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400M"- <br />FticTE NO. : 243'9 X69 4228 Feb. <br />ssw-QAQU'IN COt1NTypUH)3 <br />C HEALTH SERVICES <br />ENVIRONM <br />ENTAD HEALTH DIVISION <br />FAST WEBER AVENUE. THIRD FLDpR <br />STOCKTON CA S152W <br />1 UUSL)C ���0t� 2 9)468.�3420e. <br />M7tJCAHT r i l RE1,EASE APPLICAT)ON <br />. �1/l� (L"l l.�igni <br />ADaTCss 2� <br />P1'ONfi rLOQ•- �(O T - �3 �"Y� f ���y <br />^�1L.• FAC31tl4.E <br />TENTATf V E- Ayp� yiy�r <br />CA7Y <br />1�r (Ftuu Wre r to to eus(p.#. ay]s Nan rt�r° nue <br />1-^ CHECK HDk TO Da eDtiltaaPW>�b°n •ubmltta <br />�O'J[ T•37apeF"_�GU£sTD <br />SIGNATURE OF AFPUCANLCL--,-,ESSrZ 1H0 6U3u1999 DAYS <br />09 20M 09:0" Pf <br />=.fit <br />oa -031 <br />- ^.�•• I � ntALTH DNlSKJN FILES <br />M UHCEN3 Noll <br />O OTw€RCLEAlio TANK JU&M C, <br />uN0EA6RtJuttO TANK <br />4:UPaREj610H-iOuP$j�OP)HWSI.4aA8ATFtAEtTyO�pd�LD <br />t <br />0 °000 FACJUtY <br />1KtOUD WAS Te FACIiJ <br />(UM41To[tCM. <br />HArARDOUa ri�Ta GEt'J aL''iATDR �KLiI0yA11 <br />II tJOC 7tEltHEL <br />C7 50:30 WASTE VFNI <br />0 <br />❑ TTIL"e pettaUTtED FA=J-f <br />7r00SCDY <br />0 Clio mN NA&N-H <br />O <br />0PHIRCt , <br />11E0ICALWAM!-ACX1TY <br />a M�QT <br />a PoetJSPA <br />PDAMY <br /><3 TNZATMCNT A1ANr <br />0 P4"OtA MUrKA'6AyCHEN <br />t. LJEtuPtotan <br />0 Pt MIX VUT=R sy,,� <br />TC,,,, <br />0 w O use APPUCATION stiffs 2��� <br />0 DT`"(PLEarSPECWyAEOVE) FEB 25 <br />atlproocnsfn the space <br />ab <br />he appropriate box(os}_ At least Ova. Select the typt(s) of files frpm the list above by chocking <br />a In ld';�.d shwa, ono ftlo type MUST be cajoctld. ex <br />2. EHD wltl Wali l209i 4f& orm3 o he <br />�' the app,tcant it a„y p{p f:>w exfaL appointment for rov2ew wUt be cettfrrttiQd <br />ePpmximataly five business days but nn lator than ten (10) days afrer receipt of appGution. The 11!aa <br />will ro held fora meximtKil of rima "Maws days for solal. <br />3. A rile >nt iY• Appointments aho(Jid be srhoduled <br />that [s a . bit, <br />batng worked on by FJ -IO eteff, may not be ittttnudlataly avaSlatJle r <br />4. Any f7tarpl"a not returra ��i�d whvn ;be fl1u is ava4able, <br />eo In tJ4e Arno Of review. Anew <br />of the appficant Future file reviaws hd the Sura e� c rrt a ^Mr2anfzktl ny EHO staff at tho exnenae <br />5• 'YENTA; IVE a <br />6' Applications r�Q vntrnent dates rnUat be canfirrnad with EHI) Staff. circ a $78.60 deoaat prior to ro low. <br />liner 3:60 prn will be processad the next business aay. <br />CONFIRMED APPOINTME.YT DATE t <br />DA3F, CONFIRMED T011£ <br />I PHONE FAX l <br />REVIEWED INITIALS� 1 i <br />•" v oo Y1=5 NO <br />REVIEW PATE <br />_70Tf4- a.01 <br />W l e W fie Y�� O D- ago <br />