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02/05/2007 08:39 530676E 95 STRATUS NO CALIF PAGE 01/01 <br /> c��p �p�� NAGE 0Z <br /> /7.Ci11 <br /> JOA' QU 6�1 COUNTY <br /> bMU I.VU NUM00% <br /> MvIRONmriTAL HEALTH DEPARTmENT <br /> FEB 0 5 2007 304304 E Weber Ave 3"door Stockton,CA,95205 <br /> ENVIRONMENT �EACTFi 3420 Fax;(209)464-0138 Web:www.ao.sau 3oaquin.ca.us/ebd <br /> PERMIT/SERVICES kLTBLIC RE4 0 S pXLFA E AppI.TCATION <br /> APP1.10MY; 5L- PtTTin�� BUSINESSlAGENCY: t/ •- <br /> aatiREss:333o..,!�7 Sv,�e (a <br /> HANE: W t,D' �02 FACSIWLIE: 3a7(e 6605 <br /> TI±NTATIVEi APPoiNTMEw riATE: pkg,5e a4 stye Tim®: <br /> Mloase allow 14 business days from data of application subMtJoq <br /> CHECK oOX To EXPEDrM REQQESST-S9160 P •• QUBST PROCESSEQ�N 3 Btls'NESS D YS <br /> SIGNATURE OF APPLICANT J DATE <br /> Oepartrnent Use OrAy <br /> FILE 82LFM , UNtT <br /> ,. s pS Caves C QST" ❑ Unh 1 <br /> At ❑ Unif 2 <br /> ew <br /> a street Unit 3 <br /> e a <br /> C& Unit d . <br /> A. <br /> ❑ Unit S <br /> aa, s�neet <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> fCIUNDERGROUND TANK(usT)CLEAN UP SITE CLOP) G HOUSING ABATEMENT 0 SOUP WAST[:FACILTfY <br /> OTHER CLEANUP SITE(NON4AP) 0 FOOD FAGILRY 0 ^$OLIDWASTEVEHICLE <br /> UNDE GRQUND TANK MONITORiNGlREMOVAL) E) PGG KENNEL ® DAiRYIMHAZAMOUS WAS0t3 9MERATOR CHICKEN"CH t7 PKG TREATMENT PLANT <br /> TIEPXD PERMITTED F O MOTELMOTEL ❑ PUMPER TRUCKIYARDICHEM TOILEM <br /> TATT Y G M POOLPSPA C) LAND USE APPLICATION GM <br /> MEDICAL WASTE FACiLM G OTHER(PLEASP-SPECEFY) <br /> 1. List up to tan addresses in the space above. Select the type(s)of tiles from the list above by eheckrng <br /> the appropriate box(es). At least one file type MUST be selected. Faxto t2091464-0138 or mail to the <br /> address indicated above, <br /> 2. EHD will nofFty the applicant If any EHD files exist. An appointment for review will be Confirmed <br /> approximately five business days but no later than ten(10)days after rectipt of eppllc4tion. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHO staff may neA be immediately available for review. A neva <br /> application may be submitted when the His is available. <br /> a. Any file not returned in the Same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. future file revdewws by the same applicant may require a$93.00 deposit prior to review. <br /> e. "TENTAT R appointment dates must be Confirmed with EHD staff. <br /> Appli cations recalved after 3,00 pep will be processed the noxt business dby. <br /> CONFiRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE , FAX INITIALS , <br /> REVIEWED Y&S NO REVIEW DATE ^ — <br /> d1MAp�1 <br />