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::: r_ _. r,:-.3--•..: _ t_ .r. r,;. "'# R : sari «� E <br /> --a:- s="}r r' /u -3 r-..-•7, vi&7.�. _c' ct;6,,,err' _.: : ;.. <br /> From:Marcus H. Bole Associa <br /> :530+633+011g 1flV/ 012 1 :21 #2.57 P.001 <br /> �I <br /> EliR <br /> o: <br /> Lv±;xt►nn <br /> DATE,R>=c iv SAN OAQUtN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENY s <br /> 1868 East Hazelton Avenin, Stockton, CA 9526$-�u <br /> Telephone {209}468-3420 Fax: (249)464-0138 Web:www Sj9ov,•Drglehd <br /> PUSkI�G I E+CC� `ii3S EiEL.EASE APPLICATION <br /> APPLICANT: t <br /> BUSINESSIAGENCY: �- s�r�� C i <br /> L ,ry GITYtB rAT�IP: � !f � <br /> ,Ai3DE�>cSS: �� t ���c� ��� <br /> PFIC?NE{i}: ' - PH {�j: 50 b? oil j FACsiMiLE: ' I1R:... .i <br /> x�lti7'A? . r Time;TEr BTE:IVE'APPJiNMfromd toof must he c <br /> on rrned] <br /> pJaasea(1aw4tE business days � <br /> Q cHECic BOX TtS EXPEDITE RE QU t SH CHECK ONLY)-REQUEST pROCESSE,I71N 3121PS1 ESS DAYS <br /> SIGNATURE OF APPLIC: <br /> Darn =. <br /> Electrcn(c in'0:17Mattttn:: Q List Q MaP—Description: I <br /> j <br /> FILEADt?I+:ESS EHD USE ONLY I <br /> stroat sat.rEan� city junitt <br /> 2.F-17. <br /> :� V <br /> - - . <br /> 3. <br /> "`► <br /> 4. <br /> w - - <br /> j <br /> „rdtlnit A <br /> t Ric <br /> 7 <br /> 8L3Units: <br /> s' 9. <br /> l0. n t s <br /> Specific Data Range of Information Regaast�: From <br /> EN1lIRONMENTAL HEALTH DEPARTMENTFILES, <br /> £RGI OUND TANK(ulsT)CLEANUP.51sE:(LOP <br /> l ,n MEDICAL WASTE'.FACILITY Q SCUD WASTE Farm IrrNF . <br /> �_ER CLEANUP SITE(NDN-LOP) Q HOUSING ABATEMENT �ASTETIRE: <br /> ERGRoUNO TANK(MONETORINGIREMOVAL). 0 FOOD FACILITY Q DAIRY <br /> ovEGRDUND TANK Q Cl ilcKEN RANCH/DOG KENNEL Q WASTEwATERTREATMENT PLANT <br /> DOUs'WASTUHAZARDOUS MATERIALS 0 MOTELINOTEL Q PTIMPI:RTRUCYIYARDICEEMICAiLTCILEfs: <br /> [ Tii_RED PERitf f iD FACILITY Q POOL SPA D LAN uSE APPLICATION SUES <br /> Q TATTool clDY PIERMG „NQ_k°NgLAiNT1REsPONSE RECORDS Q CYTHER{PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY$_CIO AM-6:00PM(EXCLUDING HfIE It3AYS) <br /> 1. is un to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box{es}. At least one fila type MUST be selected. Faxto E2fIMl 464-0138 or mail to the addross Indicated above. Address <br /> ranges will not be accepter!-for additional assistance with fife addresses,contact the EHD. Applications received after <br /> 3.00 pen will be processed the next business day. <br /> 2. The EHDwiil notify applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days,for review.Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked an by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> A: Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future Elle reviews by same applicant may require a$125 deposit prior to review. * 3E3 ]CEIi" ry <br /> a:.Y:A# � 'za,� xn"°-� 3` + .ri �'', .''�,. +- .�.y'sx'•s -r'"�',�y'S'"?+ ��f`�'�-��,+'�,�„'�'sk r - ,r`r"s-: <br /> r �xs� r sx �� x3 xx <br /> .s r.. :L�-"k r5'u- .�^�" _ g. r a x a r„f..�rg•-ks- .a.�' .'".-- a <br /> " <br /> �� c'r' ...� �•+"u-0. ^ m#'.++Y,r.� r�` �,"x..��u .w-�sn' '"�. -�s.�.r?.. a�� ^�'� "���*- '.�,,...,' e � <br /> - <br /> =+,. ,-s.. r ^' .sem{%'�,'moi 4.-�"rT �� ���" a.�. •"�', S '�,a"«� _ '�- <br /> r��s.x <br /> $$.. /Y p �p/y �yq� drryy p► yam( m T "• a '..r � *i�,, <br /> Y��M^�i�� Y 6M��A..�4��P�.�+�fE'1��I�t,.G.,,t„�i���?�:a.: 3'*i�:G }.��i ,e ti Ontr.��.f.�, d�,.: � 3"- •......� <br /> - 91dJ52 <br /> ENO 38Ri6 <br /> D ni,r,A T;ma. 0f'}.. 1'4 76.11 1:,11i"INIIo. 1,474 <br />