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06/13/2006 14:58 FAX [Z001/001 <br /> DATE E RECSI'4;0 S.+--j .J OAQUIN COUNTY <br /> ErivIROIYi1 ENTAL$EALTT3 DE,PA :T1Y1ViT <br /> `^L WED 304 F, Webcr ave a� Floor Stockton,CA 95205 <br /> f209) 458-3420 Fax: (209) 454-0138 Web:�vtivtiv.co.san-joaqui .ca tis/e?xe <br /> 3 [006 <br /> PUBLIC RECORDS PLEASE PPLIC TION <br /> F - t.,c nil TEL,.�.�._��F— - <br /> PERN1111,(3E! ,' C—'� � 1 � L E��BUsiNESS1AGEHCY: <br /> APPUCMT: <br /> ADDRESS: <br /> IyWOKc: ^FACSIMILE' -' <br /> TENTATIVE'AFP0tN'1'>vtE8T DATE: <br /> z �__,_ Time; <br /> (f 101iG allow 1a bvslnC +day's kom ate of apptication cubmittal� <br /> "r <br /> 'CHECK 1~07.TO EXpEDIi£REQUEST-511.00 FEE- QUBSj FKOGflSS>=0 Stt 18US1N 5S DAYS �R { <br /> DATE <br /> SIGt4ATURE OF APPLICANT " Cleaarm%antUse OntY <br /> FC, UUn <br /> FILE AADRESs <br /> Ix <br /> 1,�C's CMN . �/ ol 2�Ca�A' 3L� --� : F 3 <br /> Sime( : 1 I `4 <br /> z. z3'T t 5 <br /> ENVIRONMENTAL HEALTH DEpARTMaNT FILES <br /> O HOUSING ASATEM=► �-SOLIO WASTE FACILrrY <br /> N- UHOERCRnUND TANK(UST)CLEANUF SrrE�OFi O FOOD FACILrry f; D AiR 'A[f.S i�YEt4aCF� <br /> iti p.-HF-R CLF_ar{UP 5rM(NON.LOP) O t)OG KENNEL (9.DAIRY <br /> t3-PKG TREATMENT PLANT <br /> C& U14DERGROUNDTA14K(MONiTOR1NGIREMOYAL) G CHICKEN RNiCH p pUMpi"FtTrtUCKIYARDICfSEM TQtLcI� <br /> W►ZARDOU}WASTE G>wNERATOR O MoTrzUMOTELE ApFLICATION Sri1 S <br /> rrT <br /> O TIERED PERMEDFACiury t7 pOOL)SPA is tAt+Ous <br /> O TATTOGIHOCY ptERC1HG O OTHER(PLEA SE SPECI f� � <br /> Q MEDIG:�LWASTE FACILrrY �hCGlCSI1C <br /> �. List up to ton addresses in the space above. Select the types) of files from the li,t abaV a�-Y <br /> �. <br /> the appropriate box(e:.)• At least one Elle type MUST be <br /> ye)pcted. Fax to 2.t}t3 �6t-0138 of m si! to i re <br /> address indicated above. oin' lent for review will be cOnfrmed <br /> EHO will notify the applicant if any EHD files exist 3P0 days after receipt of application. The f tls <br /> 2 approximately five business days but no later than ten ( ) alntments shQuid be schcGuted <br /> will he held for a maximum of five busines" days for review- App <br /> ' 3. A file that is actively bring worked on by F-1-10avails;� not be immediately <br /> available for reviev+. new <br /> accordingly_ submitted when the Hie I� n an,zed by END staff <br /> at the expense <br /> application may be <br /> a• A.�y file not returned in the same condition as released will be r_C,rg <br /> of the applicant. Future fife reviews by the 53me applicant <br /> dl��lic t m y starequire a $93.00 deposit pdor to review. <br /> 5, -TENTATIVE zippointment dates must be confirm <br /> g Applications received after 3:00 pm wily be processed the next business day• <br /> D.iAPt-••Oiif'�'Mt~tdl'..QA`f�' -:'::;' _`. ••. ME <br /> t" 1t'pp;ONE FAX'F.:Db,A�,T-EEE�rlRivtED <br /> Ho <br /> i� YES . <br /> ��.. <br />