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\ 14/2003 16:49 9252836121 AEI TANTS (SF) PAGE 02 <br /> j 12/16/2003 12:40 4640138 ma EWAL HEALAk PAGE 01 <br /> r���j w <br /> 1 11 ! ; SAN JOA Q COUNT" <br /> L 0NmNTAy 'TR DX PAS NT <br /> DEC ? e, 200 j � 304 F-weber,Ave 3'�Floor Stockton, �u nca usJ/e�ad <br /> ENIV! &N (249).461-34za Fsx:(204) 4-0138 wpb: 3 <br /> PUBLIC RECORDS 3tEl <br /> .XASE APPLICATION <br /> Is CE <br /> �}1��1n1 � �auslN�ssra+�EN�re <br /> ADDROSc <br /> T11". <br /> TEN'TATIVV APPbiN=ENT vxM' ata of"plicabon sub I) ` <br /> r ; r • . <br /> ease anavv 1a beerinessddys"M <br /> ; <br /> 0o FEE�REauEST ssED�I 3 Susutess DAYS DEC 17 f <br /> u CH_Cr 69X TO EXpi=Dr1 RE - DATE <br /> SIGNATURE OF APPLICANT <br /> �.:• Deoomrg,t use only <br /> UNIT <br /> Ft[.E AD1yRE'SS ❑ Unh 1 <br /> �-JT <br /> Unit Z <br /> Unit <br /> s• knit 4 <br /> e. • <br /> z. d unit 5 <br /> 10. <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> 0 SQL w WASTE FAM"y y . <br /> G {�lup$ITE(LOP) ❑ Npp91NC ABATEWNT G SoUQ WAVE VEHICL:E •d+r" <br /> UNDERORpUND TANK(UM i ci FOOD FAMCTY � �CG�i'REATMEM'PIJ�' <br /> OTHER CLEANUP S17E(No"-Lop) D =0 KENNEL Hyl T011.E <br /> ?103 <br /> ult SROROUNOTANK(MONrWPJNW�M� O CHi[kN RANCH ® RnpMTRUCMARDICWwSWASTEG6WMATOR ❑ p O LAND usE APPLICAT10%SIT-f jMED �RMMt O FAQ1Li'f�!' ❑ pooUSPAE SpEGFY)TATTO01800Y PIERCING a (Yr�IER�L <br /> D INIMICAL WASTE PACS theS of filed from 018 lest 9a o o m t bo�'e <br /> t. List up to ten addre�es in the space above. M�T� he selected. Fax to 09 4 <br /> the appropriate box(es)' Al least one fiile type <br /> address i di ted a o7ntment for review will b!'caConfirmedhe files <br /> Ekl®win notify the applicant if any 1=YlD files eXlst. Art app da after recelPt of app <br /> 2. a mately five business days but no later than ten(1 Ys latments should be scheduled <br /> ppm Of five business days <br /> for revlew. Appo <br /> will be held for a MRAMUM Of may not be immediately available for review. A nc + <br /> accordingly. el being worked on by EHD staff <br /> 3. A file that Is Y when the fills is available. ZHD staff at the rt ` <br /> application MaY be submitted reorganized by st ®f to revii <br /> the same applicant may require a$93.00 deposit pri <br /> �. Arly file not returned to the same rendition as released will rtiQ reo <br /> of the applicants Future file rerriews by <br /> intsnent dates must tss ean#ir'ri+ed with F-140 staff-5. 'MTENTATR appo will be processed the next business day, <br /> ' <br /> leeatiaTts received affier 3.00 prn <br /> g, App TIME <br /> CONFIRMED APFOINTMEMI'DATE pfiONE . ' FAX' INITIALS �-.—,--- <br /> DATE CONFIRMEDREYI ►DATE <br /> YES NO <br /> REVIEWED " <br />