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U`V I,"i2R',S 16:47 9259442859 TSG PAGE @3 <br /> REV L- t'/ ED &A-ri JOAQUIN COUNTY EAG LOG NUMBER <br /> FN-vrRoNmxN_, TAL HEALTH DEPARTMENT <br /> .qFP 2 2 2006 3V�,&&,qtWeber Avenue, 3d Floor, Stockton,CA 95201-2708 <br /> ENVIRONMENT HEALTH Telephone;(209)468-3420 Fax:(209)464-0138 Web:wvvw.sjgov.org/;:hdz5ogo&3 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICAUON <br /> il., PHONE(11': 'molt i AV VV-AP P C I TY1 NT DA76 E', <br /> Fi4oNr=tq: FACSINLE- <br /> Tkm:— <br /> (Pleams allow 10 hustness daW.I'mm data of application submittal-*rwm�aXfe�Wnly-mus,bo conflim—ed) <br /> N E O <br /> CHECK FOX 73 EXPMTE REQUEST-S95.00 L�EF_(CASH OR CHECK ONLY)-HEOUES1 PROOP-,S50 V:,,SUSINEIS'S DAYS <br /> -iVA7UAtE APPUQAN7 <br /> DATE I 4:-if <br /> UlluevAro RIC Information [1L.1s4&[: MaF4—Dz.scr1ption: <br /> T-71-F,ADDRESS EHD USE ONLY <br /> 1$tmot Harno city <br /> 2' 7 <br /> r, <br /> 4. L/i7.k b'- 1j,nit 3 <br /> q-1 <br /> rmaVvn Requested!From to <br /> ENAROMWENTAL HEALTH DER4117WIENTNLES <br /> gUNPURGROUNO TANK(UST)CLr.ANUFrrrE(LOP) 0 HOUSINQ ABATEMENT ASM(DWAST9 FAGRrtifvEmuLF <br /> $3-OTHM,CAXANVI--SrTE(NO?i-LOP) 13 FoOo FAcn-ay AWA5TiF TiRE <br /> Vlerr-meROVNio TaWK(MoNrDmiGmr-f4ovAt�1 M Dw KENNEL Al-DAiRy <br /> T <br /> wmm Ganw.mift K.C�N RANCH "ASTMAW?t RnATmZNT Fvw� <br /> Z11CROD P9P?0MbV FACILMY 11 MOTMMOM A Alwyn TRVGrJYA6qW'CH*eu TaILM <br /> Z?rew1wjVA""P:-IciNG 0 PlOWWA a U,r!J)USF/'FFLFCAT*W&.-TES <br /> WAS-�.'PFNACILrr? 1-1 OTHM(PLEASE SPECIrl_ <br /> W'WAND SEFPMG PERMU ftCOR.D$ARE AVAILAELF FOR RE EW- MONDAT-FRmAy 8.00 AM.C.00pM - EXCLOW113HOUVATS. <br /> 1, List up to ten addresses in me spaa-_above. West the type(11)of files from the ftRtobove by checking the appropr1o.1-7 <br /> box(ov). At least one Clu type RALFU be selected. Fax to(ZOS)4G4-_013$orvTsailf_qthp Adresq indicated gbu;ig. AdIres'-; <br /> Tangs';will nat be or-copied-for addltional.,mssli4ance with file addmzses,contantths ltHD.Appilv,0ons received aftr.Ar <br /> 'If bo protea ed the next business clay, <br /> .;00 pm , <br /> ...fro F_k"v WU.':wtify Vie appli-mid If any EfiD files exist An appointment for review w bg confimed zipproximately too(,`U) <br /> 1)AYS Rq,?r miuilpt ni application. The filer,will",held for a maximum of fist bualues-n-clays for reNlew. Appointmentv <br /> shoulo Wsthedulledaccordingly, <br /> A MG that Is antively being w�qdfed on by EHD staff may not be Irnmedlat,D]y avajja'iju Ar Mvlew, A I07w Clopj- n mt.2catlo be <br /> ubrerEtted y <br /> whin the file Is awihblg. <br /> 4. Any We not rViurned In the atime coriditlan as released will be reorgani2nd by EM stall at tW cal the applicant, <br /> FutiAre We Mlivl&'s b�f,he sane appilicent may mquire a$96.00 deposit prior to MA2w. <br /> EHOUSE ONLY <br /> L�j <br />