DATE <br /> -60 <br />