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7.2/30/2004 09:40 4640 ENVIRONMENTALIOLTH PAGE 01 <br />DATE RECEIVED <br />SAN JOA.QMN COUN y EF{0 LOG rauMBEF <br />ENWRONMENTAL IIEALT73I)EpA.RIMENT <br />ivy D 304 E Weber Ave 3' Floor Stockton;, CA 95205 � �r� � 0 200 4 <br />(209) 468-3420 Fax: (209) 464,0138 'vVeb: www.co,san joaquin;.ca.Wehd <br />y� � 'yr y �T y-�y��t UL <br />yt � [�7� A � 'p gf� � r��(��T : '.;i; fi"�=g�,ICE <br />J <br />P�lJL&.fA.0 REcOI,t�. S LEASE ��C A./�ILhCJ 11�J�j ill _ _, <br />�.�."_'.'eRi�^.-_.'_.may_,• _ <br />APPLWM. -. J- 611of-1 BUSINESs{AGENCY: �J Gi�l iY1 S <br />ADDRESS: _Tll2 01 KQ W 46u4 � k rn CA 9 qS� b <br />PNgN>7 -Q�� FACSIMILE: (q2 <br />E) <br />TENTATIVE,' APPOINTMENT DArE: %{ �,t9I1 Time. ; � <br />I~TENTATIVE,' <br />(Please allow 10 business f qs from date of BppllWtlon tubmitt4 <br />CHECK COOP TO t_xPEDrrE (REQUEST - $9340 F15E - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE —1Z -4V -0q <br />De-MrIment Use Only <br />p L)nrt t <br />3 5 unit 2 <br />Unit 3 <br />-�A-- Ur►it 4 <br />C1 unit 5 <br />ENVIRONMENTAL 14IF-ALTH DEPARTMENT T=ILES -4�11 I;u�� <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOQ') 0 HOUSIN13 ABATEMENT RC1 SOUR WASTE F'Aroft= <br />j21'0TH5R CLEANUP sITE (NoN4-op) d FOOD FACILITY 13 SOLID WASTE VEHICLE <br />�UNDEF*ROUND TANK (MONITORING;KEMOVAL) CI poo KENNEL d DAIRY <br />10"rI DOU'S WASTE CENEtATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br />1--3 TIERED PERM! F IED FACILITY O MOTa"t,niML Cl PUMPER TRUCK1YAttl7=EM TOILETS <br />rD TATTOO(B60Y PlfvRCINC ❑ OOLJ"'PA o LAND USE APPLICATION 5 <br />MMOAL WASTE FACILTrY 1W OTNER (PLEASE SPCpFY)�1 Vtk _QwA" C42 ,��a-!' e S <br />1. List up to ten addresses In the space above. Seloct the ty �e(z) of files from the list above by checking <br />the appropriate bax(es). At lea-tt one file type MUST be S9rlected. Fax 12 f209) 454-0138_or mall to e_ <br />address rqdicated ap, axe.. <br />2. Ehler wltl notify the applicant If any IEwHD files exitt. An appointment for revieW will be confirmed <br />approximately fW9 busiw!ss days bUt Oo later than ten (10) days after recelpt of application. Tho files <br />will be held for a maximum of five business days for review. Appoidtmerds should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EMD staff may not be Immediately ayallable for review. A new <br />application may be submitted when the file Is available. <br />4. Any file not returned in the same condition as released will bo reorganized by EMD s taff at the expense ' <br />of ,"Ie applicant. Future file reviewrs by the mme applicant may require a $93.00, deposit prior to raviaw.` <br />5. *TENTATIVE appointment dates must be confirmed wish EHD staff. <br />G. Applications received after 3:00 pm wilt be processed the next business day. <br />g0NFIRMtT 0PdtN-WMT.DA'f'1= <br />UATtc4ldFli Meb. ;F'FibNE .. FAX.' INIT <br />t rrEvlrEa.: -y r8 NO REVIEW DATE. <br />EHD de'aq.on6 <br />KM7,,003 <br />'•JTNM•.� <br />Prr <br />ZPJrqWW.*-zYA94YA <br />113041, 13; <br />De-MrIment Use Only <br />p L)nrt t <br />3 5 unit 2 <br />Unit 3 <br />-�A-- Ur►it 4 <br />C1 unit 5 <br />ENVIRONMENTAL 14IF-ALTH DEPARTMENT T=ILES -4�11 I;u�� <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOQ') 0 HOUSIN13 ABATEMENT RC1 SOUR WASTE F'Aroft= <br />j21'0TH5R CLEANUP sITE (NoN4-op) d FOOD FACILITY 13 SOLID WASTE VEHICLE <br />�UNDEF*ROUND TANK (MONITORING;KEMOVAL) CI poo KENNEL d DAIRY <br />10"rI DOU'S WASTE CENEtATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br />1--3 TIERED PERM! F IED FACILITY O MOTa"t,niML Cl PUMPER TRUCK1YAttl7=EM TOILETS <br />rD TATTOO(B60Y PlfvRCINC ❑ OOLJ"'PA o LAND USE APPLICATION 5 <br />MMOAL WASTE FACILTrY 1W OTNER (PLEASE SPCpFY)�1 Vtk _QwA" C42 ,��a-!' e S <br />1. List up to ten addresses In the space above. Seloct the ty �e(z) of files from the list above by checking <br />the appropriate bax(es). At lea-tt one file type MUST be S9rlected. Fax 12 f209) 454-0138_or mall to e_ <br />address rqdicated ap, axe.. <br />2. Ehler wltl notify the applicant If any IEwHD files exitt. An appointment for revieW will be confirmed <br />approximately fW9 busiw!ss days bUt Oo later than ten (10) days after recelpt of application. Tho files <br />will be held for a maximum of five business days for review. Appoidtmerds should be scheduled <br />accordingly. <br />3. A file that Is actively being worked on by EMD staff may not be Immediately ayallable for review. A new <br />application may be submitted when the file Is available. <br />4. Any file not returned in the same condition as released will bo reorganized by EMD s taff at the expense ' <br />of ,"Ie applicant. Future file reviewrs by the mme applicant may require a $93.00, deposit prior to raviaw.` <br />5. *TENTATIVE appointment dates must be confirmed wish EHD staff. <br />G. Applications received after 3:00 pm wilt be processed the next business day. <br />g0NFIRMtT 0PdtN-WMT.DA'f'1= <br />UATtc4ldFli Meb. ;F'FibNE .. FAX.' INIT <br />t rrEvlrEa.: -y r8 NO REVIEW DATE. <br />EHD de'aq.on6 <br />KM7,,003 <br />