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V91ZIt4VVG la:cn rnAS 10002/002 <br /> GATE F?ECE.IVED 5 JC)kQLZNY COUNTY " <br /> E;,6-Ii�ONNJENT J,,11E:� MI DEPART"l�t ENT <br /> 30" E Web4r Ave 3'� Floor Stockton, CA 95205 qJ � <br /> (239) 46$-3420 Fai: (209) 4054-013S Web: v�v'N.Go.san-joagv.i ca-usl:;h E T4� <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE r�.�`PLICA XION PEPERMIT/SERVICES� T/SE = <br /> AFPUCANT: '+ ,BUsINESSIAOENCY. 09 <br /> FACSML_. <br /> .e�i:� <br /> TENTATIVE'APPOINTMENT DATE. <br /> (Fle�se aIFOw 14 busineZ'S rTDM date of ApPlit3t3an sU"Jmitta(i . <br /> 0 CHECK BOX To EXPEOITE REQUEST-531.40�FEE R£QU-ST PROCES3£d IN 7 8UStt 4-55 DAYS <br /> SIGNATURE OF APPLICANT7 .,�y l� f � -.----�-^- DATESi <br /> c:--Qa1'lment Duh ONY <br /> UhF7 <br /> FILE ADDRESS <br /> .. 2.4 <br /> yfti� <br /> s. <br /> n't <br /> Unit 4 <br /> T--- -- 3.5.._ .� S• _ Ur.it 5 <br /> sm <br /> TM <br /> NVISONMENTAL HEAL H IDEp.RfMEN FILES <br /> ii UN1?ERGR0VKD TANK{UST)CLEANUP Sr7r(LOP) C HOVS'NG ASATEMF;;MT 0 SOLIQ WASTE FACtLC E <br /> c Q FO00 FACiLFTY Q SQLIQ 4'dAST Yt=tiIGLE <br /> E> GTYIEft CLEANUP�>TE(nIpN�QFI Fl-UA.1RY <br /> � UNDFR(BROUND TANK(MONITORING1REhlC)YALi � ��KE4NRALFICH ��PKG TxiUTM5NT PLANT <br /> }aFP RDC1t;S WASTE GE1(EFATOR C PFJM7f R Tr�t•UCKJYARt7rCHEht TOtL�S <br /> pERMrTjS0 FACILmr to MOT�tnrorEt <br /> 0 TATTOOMODY PIERCING U PootjSPA t LAND USAf'PLICAIION srr.S <br /> 0 MEDI(r�,L YYAa"TE FACSLFTY 0 QTn c-R(ME Z- <br /> �. List up to t�:n addr0s:es in the space above. Select tl-1c types) of file from the list aboye by checking <br /> the appropriate box(ca:)- At least one fila type MUZ;T be selcf;tLzd. Fax to f203 464-0138 or m.T'ri to the <br /> address indicated above. <br /> 2. EHQ wilt notify the applicant if any EHD files exist_ An appojntment <br /> it for mace oral be nfir The filL'� <br /> approximnitely five bu:irlpss days but no late{ .hon ten (10) days � p pry <br /> will be held for a maximum or five business days for rcvicw. Appointments Should be scheduled <br /> at;cordingly. <br /> A fil; that is actively being worked rr <br /> on by EHD staff may riot be im )r dia""y avuilablF) for review. Anew <br /> application may be Submitted when the file is availat3le- <br /> 4, A.-ly file not returned in the same condition as released will be reorgariczed by EHD staff at the CXPe1)5e <br /> of the applicant. Future: file rev•lewz by the same applicant may r:clu're a $93.00 deposit prior to review. <br /> S. <br /> 'TENTATIVE appointment dates must be conrfrmad with EHD staff. <br /> 6. Applications received after 3:Qo Fm will be processed the nett business day_ <br /> R•S Y _ �.�_r_ ..M••y� S. .. <br /> C�JNF.I,RM�L) A.P.P4lNTMENT:E]ATE' <br /> C3ATE•CONFI fiII;DPl• OME FAX R-1hiiTl t:S .= <br /> REVIEWED Yc5 hIG REVIEW DATE <br />