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08/15/2008 12:55 FAX I fZ002/002 <br /> cy � {' ED SANJUAQUIIv COi3gi TY p <br /> ��C rfvixOn�rENL H <br /> TA. E u-Tu DEF T <br /> AUG 1 006 304 E Weber Ave 3`1 Floor Stockton;CA 95205 <br /> 6fi-3436 Fax: (209) 404-0138 Web: www.co.saa-joaquina. <br /> V� .cuslend <br /> ENVIRONMENT 04 <br /> PERMIT/SERVICES P(TBLIC RECORDS RELEASE A2PLICATIOh <br /> //AA OUSINESSlAGENCY: <br /> APPucurT:__��fl� <br /> ADDRESS' i - <br /> rti r FACSIMILE: (LAVER RHS •ex�a i .....— <br /> PHONE: ].d't ,'i�'- I'3.-�'`�'---'-_^"^ �— <br /> TENTATIVE'APPOetTMENT DATE: ^--Tkft' <br /> rr--11 (Plcaae allow 111 business days trem dote of applitaticn sutinit.al) <br /> LJ CHECK HOX To EXPEDITE REOUEst'-;9a.e0 FEE ST PROCESSED M a 13USINE55 DAYS <br /> DATE <br /> S1GNA URE OF APPLICANT [y a" r---J aaqarb «tom,Onpl <br /> UNIT <br /> FILE ADDRESS <br /> w� 1X Unit <br /> Glv +nn <br /> �M ` Unit 3 \l <br /> GM1 <br /> Gn <br /> 7. <br /> a. ra=•-•� Unit 5 <br /> Crc.• <br /> 10. SVM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NG ABATEMr:Nr OHWU SOLID WASTE FAMn)' <br /> �• UNDERGRCUND TANK tUSTJ CLEANUPC3HOUSI <br /> SIT`(LOP) C3HOUZ NGADFACILITY ❑ SO WASTE VEHICLE <br /> FOODM OTHER CLEANUP SITE jNON-LOP) c E3DOG KENNEL IS- DAIRY <br /> * UNDERGRout4u TANK(IAONITORINGrte EMOVALi CHICKEN RANCH o--PKG TF. .PMJENT PLANT <br /> 13Z HAZARDOUS WASTE GENERATOR ❑ PUb4PER TRUCKIYAROPC:HEM TOILaaTS <br /> ❑ TIERED PERIA T'ED FAGILn-Y p POOO�POTEL M LAND USE APPLICATION SITES <br /> ❑ TATTOOIZOOY PIERCING ❑ OTHER(PLEASE <br /> 0 MEDICAL WASTE FACILnY <br /> 1. <br /> List up to ten addre*sas in the spate above. Select the type(s) of roes front the fist above py checking <br /> the appropriate; dre(s*). At least one filo type MUST be selected. Fax to 2091 4fi•5-0138 or mall to thla <br /> address indicated above. <br /> 2. EHO Will <br /> notify the applicant if any Etit) files exist. An appointment for review will be confirmed <br /> approximately rive business days but no later than tun (1D) days cintmentspst ould be schedU ed11IL3 <br /> wi=1 be hold for a Maximum of five business days for review. App , <br /> accordingly. <br /> 3. A fife that is actively being worked on by EHD staff may not be immediately available for revizw• A new <br /> application may be submitted when the file is available- <br /> q. Any file not returned in the same condition as released will be reorganized by EHD Staff at the expense <br /> of the applicant. Future rile reviews by the same applicant may require a $43.00 deposit prior to review. <br /> S 'TENTAT'NE appointment dates must be confirmed with EHD staff. <br /> E, Applications received after 3:00 pm will be processed the next business day. <br /> TIME <br /> G�NFI,F,2Af1�D,�Af�F01NT�Pi1cN+'OATE' ''i . -. • '. ..•r•,,ay , <br /> AX':i' ,.:.ny.e. lNfT1FL9 . <br /> bATE•BrQN F IfeMED <br /> f30 t?EV1F4V DATE _ ----- - <br />