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11/20/2667 10:17 916-371-'9 RANEY GEOTECHNIC4 PAGE 01/01 <br />11/20/2067 6B:24 20946,, ENVIRONMENTAL HEF._.H PAGE 01/01 <br />DATE REC61V17f0 EMD LUG NUf�1pCFi <br />o IISANJoAQU7N COUNTYEC'_�_S LJ \l/ i NVTRONMENTAL 11E,AL.TIi DUPARTMEN . <br />(100 East Main Street, Stockton., CA, 95202-2708 <br />N'j _d 2 0 2007 Telephone: (209) 468-3420 Fay: (260) 464,0138 Web: www. ' ov e/026) <br />ENVIRliWENT HEALTH FUOLIC .KE, CORDS RELEA,SJ4 A.PPLICA111 N <br />PERI! BUSINE98/A09_NCY:_f=/_ <br />AtaDRE$S' _ GUN r�7L-L1%, t) %;_i -,7—. A -C. rb4-i vt C..t it-rO <br />PHONE (1): J( & _57 i Ut� PHONE (2). PAaCSIMILEA. 9/(. 371-19o'7 <br />TENTATIVE' APPOINTMENT DATE. (� � e: 9 Tim1:012 <br />(Rig ca@ allow 10 business days from dA a of U Uplicatlon submi I-4Tentaffvo only • ltlust be conflrmc ) <br />© CHECK BOX TO EXPEDI ST - $98.00 FVfCM Ott CHECK ONLY) -REQUEST PROCESSED IN 3 RU31 ES9 DAYS <br />SIGNATURE OF APPLICANT DATE <br />I Electronic Inf6rmation; ❑ Llst [] Map - Description: — I <br />rs� <br />I MIN <br />Strect # SMaet Nama h CIt <br />a b <br />W14 <br />EHD USE ONLY <br />Unit 1 <br />❑ Unit 2 <br />Unit 3 <br />Ll AN11111NIEV <br />�A <br />' " . ❑ Unit $ <br />❑ Unit G <br />Specific Date Range of Information Requested: From `I <br />to <br />ENVIRONMENTAL <br />HEALTH D ARTMENT <br />FILLS <br />RGROUND TANK (LIST) CLANUP SITE (LOP) <br />WUNDEE <br />© HUUSTNG AAATFIVENT <br />d E SOLO WASTFACILITYIVEHICLE <br />y..D"R CLEANUP SITE (NON -LOP) <br />❑ FOOD FACILITY <br />0 WASTE TIRE <br />.J<UNDERGRpVND TANK (MCNIMAINGIREMOVAL) <br />❑ DDG KENNEL <br />Q DAIRY <br />A HAZARDOUS WASTE GENERATOR <br />GHICKFN RANcH <br />0 WASTEWATER TIREAMNT PLANT <br />Ci MEPiRp PERMITTED FACILITY <br />MDTEI./H©TFL <br />0 PUMPERTRUCKIYARDICHEM TOILETS <br />O TATTW(BODY PIERCING <br />❑ POOLISPA <br />Cl LAND Use APPLICATION SITES <br />=i MEDIc.AL wAsTe FACILITY <br />❑ GOER (PlLtAS£ SPECIFY) <br />_-- <br />WCLL AND SFPTIC PERMIT RGn6alyA ARP SVAII AM C CAD MCI—Al . &fir%V 1AV.ROIRAV <br />P -h.) A -9-M." _ CYPI � iw�ur Pru n.ve <br />T. List up to ten aggresses in the space above. select the type{s} of files from the list above by checking the appropriate <br />box(as). At least one file type MUST be salGeted. Dx_to_ {209) 464.0138 gr mai[ to the address indicated above. Address <br />ranges will not be actepted -for additional assistance with file addresses, COMfoet the EHD. Applications received after <br />3:00 pm will be processed the M@A lousiness day. <br />2.. The EHLl will notify the applicant it any EHD files exist. An appointment for review Will he confirmed approximately ten (10) <br />days after recelpt of application. The files will be held for A maximum of Diva business days for review, Appolntmonft <br />should be scheduled accordingly. <br />3. A file that is actively being worked on by EHD staff may not be Immediately available for review, A new application may be <br />submitted when the file Is owsilable. <br />A. Any file not returned In the same condition as relea;ad v4lll be r®organized by END staff at the expense of the opplicant. <br />Future file reviews byth® same applicant may requirq a $98.00 deposit prior to review. <br />EHD"USE ONLY <br />If you should need further assistance please. contact-birane Martinez M (209}4$8-3425 d;reotly. Thank YoU*"k <br />T -91315M �,Inrapoe <br />