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` <br /> FROM : GLOBAL ENVIRONMENTAL f, � ENGIN FAX NO. : 16267320489 - Nov, 03 2004 12:L <br /> 1+W VW "AJA ..:19 W641l5 ENV i M"NbLN <br /> pa(E R'e CLIVC' <br /> lElvMONTM>ENTAL HEALTH'0 <br /> -PART, <br /> 3014 E Weber Ave 3d Floor Stockton, CA 2 <br /> NOV 0 2 2004 (209)468-3420 Fax: (209)464.0138 Web: Stockton' <br /> muVehd <br /> ENVIRONMEN i HEALTH pUBLIC RECORDS RELEASE A ICATION <br /> PERMITauslNessAOENCY; -,FFMIY1e <br /> APPUCANT: U. <br /> A. ! '^r C Cil I...tom.-�1-_---- <br /> bf F FACSIMILE: <br /> -'7I 'i-nite: <br /> 1 7ENTATIV APT4INTM T CATE: -'F"7"-°�' <br /> (Pierce arrow 10 hlalnesa days from date at app)lCgflPn eetrmittel) <br /> F#L CHECK BOX TO EXPEDITE REQUEST.taa-ee FEI'"- <br /> RE4144Y PROCESSED HJ 115U91NG35 DAYS <br /> ^ DATE <br /> SIGNATURE OF APPLICANT Deparynont use only <br /> `J--� Fa.EAODRESB trNtt <br /> ❑ Unit 1 <br /> a sr.n <br /> Unit 3 <br /> G <br /> 9. Unit 4 <br /> G <br /> IPAawn C] Unit 6 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> 6 HCUSSio ABATRMFNT p SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP$ITE(LOP) o Fv00 FACILITY O SOLID WASTE V'EWCLE <br /> p OTHER CLEANUP SITE(NON'I-OP) O DAIRY <br /> UNDERCRWNO TN7tC(MONFIDRINGlREA40VAd-) tl � NN CN C PKG,TRFATMFNT PLANT <br /> +may HAZARDOUS WASTE GENERATOR p PUA9P@RTRMCWYN -INTMTOiLFTS,-1 "`-"•-'� <br /> 'T O <br /> TIERED PEfUAI-MD FACILITY V PO"PA tj L M LANV U36 APPLICATION 5gES <br /> t7 TATTOO(SODY PtE.RCINO p OTHFR(PLSOP.SPECIFY) <br /> —L MaDICALWASYE FACILITY <br /> t, L[at up to ten nddroeaes in ktt0 space above. S81aCt the type(a)of filt9 from the list a3wt by oheockLng <br /> tho approprlat®box(e )• At Leser ono filo type MUST be aeleated. F to 209 <br /> addiesa abPVe' ' 6oatton. The files <br /> g. EHR wlii notify tho applicant if arty EHU fitac ex(sl An apAointment for review will be eottttrmed <br /> apptortmatety five business days but no tater t n tan(10 Qa a IWrne�slts�hotasld pr sohedui*d <br /> will be hood for a maximum of flue bastness da tar review- App <br /> accordingly. <br /> 3. A nio that is activstY being worked on by HHD staff may not•be imm¢d)ataty 3ivaEiable for review. Anew <br /> application may ba autamltted when the ftfa is avatlablo. at the eXPe6$d <br /> A, Any file not returned in the samo condttion as rattased wHI bo re organ a$0& <br /> �d PA i per to rev ew- <br /> of the applicant. Futuro fila r®visws by the salve ed with F may a <br /> 5, "TENTATIVE appointment dates mMst will DOM fi es ed the n p t bualn®ss day. <br /> 6. Applications received after 3:00 pm wilt bC pro <br /> TIME <br /> �CONFIRPVIED APPOINTMENT LATE PHONE FAX tNiTIALS ;•-� <br /> PATE CONFIRMED -- — —"'^ " REV) IOAT.F _ -_ ----- <br /> REVIEWED YES NO <br /> 9 <br /> VNtCe7 <br />