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05/11/2004 14:80 4540138 ENVIRONMENTAL FEALTH PAGE 01 <br /> hMU LUU NUMOCK <br /> SAN JOAiQTAN COUNT' <br /> UNvmoNmNTAL RtA.LTH DEPARTMENT <br /> MAY 9 2006 304 E Weber Ave 31 Tloor Stockton,CA 95205 <br /> ENVIRONMENT HRLZ <br /> pp��� �46$-3420 Fax;(209)4 -0138 Weis:wwar.co.san-joaquiu.ca.Wehd <br /> Z3!5 <br /> PERMIT/SERVICES PT BLIC RECORDS REUSE A-YP11CA,'TTION <br /> APPuC.aNT: i t/ eUSIN£SSlAfsEI1G5� S Jlv;rmo*J <br /> ADU .Z330 SCA t�ra��/t P� f 7r., Svc o Soo � mak, �t S&�Z <br /> HONE:5 3Q;mrd 6,7 /w�f/Z F�CS�MII�:`�a ��—(i 00✓ - <br /> 3 <br /> T>*R!TATIVi="APPaNTn4t=rtT DATE: a••�. <br /> pp (Pieria Maw a0 btslc w days from data of 21000=00n stibfM031) <br /> r- r;FIECk SOX TO EXPEMM R>wQ�tsY~S •$93.00 M R%IU6ST P;tO=SSiro IN 3 sUSINESS DAYS' <br /> SIctiA'F'ORS OF APPLICANT DATE <br /> Dopar merst Use 0* <br /> FILE ADDRESS UNrt <br /> 3 Z5 4t' city 3ac b, 0 Unit 1 <br /> 2. Sheet <br /> a strW at 0 Unit 2 <br /> 4. Sbeo <br /> e sit a� ❑ unit 3 <br /> �. s.,eee ,,�Lhtit4 <br /> a 5ueet <br /> o nmet a ❑ units <br /> so. <br /> rmnRONM TAL HEALTH DEPARTMENT FILM <br /> UNDERGROUND TAMC MT)CLEANUP SrM"P) 0 HOUSIN12 ABATEMENT ❑ som WASTE FACILITY --- -- <br /> OTHER CLEANUP SITE(HON-LOP) ❑ FOOD FACIL r Y ❑ amm WASYE VEHICLE <br /> Cl LINDFRpROUND TANK(MOKMORNGfiMMOVAL) [3 DOG KENNEL ❑ DAIRY <br /> 0 HAZARDOUS WAM OF-%ERATOR t7 CHICKM RANCH [3 TIIFATl�A1;NT PLAIT <br /> a TIERt D PERIdCjI EE3 FACILITY Ia lKOTMJHOTM ❑ PUMPER'rRIJCWYARICHEM TCILET'S <br /> C3POOLISPA m LAND UsE ppPL CAMN SITES <br /> ❑ 'MTTOOMODY PIE=NG 0 OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space abrin. Select the types)of files from th®list abWe,by chalking <br /> thLh-appmPriaW boxes). At least arie ft type MUST Ise selenf*tl. fay-to(2091464-0938 ar mail to tie <br /> address indi0 16d0boVe. <br /> 2. EHD will notify the applicant if ally WO files exist. An appointment for review will be confn'rtted <br /> approxiriately fire business days but 00 later than ten(10)days after receipt of application. The files <br /> vAll be held for a maximum of five business days for review. Appointments should be schsduled <br /> accordingly. <br /> 3. A file that Is actively being worked an by EHa staff may not be Immediately available for revtew. A new <br /> application may be submitted when the fila is available. <br /> 4. Any file not raturned in the same condition as released will be reorganized by EH€i tbfff at the expense <br /> of the applicant Future file revlew`s by the sane applicant may raquire a$93.00 deposit prior to inview. <br /> 6. *TENTATIVE appolotment dates must be CO"fitmpd with EHD staff. <br /> 0. Applications received atter 3:00 pm will be processed the next business day, <br /> CONFIRMED APPOINTMP.W DATE <br /> DATE CONFIRMM PHONE , FAX 114rhALa <br /> REVIEWBO YES NO REVIEW DATE <br /> 10/10 3JVd AI-IVO ON Sf1iVNIS 90099L90£9 LT:60 900Z/60/90 <br />