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JAN-07-05 01 :06 PM P. 02 <br /> EtV1RC1,l4EPJA- HE L e f'eaC Ul <br /> aiHlr 4.VV 1ev•o.t`ee <br /> HEMMED ' <br /> SAN JOA UIN COUNTY <br /> ENVIRONMENTAL RALTH DEPARTIKENT <br /> AN - 7 7,005 304 East Weber Avenue, 3'®Flour,Stockton,CA 95202.2703 <br /> Telephone, (.109),468-3420 Fax;(204)464-0138 Web: wwev.$jepv.orglchd <br /> A do)o 01 (P <br /> ENVIRONMENT HEALTH PUBLIC PXCORDS RELEASY. LIC 17 <br /> PERMI - -- <br /> APPLICAYTt rl..' • BUsiA1CSBlAQ CY: / Q,��-- <br /> AWe- <br /> _PACSeM1Lk: <br /> TENTATIVE'APPOINTMENT DATR Time: '°�-�.•- <br /> (Pleexo ZILIM 10 business deye troll lits of appfcation ivan—f�ap••Tentative only• rl t,e aonfirma�� <br /> p CNisCK E10n T4 tJiPtDITR REQUEST it•.00 PEs H K ONLY)-REQUIVAT PRfoe�fSSBD IN Z USIN 3 dA`!a <br /> SIGNATURE OF APPLICANT "®DaT <br /> UNIT 011rRlOUTcON unit 1 Unit x. n <br /> nits oIt 6 Unci a e} <br /> FILE A0 <br /> 0 <br /> RE3ffi _.._ -I <br /> SIM s strait N�Amo <br /> a <br /> '14 H� ai,T- <br /> D <br /> r��F <br /> NJ 9 <br /> SPrcii,r,gate Flange of lnf®r1`1100 t Regues"W From e <br /> pNvjRgNMENTAL HEALTH DEPARTMENT FILES <br /> fm'" aaa AentErrtn+* gouawAax FaCjurrNrxKc.e <br /> tt+ ► zhopout4o TAc•K(UST)C1.AANUP SIM(LOP) AM T <br /> pr Two oV A.uur ycTa{HvN-`OP) Poon{/P�.Ae"� fin %RtAaar <br /> oo KO RL 0 WAYTRWATZR TREATMIEW PIAW 11A, <br /> N ®RWO TANK triDr M ®YAti O ON"R N4H Q.pyNPER TaNCKfYA HSN T®t1.M'1 <br /> WASTE GIMMATOR O M07SM01M <br /> Ir T.O= Mrr=FACRITTPQOMA LANti Use ArPL AnON- d <br /> PofA'R 800Y MIAC*n Q OTHER(PLEADC SPCCIFY)®-.w.-- <br /> CH&D(CAL WAS'M FACdlrY 11oOPM • Excwar HeupAYS. <br /> WILL AND UP=PSRMiT RiCOR04 AM AVAI L.E r0R PJV'EW• lYl02"O'files.trorn the list 00Yce by C kin 11110 <br /> -.� 4 0 lit <br /> 1. Lirt up to ten addresses in the Tosca shoos. &®tact the fypKa` <br /> ,ppropriate box(as}, At!oast orris file type a ac a selected. uoday. <br /> ran es wttl not be accepted-fOf egditional Resistance Vvittl tale a dresses,cantJt4t .aM1 <br /> p at Address 9 wtii ba Processed the next <br /> the SHG.Appllaatlalts ro"W"after 3:00 pm nt for review will be Confirm . <br /> 2. The EHD will notify the sppileent If Any EHA Hies exist, An flppain <br /> imabiY ie ('b)days slier receipt of Appttc sd#e nhrdinglyWtll be held for p maximum of f(vo business <br /> lo <br /> apptox ointments shocltd be a®hedut <br /> da for review. App liable for review. A naw <br /> 9. A file tttflt is a�ttl0 subeing bmitted ked on the b"10y <br /> available. <br /> not be lmmedimtOly EHi7 s At the expense Of the <br /> D staff <br /> sppticartlon mayreorganized by <br /> 4. Any file not return in the earns aortd°`tion as licant d vrlil quire a 93.00 p06R Prior to rovl* <br /> applicant. Future file r®Yisws the earns spp)laan11 may req <br /> ee�eMP2•PW' . <br />