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I <br /> fil �3/ 0H3 15:15 454EI13B . U . <br /> ENVIRDNMENTAL i I H <br /> 1_ .etis�hoc�aaa <br /> c'E 1! A14-JOAQUIN COUNTYPUBLIC HEALTH SERVICES � <br /> ='�� �!,�" ENVIRONMENTAL.HEALTH DIVISION <br /> �!}f4 ;; �� 344 EAST WESER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (2119).468-3420 ,I <br /> EIV IRONNIE-NI EALTi <br /> h , , _ UBLIC RECORDS RELF-ASE APPLICATION <br /> PLM 4 l � 1 BLr$INESWAGT�ICY <br /> . c <br /> GRE Z d M L ftil C to t. i '�• � <br /> 4"F- :.`a X FAG55ierlil E <br /> TEAITATI "APPOIlI7NICNT UAT Utj• -2- G.-2005— TtteE : 00 <br /> tPleasQ VKv 7 to 10 benkmgs d*W frme date of appflvji lan submittaq <br /> IECK BOX TO 2 rT$SEQUIEST-$89.00 FEE-REQUEST PROCESSED IX 3 BUSINESS DAYS <br /> "S GN 'URE OF APf LICA r f3A7E - 2 CJ S <br /> FILA ADDRE32 THIS WOE END STAFF 1,19E OMLY <br /> ! PROGRAM SLENIM s 3E1►RC G1, <br /> Line, Fp2d i <br /> t Li rte: I,, L_ i <br /> 3 r cOrd LN� L_ <br /> L If <br /> `l <br /> p <br /> ENVIRONMENTALHS&TH IaMSION I <br /> uN G1100k*A K(USTI CLEANUP Srre'(LOPi fl HOUSING ABATEMENT In SOLID WASTE FACtU•f'Y <br /> OTN CL EANUP.5 (NON4-OP) 0 FOOD FACILITY E3 SOLID WASTE VEMLl: <br /> SN �0140i*tl T K(NIO ttTORING11'tEMOVAL) ❑ Dog KENNEL b DAIRY. <br /> - US WAS 0lltfERATOR O CH1CJ EN RANCH O PKC•TREATIMENT PLANT <br /> 11E PERls nVtO AC.1LOY G M*VLI}LCITEL ID PUMPER TRUCWTAADMMEM ftl.E� <br /> 1A Ol90DY PMR, ttia fD rVOUJSPA 1,D LAND USE APPLICATION SiT1=S <br /> ME 4AL WASTE FA IL ITY I O OTHER(PL.CASt?SPGCIFT ABOVE) <br /> 1 I..ISt UP 1,'P n addresses to the space above. Select tha type(!) of files from the fist above by chacking <br /> the appro rlate box(es). At least orle file type MUST be 6010a'ted. ex to 709 464••0438 or mail to the <br /> r address ir diCated above. <br /> E14D tin►ill n tity the appiiaant 1f any'EHA files exist. An appoiritMent for review wilt tae confirmed <br /> approkl toffy five business clays bu no later than ten-(10)days after raceipt,of application. The fibs <br /> will be hal I for a rttaximUm of five buL'Siness.days for review. Appbintments should be schedulad <br /> according y. <br /> A file that s,actively being worked on by-EHO staff m2y not be Immediately available for review. A new <br /> applicatln may be.suta:t:itted when the file Is available. <br /> 4 Any(lien t rettLrned In the sante coridltloh as relearsad will be reorganized by EMD storr at the expanse <br /> of the app icanL Future file reviews by the carne applicant may require a$68.00 deposit prior to MMIC, <br /> 5 .'MNTA rlppoifltmarit dates must be cohfifined with EHD'sfalrf. <br /> Applicot'to rts received after 3:1130 prm will be processed the ies<t business day. <br /> ON iRMEDAPP011`4TMEN' T DATE. TIME <br /> TE CONFIRMED PHONE FAX It1t71A1_S <br /> IR ED YES <br /> — _ <br /> Na RMeW DATE <br /> VI <br />