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q/9- <br /> I S. 7 92594421 TSG PrV. <br /> � SANJOAQv1rN COUNW EKE)LOG NUMBER <br /> FNwyw� miNTAL HEALTH IDEPARTm-Nn <br /> 304 Ew,#;Webu Avepue, Yd Floor, Storkton...CA 95202-2708 <br /> SEP 2� Teiepht�ae. (209)468-3420 Fax;(209)46"138 Web:www,sj&ov.or&hd <br /> (P37 <br /> EWRONMENT HEALIM PUBLIC RE,CORDS RULE,ASE APPLICATION <br /> MM ffjMMX!M <br /> MT 7 <br /> APPOGANT: <br /> TENTAITV44"APPOIWAVEM-7 VATS: <br /> (P(OR"Aligw 10 bM,?MX$Jaya from ftto of appIkelJon oubtntital-'rfMaMra only ffr4at pe coltfl".od) <br /> C3 47VECK IJOX TO EXPEMM REIDMEW-SMOa FEE(CASH OR CHECK ONLY)-REQVF.3T FFMESSED I'$SIJS11`11�5.3 PAYS <br /> SMATORN Or-APPLIt�AKT DATE <br /> FILE ADDRESS SIDUSE ONLY <br /> My villt I <br /> j— <br /> if <br /> it <br /> 4- j70 <br /> IT- <br /> Unit 6 <br /> Rmf <br /> nallp Pane%q ip.%rimatlor R.PqUestedt.torr m tR <br /> SMARONMEMITAL HEALTH DEPARWIEW FJLEa <br /> 7Am? JUIr;T)ip�muto (1,0p) 0 HOMMARIATEM03 SCUD WASTE F1,,curv16u11oLr <br /> X 0TVFR CLEANUP SATE(NOW-LOP) 0 FOOD FAcnm' AWAKrETatE <br /> 7-1JNr-rftMVND TAnK(VoN,70.-kiNmRaiavatj 0 DoG KuNKEL R1 Dr4RY <br /> 0 HAZAFWDUS%1VAS-M nV4RVtATQ9 VLCMVMRAWH MWATrt-WMFRThEA1MEfsT PijW <br /> 1V;FP'PER1frM0 FAM TY 17 NoTaiHOTEL JR PUSITTIA TRUCKMARDICM9.Totter <br /> POOUSPA PLf-ANP VM APPUON.19N Si-ma. <br /> *TiDlSAI.WASTE FAIMMY Q OTHER(PUARE EFFC(M�_ <br /> VV'UL-'-AND stir-no I.Pratit-Rneertof;ARF AMMM VOR RfiMFW- MQNDA14FM1Ay 3:00 Am4:99pm - ExcujtXKG 14MMAf <br /> 3.t. Met lip to tenaclftss�_s Iii the_*paue above, Select the WWO of files from the Mst abafe by checking thD approprivte <br /> b0y,(1?0At 10m"One 1-He type MUST bo selected. Fax fa 1209]AM2953-P Q[mail to the p4dres-_!,Indic-Atoe'd,obeys. Aceirsmag <br /> Qt eM veil l not bs 7,rcQPtTd—Air zqdd MIMI Assistance With file addresses,Contact the 1 IiD.ApPlIC"Otis maelved afloar <br /> :?,Gil pm WM bo PMed fbo nairt business dAy. <br /> 'MsEr113 WIN-,101IFY thE��applilm tit IV any EM filet(mist An OPPOIntmont for review will lie confirmed approxInintely tnr.(10) <br /> 'ayfi Aft"rcK-'0fta2 Of ttjmllcaflon7iIv Files will be held fora ma)dmum of five busliesis nays for rmisw. AvPa1'ntmPu1U- <br /> :3- A Ole ttwdhzt is actively being wu�"Vd 0-,"by END staff may not be Immedipt-oty avalla bie Ror review. A new 1-1ppilicetlan rnly'bf, <br /> sUbrr.fWhen thf�oli�-to MMIlable, <br /> 4, AkrV rale,Hut Mlu med In ttm se.1ne condillo n as re;oaved will be reorganlwd by E HO stiff at the expanse of 1110 appPca tit <br /> FL4ure file w-�47AM by Uie swore applicant may Mquire a$95.0()deposit pFjef,to ra0_-w, <br /> CHD USE ONLY <br />