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J11 FFOt'I NOA Envir»n.nental r PHONE NO. v�j':-3 3r,9 422a Nar. 16 e'VJIDJ 19:©5+-T1 P1 <br /> SAt'DARUIN C.OUNTYPUB . HEALTHS . ICES <br /> -a Ok "qh�MOFk•gra <br /> le <br /> ENViRUi►iMEWAL HEALTH DlYISI�N <br /> may, 306 10.ST wEgF-R AVENUE,7HIRo FT.GOR <br /> D STOCKTON CA SM202 ago <br /> PUBLIC R00. 01 <br /> ECORDS RE �RELEASEA'PUP' ATIQN <br /> + APPLICANT '1 <br /> ' An47 ss 22 hl. .ss'r~aEncr -y <br /> PHONE <br /> -- <br /> T2NTATiVZ*AppLGIMWxNT owrf. <br /> I..sa yhrs 7 to i0 bliillH days M—02b 8f TWE <br /> �oPEicauaa�utrtraasl) "' #r <br /> i{ ' <br /> CHECK 80x To EXFL'MiMREQUEST•:73.40 <br /> S£D IN 3 auSINUS CAU <br /> ;51 a'; 1ATURE OF APFUCANT Y <br /> iTA"Ml l yl OD 31 <br /> 4 �LErtii)RdSE k '� �', <br /> jj� <br /> k, <br /> > f ';rt.5_ + <br /> LQ <br /> iACIV <br /> ENVtRUNME 3TAL HEAL-M Dnnswx FILES <br /> UNDP-RG ROUND TANK ILMI)C rvp 31M(40PI a 40=NG ABA'T'E NT <br /> UrW-R CLEANUP Sig(NO�i4.OP),' CX POW FACIf.ITT � �: SWO WASTE FACiI.tf'Y <br /> UNDERGROUND Wtt <br /> TARK(NoNrroc OWWAta M Dom xs"EL A D WI;WM VENCM <br /> P+��US WAaTB G1I<NVaA•70R i 0'EWRY <br /> ` TUMEI]PV RM"TED FACUYY 4CHICIM RANW 4 til �Pltt#YFitJJITAIt PLAW <br /> C5 7ATIp003ODY PCOICIbi(G t: d PUMVER TRtlCKrVARDICF�TG]Lj75 <br /> Q UWCAL WASTQ FACSjW Q FOOU3 WATaR sl'S a LANU use APPLICAUM BITea <br /> TEM i Gl OTHER{pl. c,BlStCABOYE} <br /> f• List ftp to tan 4ddrser."in thig spAco above. Saiatt tho{ Lypt(s of file front tha i[bt abovo$y choking the WPropriata box(es)_ At i$�tst*nye fi}e typA iWtJS i'be se{aatad <br /> to <br /> e <br /> 2. <br /> EKE will natriy the appgcsnt if anyEHD 15 i� <br /> aPproximateiy five buslrtess ti �el�iat. An apFoirttmqutw f�review elft be t;ont�t,� <br /> no <br /> win be held for a maximum of five bus nasal flan ten(10)dai w aiti r,'rereipt of appl�aatian. The fROs <br /> =cord,ing�,, flays for roviaw. Appai�p t%shoWd"%dieduled <br /> 3. A file that Fs antive[yboing Worked pan <br /> by 6ZFjjp s6rff mays not be I imm ly wmilabis for rwiffIC A new <br /> 4. a PPIlcation MUY be auritnitttd where the Elle is 8valiab�, �l <br /> Any Elie not raWrned In the same condition as TolQaaed will bw <br /> Of the APpllcartt Future file Mvie++vs b #Ip we"arjand by END staff at the expenar <br /> $• 'TENTA—NR a of y ssr,�a a slica�I may require a$78.Gtl dtpaatt prior to+Eview_ <br /> S. AI► nb7mtt datum must ba ronfirmad vAth EHD stuff, <br /> APrii'rotttlotts retaived atter 3:00 pm will bo Procatmed the ryexi busins'ss clay. <br /> CONF"RMED AFPOINTMENT DATE 36 <br /> T1MIr <br /> DATE Corli=gWeo <br /> l�EVIEvYED YES <br /> � + REVIEW DATE � <br /> TOTAL P.01 <br /> n <br /> ,F <br /> 1 <br /> �l <br /> } <br />