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TEEFeb 25 i ;52 No .100 F .01 <br /> SLIT ' OC"UY7[II <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FEB 2 5 2003 v ; T WESER AVENUE,THIRD PLOOR <br /> STOCKTON CA 90202 <br /> I.NVIR UNNi ENT HEALTH (209)468.0420 ' r <br /> PERMIT/SERVICES 1J PUBLIC �$eCQRDS R LEASRRAPPLIC//ATION <br /> (APPLICANT CGtL 2 � " G � ', DUSINfib,31lAGItNGY <br /> J „-&rt0� C7G <te-k k c.. l <br /> L1 <br /> ADDRESS f SFU 1�7C0..Co✓� :. ti.:..! ILS' • �a`ra _Gw }-S.A <br /> PHONE ON(4.(a 3 h 1 fJ`E' FAd SIMILE 414 I 1 i, 1 r7 <br /> 03 <br /> TENTATIVE'APPOINTMENTDBATTIME d3' �� �\ <br /> (Plug#"-r 40 10441111af8 days 7 dole 41 application out"1181) <br /> c � M"F,CK BOX TO EXPEDITE REQUEST•$"1 Q - BQ )jSTPROCESSEDIN 3.bUSINESS AAY9 �, <br /> ti <br /> ' <br /> SIGNATURE OF APPLICANT DATE ' <br /> FILE ADDRE341 Y41S EIDE ENO N7AFG USC DNI. <br /> PR001401 ELLMENTe eleARGn <br /> ll l Ifs i rr�t 1 (19 ttvJ -Ko IW <br /> 4W I <br /> o V h( ✓ <br /> Isi3 E , Chas +-erW Ll ✓ ro _ <br /> o t 4-< <br /> 77�t� - � n <br /> S . I r- o -f- ✓ o l+r <br /> M �r o1 T <br /> 15 IIII eo t W s I Sc'1bt L_�n a q o V 1 ru 6YY� <br /> Lis E. F� t S i- vsf end _ <br /> EN%4WNMENTAL HEALTH DIVIt110,F1 FILES <br /> T `r .Y;t <br /> `'N UNDERGROUND TANK IV-6T)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOUD WASTE FACILITY <br /> 41 OTHER WAHUP SITQ INON-LOP) 6 FOOD FACILITY 0 ;OLID WANT!VEHICLE <br /> • UND;ROROUNO TANK(MONITORINGIREMOVAL) ❑ 000 KENNEL O DAIRY <br /> (a HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG TREN1141INT PLANT <br /> W TIERED PFRIAMED FACILITY O MOTEUNOTEL CI PUMPER TRUOK/YARQ/CHEM YOII.ETO <br /> 0 TATTOMODY PEIROINO 0 FOOLWA 0 LAND USE PP PLICATION SITES <br /> 0 6111:0ICAL WASTE FACILITY ❑ 0714CR(PLEAQE VP7lCIFY ABOVE) <br /> 1. List vp to ton addresses In the spatia above, Select the"(a) of flies from lho list above by chark(ng <br /> the appropriate box(os). At 1dW Ono fila typo MUST be sActod. FWg, WQj4•Q130 Or Mail I !IN <br /> Addros t. Indlc'atod abovgl . <br /> 2. END will notify the applicant If any HMO fllas exist. An appointment for review will be confirmod <br /> approximately flvo bualnaas days but no later than ton(10104y%after racelpt of application. Tile Man <br /> will be held for a maximum oftliiv businaba days for rcvlow. Appointments should be scheduled <br /> accordingly. <br /> a. A filo that Is acuvoly balm worked an by EHD staff may not by tmmodlotely av,l liable for review. Anew <br /> application may be aubmitttld-WMbd the file Is available. <br /> 4. Any filo not returned in the same condition as reloaaad will be reorganixed by E.HD staff at the expanse <br /> of lho applicant. Future filo ravioli by the same applicant,104y require a$39.00 clapos rlor to review, <br /> , <br /> 5. 'TENTATIVE appointment d8t6li'Must be confirmed with staff. <br /> 6. Apptiootlona received after a7all1m will be processed the MM business day. <br /> L <br /> CONFIRMED APPOINTMENT OATS. <br /> DATE CONFIRMED PHONE PAX INITIALS <br /> WV..IEWED YES REVI11 TE ^ '• <br />