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06/13/2006 14 :56 FAX 11001/001 <br /> OA�=RECEIVED S AI''i 7OA.QUIN CONY <br /> � �^L �^ n�� D.VIROI`lILEtiTr1LHEALTH p P�FCTIVIT ^fT ol <br /> �/�5� ap} Weber Ave 3rd Floor Stockton, CA 95205 <br /> (209 468-3420 Pax: (209) 454013$ Web: vnvrv.co.sanyoaqutD..catts/eha� <br /> i v " 3 806 LEASE APPLICATIO�i _ <br /> PUSLIC RECORDS RELEASE —.—�«— -- <br /> PERhh !'F Er <br /> II S &' <br /> APPLICANT: s"�•J GST I , <br /> - <br /> AnDaass: <br /> fFCSIMItE: <br /> pHONc: Tints: <br /> TENTATIVE'APPOINTMENT DATE: <br /> Z U <br /> (Ploase anew 10 buslne:s days from date of WPlicatlon submittal) <br /> © <br /> OCESSED W 3 BUSINESS PAYS <br /> CHECK BOY.TO EXPEDEE REQUEST'S27.00 FEE-):, QUEST PR <br /> r: r; Iv.,,_ DATE ---- <br /> SIGNATURE OF APPLICANT / / " " peoa;tnwntusc Onty <br /> UNIT <br /> FILE ADDRESS �( <br /> Y <br /> OFFcur�� � p Unit 1 <br /> 2 a..a 7r-7 l 1 Unit 2 <br /> a, <br /> R <br /> `I s swe Z <br /> 1 . VN G <br /> fl 31 2. F':�RM 1 Uni;4 <br /> e. SN-N <br /> 2y� <br /> 7. sr� —....�. ❑ Unit 5 <br /> ta. S.bd -LoaF MARIfIAN �Q f <br /> ENVIRONMENTAL-VlEAj_TH DEPARTMENT FILES <br /> St SOLID <br /> 0 WASTE F4AECHISLGET <br /> UNDERCLEANUP SITE(NOF) ❑ HOUSING A$ATEMENr p <br /> OJ ❑ OZY <br /> [^s DAIRY ' <br /> 04 OTHER CLEANUP SITE(NOH-L.OPI inDOG KFHNEL (3-PKG TREATMENT Ft-ANT <br /> m UNDERGROUND TANK(MONITORINGIREMOVALI G CHICI.—N RANCH p PUMPER TRUCKrYARD/CHEM TOa-ETS <br /> 0 HAZARDOUS WASTE GENERATOR ❑ btoTELrAOTEL of LAND USE APPLICATION SILTS <br /> 13 TIERED P£RMrITED FACILITY ❑ PpOUSPq ------'—'� <br /> ❑ TATTOO/800Y PIERCING ❑ OTHER(PLEASE <br /> ❑ MEOjVL WASTE FA.CtLrrY ¢ s of FLe,.from the list above by chcckinG <br /> 1 List up to ten addresses in the space file <br /> type <br /> SUSTtbe sa acted, Fax to i09(1 464 0136 or m%rt_._,.i�o the <br /> the appropriate boz(es). At least one t t� typ <br /> indicated above. ointrnent for review will be =onfirmed <br /> address Itcant it no later than ten (10) days any EHD Files exist An aPP atter receipt of application, The fd�s <br /> y. EHO will notify the app <br /> s for review- A.pPoinlments should be scheduled <br /> approximately rive business days but <br /> will be held for a maximum of five business day <br /> accordingly- <br /> 3, <br /> A fits that is actively being worked on by EHD staff may not be immediately available for reJiew, now <br /> appiicse <br /> ation may be submitted when the Fla is available, re airs a $93.00 deposit prior to review. <br /> q Any file not returned in the same condition as released will be reorganized by EHD staFf at the ezpcn <br /> of the applicant. Future rite reviews by the :ams applicant may 4 <br /> 5, --TENTATIVE appointment dates mu wbi be <br /> etthe next th h siness day. <br /> 6. Applications received after 3:00 pm processed <br /> TIME to <br /> PHONE FAX'• <br /> t]AT$GOPIrtFMED p,EViEYY DATE'_ -- <br /> YES NO <br />