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r11012gI200F 14 4B 4640138 <br /> ENVIRONMENTAL HEALTH PAGE 01 <br /> rig 9 �, s [ Cl� t� SAN JOr1,QUINCOUMY <br /> ENWRONmENTAL S>oW > 5z <br /> ;i "� r ' ' 304 East Cxrai3ar Avenue, 3`d Floor, Stockton, CA 95202.27p� <br /> .{ rl LHili `teleilhone: (209) 468-3420 Fax: (209) 464-013$ Web; www.sjgov.org(nh <br /> PUI3U PXCO RDS RELEASE ,A MICAUON <br /> APPLICANT: d I BU0INESSIAOF,N6Y: � �� <br /> Z.6 Z. <br /> TENTATIVVAPPoIN1XIEtITDATI.' Z� S o o Yf'pr T��I o: 7j <br /> . (Please agow 10 bUSI sat d" 116541 data Ofappllo-8Don subrAIMt •renzam o dy . must be cenflrnued) <br /> C� CHECK BOX TO EXPEDITE RE�4ue b FEE (CASH OR "ECK ONLY) . REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> s1dNATutxE OF APPLICANT DATE; J <br /> Electroolc lnfortnatfan: © LW [J Map — description: <br /> FILE ADDRESS EHD USE ONLY <br /> SLrDet # 9tmat Name r <br /> Unit 1 <br /> , f, F . <br /> 2. Balm3. �f2S La re Cr - GGGaaa <br /> 4, Unft 3 g <br /> 6 <br /> it <br /> 7- v <br /> S ❑ Unit 6 <br /> 9, <br /> Unit 6 <br /> 10, <br /> Specific data Range Of Information Rcquastud: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILgS <br /> unamor4utibTANK (M) CLwwprSITE (LOP) oAiGUO aARATF.MENT G�11aouoWASTE FA01M1VWWcl.s <br /> iSTNEn GLEANUP 67TE (NaN-LOpI ❑ FOOD FAC&M (Ps JWM t1RE - <br /> 111444 UNOERGIM Nn TAKK (M0MTQRwcttEAF2VXr) ❑ Doo Ker m o DAIRY <br /> dRALWOUSWASTE CENFNAton MCHICKEN RNQI FLWASTKWAT=TY(EAVAkNT PLMT <br /> O TURED PERM= FACILITY 13MDTeLIHanl, Q PWWFKTRuadYAWCHeMTorArs <br /> _1`3 �AT MamaY P19MINp 0PaWJSPA E3L"n UzE APPLICJ1, K $= <br /> ` Z EDIc4t. WAMFACRITY C7 OTHW IP4XM0 SPEGMI <br /> WELL AND Suint P"nRrcDMAae AVAILABLE FOR REVIEW - UoNDAY�Fmw Diad AM-5:000M - FXCWbR(O HOUDAVS. <br /> 1. LLzt up to ten addresses In the space above, Select the type(s) at files from that Net above by checking the appropriate <br /> - box(es)- At least one file type MU$T be saleCtod. Fax 1P (�Qgl n 19D or mall to the addms�Jffdl94W AtMy Address <br /> ranges will not be accepted — for addl6anal ausiatanca with file addresses, canfacttha EHa AppUeaDans racelvcd attar <br /> 3:00 pm WUI be processed the next business day. _ <br /> 2. The END will noflfythe applicant If any CHO files exist An appointment fu review will be Confirmed approximately ten (1g) <br /> daysaltarreceiptofapplication, The fllaIs will be held for a maximum offhrubusiness days for review. Appointments <br /> should W scheduled accoMingly. <br /> 3. A file that Is actively being worked an by END Staff may not be Immediately avallable for review. Anew pppllcalon may be <br /> submitmd when the fila Is available. 1 <br /> 4. Any fila not returned In the name oandition as raluascd will be reorganized by RHD staff at the expense of the appUcent, <br /> Future fila reviews bythe same applicant mayrogLllre 0. $95.00 depOslt priorta ravlew <br /> END USE ONLY <br /> END ar IMMIi <br /> TO / TO 39Vd SINVI-PSNOS I3V 66099VLSZ6 EE : bT 80OZ / 6I / 80 <br />