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�11/02/2004 10:04 9168630430 SECOR PAGE 02/0 . <br /> �@712804 15:10 464 - <br /> . �i..� ENVIP,ONMEnITAl. t4wkTH PAGE 01 <br /> DATE RECEIVEDoft <br /> - E LOG(UMBER <br /> }}� <br /> UPAI�JOAQU, IN C'ot� i �, VNT <br /> W U U UMVIRONMENTALEALTH iD)EPARTMENT dLl' 6 000000, <br /> 304 E Weber Ave P Floor Stodktoa,CA 95205 is <br /> NOV 0 2 20x409)468.3420 Fax; (209)4-64-0139 Web:www.00.gaa-jQaquin.caus/ehd <br /> ENVIRONMENT HEALTH PUBLTC RECORDS RELEASE A FLICATION i <br /> v <br /> APPLICANT: o h IBVSINESSJAGE#iQY: Cf�_._%r Oran <br /> ADDRESS: <br /> p�3x1-7 , t 0r –d <br /> PRONE: FA=IMir.E- 90/7 0 <br /> TENTA1111t"APPO(NTMENT DATE:_I "5' a t'I _ Irk"_ • UOG`c <br /> (Plpav allow 10 business daps from date of appkat:on subm +, <br /> s'?< , s <br /> " <br /> r <br /> ..� <br /> f� CHECK BOX TO F-XMDM REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 SuSmr a DAYS <br /> SIGNATURE OF APPL.ICA KT DATE Jj— )—Dom_ <br /> Daparftmnt Use ONy i <br /> FAX ADOIMSS UNIT <br /> ON <br /> ac 1 <br /> P �' apl Qit 2 <br /> V, !IA it Q <br /> CII& n f Unit 3— <br /> OT 0 K, 5 Unit 4 <br /> 471 Mq <br /> //.��50 LT <br /> ENVIRONMENTAL HMTH DEPARTMENT FIDS <br /> A(UNDERGROUND TANK(UST) NNP SITE¢.M 0 HOUSPM A"TCMENY M SOLID WAS%FACILrrx <br /> t3 oyHER cLEA"up SrTE(NON-LOP) CI I FOOD FACIL" M SOL tD WASTE VEHICLE <br /> I&UNDERGRmNo TANK(Mc)NM0FUNGIR0M0VAL5 0!000 lC"EL 0PKG TREATMENT PLANT <br /> 1!K HAZARDous WASTE GENERATOR 0 CHICimm RMtCH 13 <br /> L3 TwRED PEPxn-rEb rA=trr ❑ IROTELJHOTE. O PuM P9lkTFtUCKrfAP&CI EMTOILET'S <br /> L] TATTOOJsfty PIERCING o RoOUSPA ;W LAND USE APPLICATION Safi <br /> ❑ MEDI GAL WASTE FACII-ITY ❑'OTHER(Ri,�-SE SP�CiFYt <br /> 1 List up to On addresses in the space above. Selsct the.ty*S)Of files from the list aboye by checking <br /> LMS <br /> the appropriate box(es). At least one file"MAST be selected- Fax 209 o #64-0133 0 <br /> address I d ¢ alio a '. <br /> 2. EHD will notify the appilcant if any EHD flea exist. An appointment for reiern+evil!b¢confirmedn 10 daysafter receipt of application- Thh <br /> e fifes <br /> approximately five business hays but no later than to ( ) <br /> Will be held for a maximum of five business days for review. AppalAtmanbs should be sohe�iuled <br /> accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be immediately available for rc+vLt'w. A ns',tir <br /> applications may be submitted when the File Is avA11a111e. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the @xPensa <br /> of the applicant Future fi12 reviews 5y the same applicant may require a$9,3.00 deposit prior to review <br /> S- 'TENTATIVE appointment dates must be confirmed with EHG staff, <br /> B. Applications received after 3:00 pm will be processed the next business day. <br /> 611L'INiENT-DATE <br /> "rCSA'fE CoNIINI f' -PRONE'.. irtAxr Il!I�'t`NdS <br /> ` VIEWL:D' 1'�S NO REVIEW DAA E. <br />