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Rpr 26 2004 3 : 56PM flttorney Rt Law ( 916 ] 635- 3530 p . 2 <br /> 04 /26/ 2004 16 : 59 4640 ENVIRONMENTAL F TH PAGE 01 <br /> DATE RECEIVEDI� Int SAN COUNTY <br /> s J <br /> -- ENVTRONMENTAI. HEALTH DEPARTMENT <br /> APR 2 7 2004 304 R Weber Ave 3" Floor Stockton, CA 95205 I <br /> (209. 468-3420 Vax: (209) 4640138 Web: www.co.sanojoaquin-cS,usjehd <br /> iffAU <br /> ��I}ICErS pUBLIC RECOWIS RELEASE APPLICATION N / <br />' APPLICANT: /TUQI e-4 W1tee!s Bu51N SWACMCv: A t'}"o rY1C�{Tp,( IaCJ�.>� �eo�e.t/•e <br /> j ADDRESS: G <br />{ PHONE: FACSIMM..E _ -1 I 1¢�J!J ✓ 3Q <br /> TENTATIVE' APPOINTMENT DATE: Time: ---1--'�'� <br /> ZULCC.// <br /> (Please allow ID 6 Wineaa ddaays 6m dat6 of ap kation submlHall / M� <br /> CHECK BOX TO EXPEDITE REQUEST • S9 D FEE - REQUEST PROCESSED iN I BUSINESS DAYSLl <br /> 81GNATURE OF APPLICANT �ti" DATE <br /> moarenent Lime Only <br /> PRIOR <br /> 111 111111111 <br /> FILE ADDRESS UN1Y <br /> roel 1 r i S ❑ Unit i <br /> c <br /> jV eY u ❑ Unit 2 <br /> qF VeN � <br /> Slrce <br /> �• awn <br /> e. avec *11LUnit 4 <br /> a <br /> 1. Steel <br /> sla <br /> ❑ Unit <br /> o. Pnel a <br /> 10 ywel a <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> TANK NST) CLEANUP SITE (LOP) O NWSINO ABATEMENT C3 SOLID WASTE F k.` <br /> D FOOD FACIFACILITYSOLD WASTE VE L <br /> UNDERGROUND <br /> OTHER CLEANUP SITE (NON4-OP) p Dog KENNEL D DAIRY <br /> NDERGROUND TANK (MONITORING1itEMOVALI G CHICKEN RANCH O PKO TREATMENT PLANT <br /> }IAZMDOU$ WASTE GENERATOR ❑ MOTELtKOTEL 0 PUMPER TRUCKMAPAICHEM TOILETS <br /> RED PEfIMITTEO FACILnY a POOVSPA a LAND USE APPLICATION SITES <br /> (5 TATTOOIBODY PIERCING ❑ OTHER (PLEASE SPECIFY" <br /> O MED{CAL WASTE FACRRY <br /> IV List up to ten addresses in the apace above. Select the type(s) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 44Iail mail to h <br /> Saeres IndlcaUd above. <br /> 24 aEHO pproximately telly the five business days but nont if any EHD llaterles xthan dst t n (P0) aye afteointment rrea pt of elppllcail onr The files <br /> app >< Appointments should be scheduled <br /> will be held for a maximum of five business days far review. App4 <br /> accordingly. `worked on by EHD staff may not be Immediately available for review. A new <br /> at A file that 13 actively being <br /> application may be submitted when the Hie Is available, <br /> 4, Any fits not returned In the game condition as released will be reorganised by EHD staff at the expense <br /> of the applicant. Futuro 1110 reviews by the same applicant may require a $93000 deposit prior to review . <br /> 59 'TENTATIVE appointment dates must be confirmedprocessed he i th ne0xt business day' <br /> 6. Applications received eller 3:0D pm will be <br /> TIME41 <br /> CONFIRMED APPOINTMENT DATE fNIT1ALS <br /> DATE CONFIRMED <br /> PHONE . FAX <br /> R0nI <br /> YES NO REVIEWDATE <br /> ME <br /> inteaa i ' <br /> = c� /11.x-/11 � � � fjjJQh�7 <br /> 1 - a �-�aPl� <br />