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_—•--^,..x/19/2005 12:56 FAX 209 94806` X002/002 <br /> D <br /> ENVIIt SAN JOAQ'UIN COUNTY <br /> U1] � �' Ot i14iEVTAL IJEAAj TH DEPARTN>rE1YT <br /> SEP 19 2005 304 E Weber-Ave 314 Floor Stockton,CA 95205 <br /> ((209) 468-3420 Fix= (209) 464-0138 Web:W W_co.sau joaquia.ca.us/ebd <br /> ENVIRONMENT HEARN PLYCA�ION <br /> PERMIT/SERVICES pUB,LYC RECORDS PELEASE AY <br /> APPLICANT. B USINESSIAG ENCY: <br /> ADDRESS:7B_Z_S ',(�1 l� ST. S T; <br /> PHONE: <br /> A9^ FACSIMILE, — �►$'^`Dta z <br /> TENTATIVE'APPOINTMENT DATE: <br /> (Please allow 10 business daYs from date of applicadon submittal) <br /> Q CHECK BOX TO EXPEorM REQUEST-593.00 FEE—REUVEST PROCESSED IN]BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT OeaartmentUse Ot11Y <br /> UNIT <br /> FILE ADDRESS f <br /> ❑ Unit 1 <br /> Z mmd <br /> i wealeUnit 2 <br /> c <br /> •. s„d Z•"L <br /> AAA AAr.9l,h�, G tt' Unit 3 <br /> 5. suee3 <br /> i. Stsd G <br /> Unit 4 <br /> 1. <br /> M ❑ Unit 5 <br /> -e. sred 3 W JI <br /> td. Serri G .. <br /> ENVIRONMENTAL HEAt.TH DEPARTMENT FILES <br /> UNDERGROUND-TANK(USTI CLEANUP SITE(LOP) 10 HOUSING ABATEMENT aL..soup wASTE FACtLrrY <br /> OTHER CLF_ANUP SITE(NON-4LOP) E7 FOOD FACIL.rry 0 SOLID WASTE VEHICLE <br /> M UNDERGROUND TANK(MONITORING/REMOVAL) El DOG KENNEL fes-DAIRY <br /> ER0 CHICKEN RANCH I-PKG TREATMENT PLANT <br /> ffi HA7�4RDQU5 WAST£GENERATOR <br /> r-3 HAZARD PE12tNrrT1=D FACT n MOT17 M <br /> ELIHOTEL PUPER TRUGKIYARDfGHEM TOILETS <br /> TATTOOlBODY PIERCING 0 POOLISPA OL LANA USE APPLICATION SITES <br /> t7 ME0ICALwA5TE FACILrrY u OTHER(PLEASE;SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 454-0138 or mail to the <br /> address,indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review_ Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew <br /> application may be submitted when the file is available_ <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. 'TENTATiV.E appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm wilt be processed the next business day. <br /> f ,r•tri i;H•�'..,�. -TIME iJ. 3?::•i:i:r4E.�=. .}- b .r.`•;.-+• <br /> F�F <br /> RMEQ'APROltfrlmENTbATE' :s QFIWED YES NO REVIEW DATE ' <br />