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JUN-03-2005 FRI 01:09 PM T ' ing Labs FAX NO. 5 0 268 7126 P. 02 <br /> E NZ AL PPS 02 <br /> 36/8312805 18:11 4640136 env Lw MUNM=m <br /> fifi®r; WED SAN JoAQUIN.COUNTY EPARTMEN"�` <br /> ENVMONME I'AL HEALTH r <br /> JUN 0 3 7005 304 East Weber Avenue,3'®Floor,Stockton,CA 95202-2708 <br /> ENVi <br /> R®iJ ENT HEALTelephone:(209)468-3420 Fsjx:(209)464-0138 Web:www.sjgov.c Wek�d <br /> PERMIT/SERVICES PUBLIC PiRcol JS x,EASE,e PLICATION====WVmm <br /> v e-� BUSINEWAGEN�"!: rw <br /> " �r�In Gp•bs <br /> APPLICANT: rt S,,no G�4: <br /> ADDRESS: :)-52-7 Fres r+o 5+ret+- F <br /> 702. 1 _ FAC91MlLa: A.+N. <br /> --------- <br /> PHONE(a):a 6113105 Tune: j.�.. .----- <br /> TENTATIa*APPOINTna M DAYS: , T only-must I'e Grmrrrnedl <br /> (Please aaow 1®bue <br /> -—Xm, REQUEST PROCESSN13 BU91kgs$DAY( <br /> Please <br /> CHECK BOX To EXPEDlrm It T.SDATE 613 <br /> SIGNATURE Of APPLICANT <br /> UNIT MTRl <br /> v unit 1 C u>,te a ®tlnle 4 ®tlntt a o ante a ® otr+�4e pr:) <br /> 'FILE END USE ONLY <br /> LE ADDRESS <br /> Street Nam® <br /> CRY <br /> 8trsetil pc,G�•}-es r� <br /> 1: (p µgr%r Lora lava+ S,.I oG�cf <br /> 0 H rtir Lore �vo.rZ SIocG�s�e <br /> 3. ct <br /> 4 <br /> S. <br /> 6. <br /> 7. <br /> 8. <br /> 10, to C„v r r'C� 4- <br /> it Yeo-�s <br /> Specific Date Ranee of Intormatton Requ .From. S <br /> ENVIRONMENTAL HEAL'T'H DEPAT ENT FILE <br /> WAsta FacauTrN"CLE <br /> (3 VAmW U CLEANUP Am ttVa1N-L4PWW SITR(LOP) O FQQoo FACILITY T �AS�'Tptt! <br /> OTMSR AL) i7O3 KENItEi. 9KW ASERTRBATfiIEkT T <br /> mmoumTAW(mREMOV O C=K0 RAI M ®PUWmimjWfAm210mmTQLm <br /> US WAm QvmKATQ{t ®mommom 01mm V APPUCATION SIM <br /> TWmpmmmmPAon.m► <br /> ®POCUSPA <br /> O TATMOBOCY PORCM G on=(Kum <br /> ` H AYS. <br /> p Me=AL WASTB PAoturr AaQ AvAsLAsIe*ae Y.F y 8:04 lUIHa: @ by ch@oWnOf the <br /> WO.L Aem Sanro PST ttaQORos g of flies from the Oat sw <br /> 1. I..ist up to ten addresses to the*P206 above. Select the ) ,deas�Aa nr matt <br /> ®NIIIST aei@Oted. t'ax�- .ew.�a*a,e01f Ct <br /> appropriate box(ea). At least one file typ Wide isle add.v.... -- <br /> e;; above. Address ranges Wi11 not be accepted—f z Qne business day. <br /> tfi@ EHD.Appit�t*On$received after 3:Q0 pm will be proceS wQt oonfirtned <br /> 2. The EHD will noefy the applicant N any EHD exist. An spit° <br /> Intlnent for review art of five busine@s <br /> spsproAmateiy ten(10)days atter rec@tpt of application. The fit"wilt beheld for a <br /> days for review. Appai»�n3 should be scheduled accordingly' <br /> not bmmediateiY avaTtabte for cavi®w. Anew <br /> worked on by EHD staff May <br /> 3. A file that to actively being• : '•' en the file Is available- <br /> application may be Subfn�tf b EH®st>bf1'at the expense of the <br /> file not raturned in the=em@ conditloa as released v�rltl q reorganized y <br /> 4. Any scant may require a 593.00 deposit prior to ° <br /> applicant. Future file reviews by the same app <br /> i <br /> �}t0 A9-p1A0A . <br />