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12/06/2004 09:17 9167831 ENGEO INCORPOF�D PAGE 02/0 <br /> 12/07/2004 16:54 4640138 ENtiTRONNENTAL HEALTH PAGE 02 <br /> >:HD LOG NUMBER <br /> DATE RECEty SAAB JOAQUIN COUNTY <br /> Z-5 IL <br /> E W><R0mwENTi AL MALTa DEPARa NT <br /> 304 E Weber Ave 3`O Floor Stockton,CA 95205 <br /> • 2 4fi4-Ok38 Web:www.co.saa Joaquin.ca.uslchd <br /> ��)468-3420)rax.( 09) ; <br /> y` pUBLIC MCORDS RMXASE ArPLZCA'XIO <br /> � �'�' ' F E� ,�s�corpo suint eNCY; ��rfC-����--�•�• . <br /> ADDRESS• n� g <br /> PHONZ. lle <br /> TENTATW APPOINTMENT DAME: :500f--( `L' Tirtt�: <br /> m"dalow 14 b1ninm do"from date of appltcal"On oubm" <br /> 0 OMCK DOX TO E7 PEDITE REQUESTA93.09 93.00 FFA—Rt IJM PROCES8I D IN S SU9l M DAYS G <br /> DACE <br /> SIGNATURE OF APPOCANT 1. . � <br /> De0atGnetA U90 Or><Y <br /> ' UNIT <br /> ADDRESS <br /> UALf r, <br /> p Una t <br /> s r fit R Unit 2 \� <br /> 00 Ut4-hPOP GL \ <br /> �. LUrn*3 <br /> r. s UnR 5 <br /> �, sveee <br /> Meg <br /> 'u rt,n tONMENTAL"MTH DEPARTMENT FILES <br /> UNDEPAR"D TANK(US )CLAP SITE(LOP) O Ft"FA ILITASATE1KENT t7 304 ID WASTE1fI'Hld�1 <br /> IOTJJER P snm(HON4.0n 0 FOOD FACILITY <br /> fl DAJRY <br /> LtNbt:EssRpUNDTANK(MOMORft+ia�EINWAL) D P��CENm CHICKEN RAt, a PKa ��pLANT <br /> G HazA WASTE GEWRATOR d iiAOTft1F(nTFt H o PUMPER TRUCIWAAWC��'M <br /> ❑ TIERED PMfTTED FACHM ❑ �JSPA O IANR USE 1� <br /> tD TATT 018dDY PIERCING 13 OTNFR(PLEASE SP6 <br /> ❑ RAEVICA„WASTE FACN-nT <br /> List up to ten addresses in the apace sboviz. Select q�.typ@(s)of files from the list aboYe>by ahecidng <br /> Ole appropriate box(es). At least ort@ file type MUST be selected. Fare t- 4 -0f 3a-0� t"to the <br /> Il <br /> address Indicaleg ahove END flat @xlst. An appolntmentfor review will be confirnlied <br /> 2 END wlli n tify the applicant if any aftec t Pt of appliO4VOn. The fits' <br /> approximately five business days but no later than ten(ie days <br /> wlit behold for a maximum of fwa•business days for review. AppairiMnents should he sr review, <br /> A n <br /> actordingiy- not be ImWdiately available fo <br /> 3. A file that is nowely being worked on by EHD ann may <br /> application may be submitad when!ha fits is available. prior G revl�ri <br /> Q. Any file not feturned in the same condition as rGIGAAsed I t bay mquire a$93.00;d post p io®ems <br /> of the applicant.notr0tFuture file reviews by the same WP <br /> 5, OTENTATWE appointatent dates must be confirmed With t ne sem• day. <br /> 0 sYt Will be prpaesged the nQxt puslness <br /> 0. Applications foe@ivad after 3:00 P . <br /> TIME <br /> PAX' <br /> ON <br /> ONE;PH . ',. . <br /> `SATE caa�lt;;i�"��d.� ; : �:;•; .'.., . . <br /> E <br /> NO RE—W DATE. <br /> -AgnEWED' ' Y S <br /> . no�arxaos . <br /> enrzow <br />