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00/18/2006 14:53 FAX 9162805 WKA*ENVIRONMENTAL 11002/002 <br /> R E C E D SAN JOAQUIN COUNTY <br /> r <br /> HE' E r. <br /> ENVIROWENTAL 11EALTii DirwApamENT <br /> 304 East Weber Avenue, 31d Floor, Stockton,CA 95202-2708 <br /> S E P 1 8 2006 T' efephunv 1,209)468-3420 Fax: (209)464-0138 Web. w-viw.s-jqov.Qrg/rhCtZ.,,, 13 <br /> ENVIRONMENT HEALTH PUBLK RFC01,-CDS RELEASE APPUCATION <br /> T <br /> =MMMU UMM-C, <br /> -7;z -- <br /> - <br /> APPk-icAm,: a, /' -'�-,r <br /> BM IN MVAGENCT:LV^ <br /> AD( IRESS; 01 <br /> PHONF(i): PHONE(Z,: '[16-?-75-0375- FAcZIMILE.- %C Z 54-7.,3 <br /> TENTAWE*APPOMMENT DATE: <br /> f 1!lrdwv allow 9u bim!narin dayr;;from dall P of appl k:ati*n subm Wal-'TeI7 rod/V .1' '2 <br /> ,f <br /> -5 <br /> CHECK BOX,TO EXPED17 <br /> 535.41 FE(C&511 OR CH IN CUEME?7 V.,11MIR 5%,g.". <br /> E Rpaij <br /> ONATURE OF APPLICANT TE _-5 <br /> etc fir;rrae ll� Ormativnr 0 Lial El IA;Dp-Dv,4rTiPti0n: <br /> ;fit0 FILE ADDRESS E H75 77t 1-1 L I <br /> SM0 Fame city 0 u,.& <br /> ,Lsr HLO <br /> IF Vnit 7 <br /> Z. <br /> ke—iole-P, Avir <br /> unit 5 <br /> ra"- SEP 16 2008 ca • <br /> Specify;:Date Range of Infemnatlan Requested:From to 1A <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE #':_ <br /> el'UNDPRGIMIJIMP TAN44(UST)CLEmuF SrrE(LOP) 11 SOUSING MATErior-i M SOUD WASTE-FACUT'r <br /> Rr'0T!1r-.-;CLEA%up SITE(Nora-LOP) 0 FwD FAciLrry 0 WA41iT.-MtE <br /> TAW (MOMMMNWREMOVALI 0 Doc-KE.,mpm 71 Dwt-,- <br /> HAZARV00 WASTE GENERAT�t El CHICKEN RANCH 17 WAVI V NATER TRFA T V ENT PLANT <br /> TILRED PERvin-TED FAciun-Y 0 Va-,EL/HaTEL 11 FumpE-n TFtuc%'YAfiv/CHEm 7ogLRT$ <br /> MTATToolsooy Fr.RaNi5 0 P00USPA M LAND USE AP-LICAMN SVET <br /> MEMAL WA3TE FACILMY 0 0TWER(PLEASE SPECIFY) <br /> WELL AND SER-FIC PER141T F-ECO.WIF tar AIIALAnLE FOR RiNLIN - 110moAy-FPjDAy q:00 Am-5.vopy. - EXCLUE)ING 90LIDAys- <br /> List up to ten addresses in the npu=7ibfivo. Sale--t the"(s)of files from The liar abuvG-by chersing tide approp-xat-tR' <br /> Z=!asi. At 14=1 one fila type'MUST to selacted- Far to jZ2ajA§j:qI3$o[j�pail to ft address lnd6cg',@d abova. Adf4iT., <br /> rangos Wool&not be w0cfAcd-kr addillonal assistance with file addressee,conta-ut the F-HO.Applications rmalved afto, <br /> 3:00 pn,Y-Ml be processed the next bu3jnat%s day, <br /> 2, The AHD wil!notify the applicant if any EHD files;rxist- An appointment for mview will be conFirmad sppri?.ximat9ly ten(IQ) <br /> day*after receipt of application. The film will be hold for a maximum of Chve businuss days for revlow- AppolrAments, <br /> shovId Pxe 601h.ek�ulad accordingly- <br /> r- A'rift,that is PmUvelly hair g workpd oA by BID staff may not be irnmedi-3taly available for review. A now, apolivrMon rmzvy b- <br /> e w h,3 n I h,P, <br /> Any Me not retunled in the sama contition as roleased will be reorUanized by F-HD*W?ail.the exp,2me of i1w applicant. <br /> Future file reviews by the some applicant may req-,j ire a$95.0 deposit prior to FeA ow- <br /> EHD V8E ONLY <br /> I!HD 4,E,AA Qj 1 5r2 n r <br />