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09/03/2004 12:27 1 CL ' N PLEASANTON 4 12094640133 NO.660 D[ <br /> ®9/03/2004 12:10 4640 ENVIRONMENTAL (H PAGE 02 <br /> F1io LOG NUMBEK <br /> oA Imo- � ,\ D SAN JOA.QUIN COUNTY <br /> �IJE . ENYIRO�TMEN�'AT, E.A�LTS DZPA�tTMENT <br /> SEP 0 pq 304 E Weber Ave 3'°Floor Stockton,CA 95205 <br /> 260 468-3 20 Fax:(209)464-0138 Web:www•ao.saz�jvaquin.ca.usle3id <br /> INVIR0i,,J'AcN I HEALT Abp ,ICA,TION <br /> PERMI-F/SE=RVICES CLIC RECORDS"LEAS e �s\< <br /> 1, o� cam <br /> we CAA- BUSIREMAGDICY �, <br /> APPLtOANT. 2 1 <br /> � o�' C2n'1i-,CC <br /> ADDRESS: � S� 4! 6— (9 10� <br /> PHONE Sb FA�CStMtLE: <br /> �z,2'� ( 1 rnrg• �j J <br /> TENT � <br /> ��ahaw 10 bvsin�ss d� <br /> [ren dow of appuaticn sub"124 <br /> 1 PRCC>: D M 3 SUSMSS DAYS J <br /> Q Ct{ CK BOX TO RETE ;'s93 / <br /> DA'[E <br /> SIGNATURE OF APPU D.*errWj Use ontY <br /> torr <br /> FIDE ADOM1111,111,77 <br /> S � -` ❑ l 1 <br /> F1.\ <br /> CSA two � � 11 'r �E`�� [] Untt 2 <br /> Unit <br /> nit <br /> T. Unit 5 <br /> MAI <br /> Sow FWROMMENTAL HEAL'l H DEPAI � F31.E <br /> �gpup WAST>t FACiIm <br /> O ljOUSWG ABATV4EM Q SgUp WAMVWOCU <br /> p�DMGROUND TAN.t�T)CLXANUP arcs+(Loi) a �FAC�Y <br /> o DAkRy <br /> iUP StM"-LOPS ❑ KERNSL O.VKG TfMATM-N PLANT <br /> i DORS WPS�K �4R MovA+i 909 { in-KOC TRUCI Rp1CtEA Pots�5 <br /> ATIOH S <br /> M USE APP <br /> �( MTD FACILITY ❑ �sg gP�CiF1� f C� '^ �b \ .y <br /> si OTHS(P -t C a h akin <br /> j1X=Mja4�=AV FACU& fist abdYe OY c <br /> space abQW. Sed the type($)of files fr°r" �4�i 38 yr++sail to e <br /> List up to ten addresses In the spa MUST be selected• c to 2DQ <br /> �. ra ruts poxes?• At seas!one file typt <br /> the app p lr ave, ointment for resew will be�n�rrrned <br /> adds" after re AlPt of aWlcatian. Tt> fife: <br /> EHD WAN n the applicant N arty EHO files exist. An app uld be scheduled <br /> 2. five business days but no tater than ten(l0)daYs Iniments sho <br /> ap�xlmately for review. APPo <br /> wnll be held fbr a maximum of five business days av_j7,able for review. A TV <br /> aaordingty. worked on by staff mAy not be irnmediaiY <br /> 3. Afile that is;tctively being anted by FgV staff. at the expen <br /> application r�ay be submitted when the l is avails ed will be reorl d prior to <br /> 4 Aral file not rptumed in the same Gond'�A;rr ppticatnt mSy r0gUiry a$93.00 <br /> of the applicant- Faure file reviews by <br /> TENTATiVEint dates must be coriflrmad W'th EHO staff.+ ,app°/ ed after 3:00 pm will be procMsed the next busimcss day., .� <br /> 6. Appllcattotti rceiv �.>, ,' r;c'; .:_: ;�,�'•' <br /> ,TIME •. ,,.::::•,. <br /> DATE ;'' 'I�''` <br /> CTSNFIRlVIED, �' y.�.'. .. ttCrA . <br /> �QHQt4E - FAX" <br /> DA'fE GGN>=1RlVIEt 1 REYIEW DATE - <br /> i YIEVVED w YES NO <br />