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DATP-RECEIVEn it SAN JOAQUIN COUNTY 40 L-14C LOG WMeER <br /> MD E E��Irff <br /> C ENVJ-R0NN.ENTAL HEALTH DE FARTME NT <br /> 304 E Webar Avc 3"' Floor Stockton, CA 95205 <br /> jUlk! 2 3 2006(209) 468-3420 Fax: (209) 464-0138 Web: xww.co_saiij oaquin.ca.u,,i/ch q <br /> d 03 <br /> - HEALTH nM <br /> ENMONMEN1 �PBI,Tc ]ZLCORJ)SRETYASFAI"PLICATID'N---- <br /> PE-*,MiT�`__ <br /> APPQCANT�' BUSINESStAGPNCY., iL '-->i.s., <br /> F A 1� I <br /> PH01"IF13 7_3_�o 1 F;ACSIMILE:j 3 C <br /> TENTATIVE�APPOINTMENT QATZ: )U) I L4 � � .T.'tr,�_'j C) <br /> altow 10 bus�ft 'days-/Om date of'applivatior subr-AtIa[) <br /> CHECKSOXTOEXPEDiTERE UE\T-$93,QOFEE S UEST P SSEU IN 3 BU��INESS DAYE <br /> UE., <br /> /sICINATURE 0F APPLICANT UAT E <br /> ODRESS n <br /> VNIT <br /> C" <br /> Unit 1 <br /> 7 Un.1 2 <br /> aty A�o <br /> - 11 City <br /> cny <br /> T. Vfnet Unit 4 <br /> Slr"!' U <br /> &ree( <br /> ENVIRO EPARTI, <br /> UNDERGROUND TANK NST)CLEAN UP SITE(L HOUSING A13ATEMENT 1:3 SOLID WASTE rACIL1-Y <br /> e M SOLID VVA�TE VF_F.tCI_r_ <br /> e,THEP CLEa.14UP SITE(NON LOP) 0 FOOD FAQILrrY <br /> UNDERG�OU40 TANK(M ON ITOP1 NG/REMOVAL) 0 DOQ KENNF-1- I� DA',RY <br /> HAZARDOUSNASTE GENERATQR 0 CHICKEN RANCH t:l PK13 TREATrALNT['[�ArTr <br /> '�!F�TIEREo FERMITTED FACILITY 0 MOTELIHIDTEL ID PUYIPF-R TRUC4VYARD1QHF;:N; <br /> * TATT00f,400YPtERCING 0 POOUSPA 0 LAND USE APFLICATION <br /> * MIEPICAL VVA5TE FACILITY 11 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files frorn the li.,A abo.ve by Cheukilq. <br /> the �ippropriate hox(es). At least one file type MUST be Selected. Fax to MgL4§L-�Li38 or rnail to th,:5 <br /> address indirated above. <br /> 2. END will notify the applicant if any EEHD files exist. An appointm, on".for revllew wilt be corfirrn-�d <br /> j1pproximatelyfive business days bUt I10 later than ten (10) days after receipt of appli-=,Uoii� <br /> will be held for a max1irrurn of five business days for review. Appcintnients should bescheduled <br /> occordingly. <br /> 3. A file that i5 actively be'[-rg worked an by EHD staff may not be immedial.-uly available for review. A 110mr <br /> uplAr,ation may b-:�submitted when the file is available, <br /> 4. Anyfile not retumed in the sarne condition as released will be reorganized by FHD staff at the expense <br /> e <br /> of*e applicant. Futurefile reviewsbythe sam eapplicantmayrequir(-a $93,00 dep057' F)HOFW TO-vi �A <br /> 5. 17ENTATIVE appointment dates must be confirmed with EMD staff- <br /> 6. Applications received after 3:00 pm will be processed th.e next bus�ness ds.y. <br /> GONFIRNIF-D APPOINTMENT DATE TIKE <br /> DATE CONFIRMED P-HONE FAX WiTIALS <br /> REVIEWE3 YES NO REVIEW DATE <br /> --CHO_48-02ARI <br />