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May 12 06 09:1ea 6a31ey Enterprise <br />(207-5424 p.1 <br />GATE RECENED <br />Z5 SAN JOAQVIN COUNTY EHD Loc NUMBER <br />Q� Ol M)F-NTALL HEALTH D,Eli' <br />>, \2 NT <br />Weber Avenue, 3r6.Floor, Stockton, ��2 2708 <br />209)468-3420 Fax..(209)4138 Web: ECORwww.s18ov.ore%hd23591 ,a 114 o�PUBLIC RDS RPPX ICATIQN <br />. APPL1cGANTY`jOF_Bag1eY <br />ADDRESS: 2 70 Maggio Circle, Ste 4, j0dj 95240 BUSINESSIAGEfICY: gIE'-y F';LcxPrlses, Inc. <br />PHONEq): 367-4800 } <br />PHONE (z): 329-0582 FACSIMILE: 367-5424 <br />TENTATItfE• APPOIHTMEnr oA7: ,422'"/IQ <br />(PIMMBB allow 10 I -m rs! /i7, L2. <br />T 7�rY rung: ': ex7 <br />© <br />CHECK BOX TO EXPEDITE R Wean Cava Iran BHA BPPIkdtlon sulNnklap _ eahrd'Ye P„ ,,, • moat bo <br />SIGNATURE OF APP! 1CANT canitxledy <br />W FEE (CAS OR CHECK ONLY)- REQUEST PROCESS ED IN S BUSINESS DAYS <br />Air. c.% <br />UNIT DISTRIBUTIONDATE <br />❑ fiS' / .�-Oa '• <br />Unit i Unit 2 M Unit 3 ❑ unit a ❑ Unit 5 ❑ <br />Unit O Oth®r(BleCtrank,tiytslrlRpsj <br />_., .... FILE ADORES$ <br />7 st set N sme -iClIy EHD USE ONLY <br />st "ffiz temOri — COC C n <br />2. 121'✓ —5!�oa <br />3 -I._ -low <br />✓ lichael Canlar�Op�- <br />_4_ 500 v w <br />jJ4-0, Hos il_Frencfi <br />-- ei 8d _._.-... French Gum <br />6—_ _..: N"p._:ticke Crwe_Rd. <br />s 4520 ✓ - . W... 1'C_Tw3 <br />7. tt_LtiJ c�.xa... --- �� <br />000 ve St:o <br />_-K ckla CM1iS.Blvc�CEa ' <br />e . 0878. ✓'99-N., <br />9---�fkT- Frart...nA <br />n - <br />R.._ _Seockto <br />. �---�- 1�owe1]..A,VP- i <br />10. <br />L -Tracy ._ ..•_ <br />SpeciftG Date Range of Information Requested: From Jan 1 2003-- <br />- to Mag 1, 2006 <br />-_— -ENVIRONMENTAL HEALN IDEPARTMENT-MI ES- ------- - <br />❑UIVEWROUNp TANK(UST) CLEANUP SITE(LOP) ❑-___.__ <br />f�YHER CLeANLP&TE (NONLOP) HOUSING ABATEMENT ❑ SOLID WASTE FAG411YjVpj(GLE _.... <br />NCEROROUND TANK (MCYm,,NGIF:EMOYAL bFOOD FACILITY 13 WASTE TIRE <br />Q HAZARDOUS WASTE GENERATOR ) ❑ IDCc KENNEL ❑ DAIRY <br />TIERED PERMITTED FACILITY 0 CHICKEN RAhCH <br />MOTELMOTEL ❑ WASTEWATER NFEATMENT PLANT <br />❑ TATTOWBOOY PIERpNG 0 PUMPERTRUCH/rARDICHEM TOILER$ <br />❑ MEMAL WASTE FACILITY 4 PDOLISPA ❑ LANG USE AMI-r-AMON <br />❑ OTHER (PLEASE SpW,,Y) SITES <br />WELLANDSEPfIC PERMT �bpppSR�AVNLA6LE FORREVIEW- �- <br />1. List up to ton addresses in the s 1201TAY-FWAYH:OO AN3:UDPM _ FjgwD� H0LnAYS. <br />appropriate box(es). At least one le above. Select the types) o flies from the flat above by checking the <br />type MUST be selected. Fax t4 (2091464 0138 or maEl to ih e <br />indicat�_�` d aboyo Address ranges viii not be aG addres3 <br />the EHD. Applications received after 3.00 - for addi@tonal asatstartc9 with fila addreezee, contact <br />2. The EHD will notify the applicant S any EHD Iles exist processed the next business day. <br />approximately ten (10) days after receipt of application. The files Will be held foppointment for ur awmlxiimum of l be five bttsir»eas <br />days for review. AppaintmentS should be scheduled accordingly_ <br />3. A file that Is actively being worked on by EHD staff maynot be Immediately available fpr review. A ne+,v <br />aPPiication may be submitted when the file is avaliable. <br />4. Any file not returned in the same condition acR released will be reorganizedstaff by EHO staat the exp®nse of the <br />applicant Future file re <br />views <br />by the same applicant may require a $93.00 deposit prior to review, <br />END 46-02-00, <br />tna s <br />