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i0[0712005 11:26 8313351593 MARGO MACKEY <br />FNVIRONMENTAL HEALTH DEPARTMINT <br />304- E Wcber Avc 3`4 Floor Stockton, CA 9520.5 <br />�420 Fax', (209) 464-0138 Web: www.ro.san-joaqWn.mWehd <br />r RlPrnRD.Iq RREEASE APPLICATION <br />PAGE 01 <br />3:0 �s_ FACSJMFLF. <br />UNTATN'�APPWTWNT DATE. Ogg a <br />ILE COPY <br />(Ma"!* wl&w 10.-bustna" Line ftm Oft of application &%;4VnftA <br />cmxx 1w Totmaum W3.0 rFQUM p1toct'ssto W 3 Isus1pim <br />� FU <br />DATE <br />1VG"TURr=Cf *1PUCAf# V�, 6"t u" 0* <br />L Unft 5 <br />V <br />PAWMENT FRY -3 <br />ENVIRO"MexTAL tiMTH DE <br />-0 SOL* WASTE IFAMtV <br />D (u CLEANIUp $rM � op) 0 KOWNSABATC0M - SmWWAM.V0W= <br />lji OTHMER Silt �NJLM 1) FOOD f:Acnjw Dg" <br />ITakINGMEIMOVAL) 0 DOG Kr"M T PLAW <br />11 CHIMN RANCH pW, TRFATW-" . 1'4u -M <br />5T pUM"XTMP=YAAnX�l1N <br />HAZMOOUS RATIO NolMwIMML <br />IV4 " <br />; t*0 u$i! NWLR-ATM WF3 <br />T I somvm P If! D FAV n POOLISPA <br />TATTdt3fBGpY VIRRCft#31 M OTWR (PLME SPRCWY)— <br />Mg=AL VYA FAM <br />tho typo(s) of filo_ frurft I" tisi Ing <br />. yoack <br />OMV$e,� in tho j5pem above. 844W L4Q the <br />1:11d up tq tell od. <br />th, aWal)rl At 10.1*t o0o tile type MUST be seled <br />4. An for r9,10W will he 0anormed <br />w 11 bW , jr�ant jj any EHO files Wrist. re'. 91 apoidation. Tho i' *5 <br />EM <br />2.. upproximatel fyo bkW1tos!g day$ W no IaW Iftn wn (10) datyr. after re'. <br />Will be h1w1W t & nwIfUltn Of five business days for mrview. APP0Vdm9Tft <br />accarding ty available W review. A new <br />3. :p4ely bqk%worW on by FHO staff may not be Immodinto <br />A1110thatit vel <br />" i�" sVbmjt*d wbon the flTe is nvallablo, -SUff at the qx"nso <br />Olt , 1. the -SilRit t4nditlOn *% released VVIII be reorgartlxid by CHD <br />Any f1lo riot 3,Ub dwpq%ft PriVf to rOVIeW- <br />of the Qppu"ilc. FlatuTr tils rvview* by thib agryl4�;Ipplicapt may reqkslre 2 $9 <br />B. *MNTATTVE pppointmont;dofts; must be 4onfirmad with EHD %Aaff, <br />_Mer 3:00 pm W111 be processedthe next business d;NY- <br />TMeNT DATE'. TIME <br />VAtECONFIRMIEt) PHONE FAX <br />REVTIEW DATE <br />RFVTCWEI) NO <br />