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u1. <br /> San Joaquin • �° co <br /> .G <br /> Environmental Health Department <br /> 304 E Weber Avenue FAX #: (209) 468-3433 o9C,F o 1a� <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 '6 E" n <br /> i`J <br /> -9 ,11 nnns <br /> FAXDate: uciust 11 2003 <br /> # of Pages (including this sheet): <br /> To: Ray 0 Rvar Alim FAX #: (209) 833-6259 <br /> of: Precious AL to Service Center <br /> From: Steven C. Shih Sr. R.E.H.S. Voice Phone M (209) 468- 9850 <br /> Re: EPA ID Application & Facility Information Form <br /> 1- Urgent 1- Fcor Review 1- Please Reply 1- Please Recycle <br /> Comments: . <br /> & Ryan: <br /> I have attached 3 pages of EPA ID application form for you. In addition, there is <br /> one page of facility nformation form. In this form, please cross the incorrect <br /> information on the loft, and write the correct information on the right. Also, <br /> please provide tax I D and When the new business start. The permit fee is <br /> $217.50 for this year. <br /> e , <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally rivile ed and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader Df this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissem nation,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs i i notifying us and returning the message to us. Thank You, <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 5-13-02 <br />