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Nov 14 06 01:10p Apex • 20� ' p "
<br /> REC8 V ISD JOAQDING"s COUNTY
<br /> Pgvi tQZ mF,_'VTAL HEALTH DEPART-mENT
<br /> Nov 14 2006 304 East We er Avenue,3rd Floor Sv^ckl r( A 9520 2701
<br /> Teicpnanx (21'9)468-3620 Fax:(209)464-013'11 M'�'€a ti-,r v=��c+ c.,ry'er,
<br /> ENVIRONMENT HEALTH Y R 6a )' � f
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<br /> PERMITISEINICES ... . > .-:'`_)RDS RELEAS A .: L1t, 41'1 N"
<br /> .APFUCANT: :J s'..V\ [h•1 S'3fXFSSIAGFNGY:_&2x
<br /> ADDRESS: 3QL4lci4k. y.S-'�1.C.t.Q,.n .�.'Cti+lr`...: ���Cl•e �..�f'�{". is T\;i'f-�..�._!,4, jl�• �^-
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<br /> dateof aPPlicatlan subnritfa! � >fa6:,,.ael} n-:, :a vrmad)
<br /> �+ CHECK BOX TU EXPEDITE`,.Hr; F, T - (CASH 4R CHE-CK X? Y• REQUEST"OMSeD M 1 BUSNESS DAYS
<br /> SdGNATUREOFAPPLICANT,_ J.a �.�i) ;�%�^- .—._...._..._.._ .._-._._ 'J.4.i>;' _..-141410 (o
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<br /> 3TALHEALTHDPPAR E',TF%..FS
<br /> ,,�1 NOERGRCUAD TA±rK(US',`)C_v`IV::e."TF'_O',t ':a HOUSINGA6ATEkfa:r M SOUR WASTE FAMLrNrVeHME
<br /> O DTHER CL'cANVP SITE(PAoroa_4P) ❑Fo00 F=uiY C!:NASTETFM
<br /> C JUDER R4UND-1AUK(h10t, GRS7GIREA0Y'AL, =DDG KENNEL L DAIRY
<br /> HAZvFnC11S °ASTE GEVi•:Rn':0R CCHFKEN Rmce uW65 WATHi TI:EATraE".PLANT
<br /> MMoTEU){oTE4 GLwpi:R-(mcW:'ARaic:NEM TCLETs
<br /> • TR?rt.rS'C'D,y a�IFF�w Ci PODUSPA C: LANG u[ ,4[:111::c.TiG>i SITES
<br /> BOTHER LEASE SPECIFY
<br /> lq`E;L.APs+SErT�r i';:'iP,e:T"rr,F^CQ?::a;u"iS F,'�'Y't AoIE FOR RENEW - 6@adDA1=�Po?IaY P.::A@APri 3:OOPIrI - erCi'_OisC--.K-0t10AY3„
<br /> Gist ut+to'ien addresses in the space kcva. Selectthe types}of flies iron the list shave by checking the
<br /> appropriate box(es;. At least one file type MUST be selected. Fax to f209)464-01L or mail to the address
<br /> EI?diicated above.. Address ranges will not be accepted-for additional assistance with file addresses,contact
<br /> the EHII,Applicaiicr s received after 3:0911 'um-wil be processed the neft bus+ness dad+,
<br /> <. T'ae EHC vain the app9icant if arty ENL?files exist. An app,*it^Te-n for review will F
<br /> aPpr0xi.'.-la'te-,{ ci'' 000 rays after rS�^ni7tof application. The fiii:s lmr :: r l:e'.ci for a rlax7mum of five busine>s
<br /> s f€ revieW, r,z poi 8meztts ss`o-111d n scl.ieduled accord''ngfy.
<br /> A.rite that is actively l ging worked an cy EHO staff may not be irnmedialely available for revievv. A nese
<br /> appik,'ation may be submitted when the Fie Is available.
<br /> 4. An; file rot ralurned i:I "rhe sane condition 3s released Will be r�oorgana ad by EHI:)staff at the expense of the
<br /> appliGart, Future Me reviews by the same applicant may requires $9?.04 doposft prior t.a review.
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