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08/3-1/2605 10.02 MATT PAGE 01 <br />((` <br />SAl`+T JOAQiiIN COU <br />N'l�X <br />El'r1 TIRONNENTA,L HEALTH 1)li1PArP-XXX-VW'T <br />ANG 1 1 2006 301 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Teleplidne: (209) 468-3420 Fax: (209) 464-01.8 Web: K'ww.sjgov.org/ehd �bJ� Y <br />ENVIRONMENT HEALTH <br />PERMIT/SERVICES PUBLIC RE1.r0 nQ IVLE <br />r►� l�u�A11y: PIA T <br />Air•Ilprnsa: <br />f"6 <br />ASr- A —r JA -A I ,RUN <br />SUSINIESWAGENC r, <br />i1110Nr (9): ;ta PHONE,(j): ZLU 5 ol�' FAv$Il�ilf�:}� C'Q . <br />TEVTATIVL- APMINTMEN1- DATE: /SRP 'QL<" Tlrns: A7 N�► <br />(Pl.eme alkw 10 ETualneed days frorn data of NpplkaNan syubml[xal -'rangy'¢ only - ml k kv CC•rrfirrn€rd} <br />CtIEGfi: EIOX TO E):0E0fT'tiEdL a6-00 F ' (CASH OR CHECK ONLY} - REQUEST PF ()CE3,9,t-D IN c OLS] NESS DAY$ <br />I ONATURE OF APPUC:ART � DATE P <br />MIT PISTRISUMN Ll Balt 1 C1 Unit 2 4 t9nit 9 :' D IAalt .❑ unlit a CI Other (9lWM;r1kA Oaf <br />FILM ADDRESS _ <br />_ Ser�stli 'Stm+rtHam <br />— - -�p�y� <br />R Elio Usr=ONLY •-d <br />cow <br />F-IrG sic, fq� <br />_ FRI,<Ft <br />6, ! g_I - r 't RIhT l2f?T S 7I C,i�Tp�.} -- <br />ti, 2 G►41 <br />-J <br />w �.7 s f `'W� (T <br />tl. 12 4C y__- <br />9. <br />a � a <br />$paalt9c Date Rune of InfaaTT4atlon Requested: Ftorrb rAP4-r to <br />ENVIRONMENTAL HEALTH ©EPARTNE'NT FILES _ <br />'I tnaorxnF�t xIHG T,0.VIt (IFS•*} Gf rnlF rn l OPl L] 4&AFN0 AaMMENT Ia souf) WAsm FAcF.Iry'ivfNK:LE <br />0 O'rHE.RCLEANUP 81TE (14ON-LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br />❑1 I11VotmRovko TANK (MoNm4we Ri wYAL) 13 001. KENNEL C] DAM <br />❑. HAuRaDuF, WASTE GENERATOR ❑ CHICKEN RANCH C7 WAS70KATER TREATWENT PLANT <br />0 111RF.D PER?AME-D I`AOI " 13 VoTELAHQTEL ❑ PuaroRTRLJCWYARweRera TOILETS <br />C'Ynrt+ eraY PIs s [Nr ❑ POOLISPA Q LANG USE.AppuoATTOV Fdrws <br />G 1A_WAL WASTE FACILVIT ❑ OTHER (PLEASE. SPECIFY)-,,,-,,,�__T_ <br />VVEL L AND Srv= lif MtT R' -LOADS ARE AVAILABLE FOR RMEW - MoNUAY-FRIDAY e:ao Are-5.Oopv - EXCLUDIN :; HOLIDAYS. <br />1 `.` List up to IP.n addres%es in the vpace sbvye- Select the type(s) of files from the lilst aWvc by checking the <br />J; ppropriate box(es). At lust one file type VUST be selected. Fax to 209 464-0138 or I„�-1 I to. tho address <br />indicabid above, Addrr:,ss ranges- will not be accepted -for additional assf stance with file addresses, conta,Yt <br />the EHD. Application3 received after 3:00 pm will be processed the next buslnesm day. <br />2. The EHD vrill notify the appllcant If any Edit] files exist- An appointment for revlow will be conflrrned <br />s.pproximatNy ten (10) days* after receipt of application. The files will be held for a r.aximurn of five busines- <br />days for feriow. Appoirrt,noots should be ac€teduled accordingly. <br />1 EL Trle that is, actively being vrarke,6 on by EHD staff may not be Immediately ova,113ble for review. A nava <br />r pplication may be subm*edl. when the file iS available. <br />4;' Any file not returned in the some condition as released will be reorganized by E14D staff at the expense o'fthe <br />applicant. Fature file (^eviews by the same applicant may require a $95.00 depozit.pFlorto mvlew. <br />EHD 4sac, <br />W.94 <br />