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0 0 P. 1 <br />Communication Result Report ( Nov,14, 2012 1:35PM) <br />1) San JoaquinCounty <br />2) Environmental Health Department <br />Date/Time: Nov,14. 2012 1:34PM <br />File Page <br />No. Mode Destination Pg (s) Result Not Sent <br />---------------------------------------------------------------------------------------------------- <br />033$ Memory TX Elite IV P. 1 OK <br />---------------------------------------------------------------------------------------------------- <br />Reason for error <br />E. 1 ) <br />Hang up or line fail E.2) Busy <br />E. 3) N o a n s w e r E. 4) No f a c s i m i l e c o n n e c t i o n <br />E. 5) Exceeded max . E —mai 1 s i z e <br />SAN JOAQUD•1 COUNTY ENVTAMaNTALHEALTO DEPAR' Mwr <br />SERVTr'R, RR(HTR.ST <br />Type atBtlSktesa a property <br />Kaiser Pemtarenfe- hosp8al <br />FAGIM ID 9 <br />V <br />BDa_Na Efde Far <br />SERVICE RMUEST # <br />OOmER I OPEWTOR <br />Kais�PetmaneMe <br />praac 884kNa AODREsa❑ <br />F—"NARE Karsea Permaneltte <br />Cott Stockton <br />STA. CA aP 96206 <br />""'AeaREAE 7373Was1Lane <br />Stomion <br />95210 <br />ra <br />HONE err BMi1RGAaCRES& M aaarwd Vero BbAmrass} <br />54eerNu Lv <br />aZIP <br />Crty <br />Smit <br />Fere Amoanl: r Aamemt Pakl 3 <br />PaanE hl ei� APRa <br />1209 1 970.5408 <br />Paymentro <br />Typo Inke# Check# Raceivod.1 . <br />LwYe USEAPlLLA'bmt! <br />P.O.ta �° <br />t <br />eQS as[wat <br />LounoaGwe <br />r AW'TR Ar TAT7 I QIWPV[r'R. UV.n1TR.9TnU <br />FxmR Este Fair -Chock Dowdy <br />[Moir <br />BDa_Na Efde Far <br />RECEN_>=D <br />Pawte4 <br />209 1 461-6337 <br />finwaorlWaiwn ADDRESS 2535 WigWam DHVe <br />FAr# <br />12091 <br />Cott Stockton <br />STA. CA aP 96206 <br />BttAANG AC.[GNOKZEDGEIWENT: 1, the aadasigned praperty of aasinese ­r,operamr or aamonacR erg-, of sara, <br />eekaowiadgo rhea All Sim WNW pvokrx q—& FSivaONa TAL tiS n Det ARtaeRNt hourly d gas associated -th this payed <br />W activity rill bo billed to we a my b i-- ss ldeatifNd on lids I— <br />I also oatffy drat I have pmpamd this applfcetion and that the work to be performed will be done in accordsace withall SANJOAQUIN <br />CaDnY Grdit oweCodea, Skmdw*. STATE and FEDERAL 11— <br />AFMACANT'S SIGNATUREO DATEIp:rr /O^ 37 ^ r2 <br />PaotE1W /SV6aita0 YaeRO OrtaaTosl MANABIta Ofl®AAOTmNILOtAGLNtgjjaz A <br />lfRPPIKAA7bnat rhe BELWGPdRfl: prVojoJoarhorvAftaa t7 sign 19'"ded r'I <br />AU7T10RTZATION TO R81.EACF TLVpOptDdA1'fON. Nhm apples ble, 1, the owner or op—tor of the property loctoei at the <br />above site address, koaoby aulhat. tm release of any and all —.it& g.Ucbotcal dem andW eavirmm:erdaysite asset—am <br />lnfa totteo w the SANJoAQtmt Caron' Pam[eaumatnt, HmLr DEPARTMEtaT as scan as it h svailable and at the same time it is <br />TYPE Or SERWM RURIESMO: <br />OwoamtS <br />RECEN_>=D <br />SSP 2 8 2012 <br />a,nh1 wa ewarrt <br />hrw�n eeaaatu�rwr <br />Aao —Bv. <br />EaePLnvaS N: <br />DAW <br />AewatiaDto: <br />DATE: <br />Date Servieo Complat d iff ahead/ 000pamd): <br />saaSoacca. PIE <br />Fere Amoanl: r Aamemt Pakl 3 <br />Payment i s 1 <br />Paymentro <br />Typo Inke# Check# Raceivod.1 . <br />EtiD fl _= _ _ _ SR FOP W (God. Rod <br />REVISED IIR700ri <br />