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Fm:Ecology and Environment,Inc.-GSC To:San Joaquin Gty of Env Health Dept 14:28 0112811 OGMT-08 Pg 01-01 <br /> It;= E0 SAN OAQUIN COUNTY <br /> ND LOG NUMBER <br /> SAN 20 0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St.Stockton,CA 95202-3029 <br /> ��i1rlRtlNl�E�T NTI�one.{2t�)as8-s4z�Fax:(las)464-o't 3e web:www.sJgcw;crrgtah <br /> PIFI��lTt�FR� �i PUB1.1� lCt�RDS R�LEA�E APPLIGATI#3N <br /> APPLiCAEVTc �(ctr���a�11' EUSINt:S81AC3�lVCY: .�` <br /> nDVREss. .L3l�� c t.. hoc CITYIS TATEIZIP � <br /> PHONE M .416.611iftEP906./MFACSIMILE: <br /> TENTATIVEWPaNTME NT DTIMM <br /> (1`10400saw atw 14 business t trots date of app cation subattttal.' en(sU4 tfiy•eWifitlip omMlrnted) <br /> 0014ECKBOX1601PEDITEREgtww 4116 FEE(CASH OR CMECKOKY)-REW69'T PROMWO W3 BUSMS DAYS <br /> 3100411t6iE OF APPLICANT_ opTEJ r <br /> Etectrmtic lnformatim, :Q LW ]Map—Description: <br /> i:ILE;ADDRESS END USE ONLY <br /> str®at;i1 Sitraet Nante City 0 Unit t <br /> 1,60 Od_' 2= <br /> 0 Unit g <br /> 3. <br /> 4. nt 4 <br /> 7. <br /> Z•8. Unit s <br /> alt t1 <br /> SpecNic Date Range of tntormaaon Requested: From _ t1 � G to TA1ttts�stfe1 Q) <br /> tj <br /> F <br /> / ENVIRONMENTAL HEwAE�TMENT FILE$RGRUUNDTAeat(tiST)CL ANUPStTE(LOP) QNOUSINGAewiwifr LIDWASTEFA£ILflYlVENif.LE <br /> R CLEANUP Sn(Nn*LDP) D Foot)FOLITY ASTE TIRE <br /> FRtN UD TANK 0wdREMDYAt j 0 DOG KEWL ❑DAIRY <br /> US WASTE GENERATtNt ❑CHICKEFI Rum ❑WASTEWATER TREATMENT PLANT <br /> iEWREFEwTo)FActrTY 0 MOTalt'ivra 0 DOPER TRUCKINARDICNEMIGALTtILETS <br /> d TATTTIOODY MERCIFIG ❑POOLISPA ❑LAND USE APPUCAim SITES <br /> CI MEWAL WASTE FACILITY OTHER(PLEASE nSPWXY) <br /> WELL ANTI SEPTIC FE1t18171t1 t ORRIS ARL AVAILABLE FOR REVIEW MOMDAY-FRIDAY S.00�tlpm(EXcLuoitio i:t%gAYS) <br /> lim Addake In the ttp�td►abovo. Ballot the types)of files front the Ilat t►bove try checking the appropriate <br /> twx(esj. At fest ons t*type NNB4 be selected. f:ax to 1`20914114,01;A or mall rtIa the#ddagg InMatod above Address <br /> tinges will not be accepted-for addMonat assislattce witlr file addresses,contact the END. Applications received after: <br /> 3-.01fin will be processed the next business day. <br /> 2. this END wNf aotfflritfs appticant If any EH D f llesexlst. An appointment for review will be corAnned approximately ten(10) <br /> days after receipt otspplicetion. The rites will be held for a maxttmtsn of five business days f6r,nvfsw Appointment <br /> should be scheduled accordingly. <br /> 3. A No that Is actively boing.wotitod 00 by EHD staff May not be Immediately available for revtiw: Anew application may be <br /> submlltrd when thn:fils.is table. <br /> 4 Amy Rfe riolt.4etur W.fn the 4me condition as released will be reorganized by END o orf the applicant. <br /> Futuro:#1111;reviews bythe some applicant may require a 8111i deposit prior to review, <br /> i5. tf you ttsatifurther assistance,please contact Diane Martinez,at(288)468.34215. <br /> so MMY <br /> NOUN <br /> 8t2r10F <br />