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03/22/200712:08 FAX 1a002/002 <br /> 11/1-612R x18,54 _ 4640>� EWIRONMENTAL WTH NAGt d1 <br /> SAN JOAQXnN Comm EHD LOG NUMBER <br /> ENWRONMNr,AL REAL=DEPA ztTMNT <br /> AAR 2 Q 200 304 fast Weber Avenue,3rd door, Stockton,CA.95202-2708 <br /> Telephone:(209)468 3420 Fax: (209)464.0138 Web..www.s' .Qr ehd <br /> ENVIRONMENT l;EALTH J!� � <br /> PERMI;T!OL ICES PUBLIC ncoRDS AS APPLICAT- 10N <br /> AI PLICANT: IErYioc o Y 6ea.0 DUSINESSIAGENOY; <br /> ADDRESS: <br /> PHONEYS` FAC,%MILE: 9,8-6G 9t <br /> TENTATIVE*APPA tT DATE: � 07 0 a 7 <br /> / (Please allow 10 Iwarnesa da from <br /> fL� X� ys date of ap canon subnrl(#aJ• Tantat/va only-must lio wMumedl <br /> CHECK BOX To EXP'EWE REquEsT-$9&00 FEE(CASH Olt CHECK ONLY)-REQUESY P1toet=ED IN 3 SUSMESS DAYS <br /> SI4NATURI=OFAPPLICANT •/l�.ru+{✓ .�, DATE <br /> Etectron;v Information: d List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streot Street Kom City ❑ Unit 1 <br /> [2. /ga3V <br /> 4- _10 g Ncr4A (lime✓ d4d r 1 Unit 3 <br /> 8. ey+6 S7o y vPR4 <br /> 7. ISS �;rz11u K 1Uc G'c,rc.1 c S-for„dc-h�,�l <br /> O uat s <br /> �. y,5 9 /llaa�k lEa <br /> kJcs4 0ofd oq� 1l <br /> Speclftc Data Rama of Itlformation Requested:prbm to <br /> ENVIRONMENTAL.HMTH DEPARTMENT FllZS <br /> tI0115ERl3ROUND TAM M CLEANUA SITE(LOP) O 19WM ABIATEww JVSOM WAS=FACArIY1VE1§= <br /> OTHat CLFARUP Sir6 00"OP) a FOOD FACILITY 13 WAST$TIRE ":.. <br /> UNP111WRO to TAM AL) O Doc Kenn,. o DAIRY <br /> HAZJf10W1WA=GEWWATOR to auaewRmcli G WASTEViATERTREATMENTPLANT' <br /> 13 TOMD F'EU Ma FAWff 13 KOTgMo?m E3 PUMPER TNUGKITAkDmNEY TojEm <br /> C1 TATZOOMODY PIERCING Q POOL/SPA X LAND USE APKXSATION SM <br /> MWIMIL WAsre FACa nY 0 OrMR(Puma emc pt - <br /> WELL AND 813MC PrRurr I z=RPS ARE AVARAR E POR REYIEW- IAONDAY-FYt�AY 6:00/W 6:o0PM - D[CLUDIWO HOLIDAYS. <br /> I. Ust up to Jeri addra=es in the spaaa above. Select the type(S)of flies from tha list above by checking the appropdato <br /> box(es). Atdeast ona 111e type MUST be selected, FaxlR CM X64-0133 or mail to the address Indica above Address <br /> 'ranges will not be accepted for additional assistance with flia addmsses,contact the EHD.ApplWatlons received after <br /> 3:00 pm will be processed the next bUSkMS day. <br /> •.2. The EHD will notifytho applicant if any Elio tiles exist An appointment for tevlew Wtg be confirmed approximately tan(f 0) <br /> days alter receipt of application. The files will be held for a mazlmum of five business days for review. Appointinants <br /> should be scheduled aaaor dangly. <br /> I A file that Is actively being worked on by EHD staff may not ba immediately available for twivw. A now application may be <br /> submitted when the filo is available. ; <br /> 4. Any file not returned in the sarrw condition as released will be reorganized by l:Hb staff at the expense of the applicant. <br /> Future file revlews by the same applicant may require 4$85.00 deposit prior to review. <br /> EHD USE ONLY <br /> 6HP 48-05 3nW4vv6 <br />