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, <br /> 11/05/2004 15:28 707741 -11 CERE CIATE PAGE 02/0 <br /> �4 CENE r EF{D FAG NUMBER <br /> lL,l�� 1 1"l L�U SAN JOAQYJIN <br /> ]ENMONMENTAL REAL MPARTmmn <br /> N 0 V 0 5 2004 304 E Weber Ave 3"Fjoo:r Stockton,CA 95205 -4& <br /> (209)468-3420 Fara(209)444-0138 Web:wy,�cv.co.6atz joaCC)uxx�ca u�ekld <br /> ENVIRONMENT HEALTH <br /> PERMIMSERVICES ]POj3LIC RECORDS RELEASE APPLICAITON <br /> APPLICAN'T' a al7srr�ssrA,o�t�cY: G �Oyl/l•�'S <br /> PRONE: FACSIDMUZ ,:Y <br /> — r <br /> hG+r l l <br /> TAppofNMENT oAs>=: <br /> (Please atkm 10 be±Inots days feom date of Appficatlon submtttal) <br /> ti3:r <br /> c <br /> CHECl�1�AX`- REQUEST-P3.00 FEE-MWEST PROCESSED IN S BUSINESS DAYS <br /> S1(34 UI$P F APPLIiCANT DATE- � <br /> pepart<nsnt Use Ody <br /> FILF ADDR.E9911A k UFirr <br /> Unet <br /> Strm( <br /> bl�ool (1ti ❑ Unit 2 <br /> A <br /> a Sftd My jZ0 Unit 3 <br /> 6, SWdd <br /> ftle <br /> Unit Q <br /> Jp000e <br /> ❑ Unit b <br /> eo. <br /> EWARONMENTAL HEALTH DEPAI OCW Ftl-ES <br /> X,MVERGROUND TANK lS7)CLEANUP Orr tF.op? 13 tiW$M AeATLblFN r� �SOLID WASTE FACUJTY <br /> Ak OTrmR cLEAnup SrrE(NOt�i4xp) D FOOD FALIL SOLD WASTE VEWCl E <br /> 1$UNDERMOUND TANK(N0Mt RMMr=MCfVAy O DOG KENNEL C DAIRY <br /> FtAYARDOus WASTE GENLRATOR 0 CH)OKFN RANI CT PKG TREATMENT PLANT <br /> A�TIF.RED PERMI ilk FACaffY n MOTELMWEL D PUMPER TRUCKIYAMOiCHEAl TOi_K'M <br /> Q TA'rToomooY P1EPcwjG Q POOMPA C3 WM USI;APPt KATION SITES <br /> a MEDICAL WASTE FACiLrTY d OTHVZ(PLEASE sPr ctFYl <br /> 1_ list up to ten addre=r S in the space above. Select the.t(pe(s)of files from the fist aboy+e#Py ahecking <br /> the appropriate"es), At least one We type MUST be selected. Fax to M9146"138 or malt!q thq <br /> address i!ift "atwve. <br /> 2 EHO trill notify the applicant If any EHO files exIAL An mppointment wor review will be connmaed <br /> approximately five business days but no later than ten(i D)days after receipt of appUcation. The files <br /> will be hold for a maximum of five business days for review. Appolhtm+ents should be scheduled <br /> accordingly. <br /> 3• A file that its actively boing Worked an by EHD staff nuy not be immediately avafiable for review, A now <br /> application may be aubrritted when the flit is Rvailable. <br /> 4. Any file not returned in the same condition as released Will be reorgan[zed by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment date's must Le confirmed with EHD staff. <br /> 6.EONApplicatio'ns received after 3:1,0 pen will by processed the next bus':nets day- <br /> At` rJY'I SATE 'r•n,;�;T _'; TIMEtEC�OjRM <br /> . - ���:: . '.�..+'P>�ONI ':' FAX' <br /> f� tEvV&ta YES NO REviEw pA1"E <br /> R Rtnm i <br /> T9 3Ddd HiIVEH _h1.N3WNM41AN:� SCTQb9G EZ.:CT b0OZ/90/TT <br />