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2002/002 <br /> X4;/19/2005 12:56 FAX 209 94806 <br /> gnu y.l.a•,v.w.•.1, <br /> Ugl�- I D� SAID JOAQM COUNTY <br /> I ��' �J /��� NVYR0N1ViENTAJL IJEA_-,Ta DEPARTMINT <br /> 304 E Weber Ave 3`4 F10,or Stockton,CA 95205 <br /> 005 <br /> SEP 19 209) 468-340 464-0138 Web: w _co.Saa joaq.uin.ca.U5/ehd <br /> �'ax� (209) ww <br /> ENVIROW,E.N-1 HEALTH <br /> p ;�,.1iTiSE°V1CF_S PUBLIC RECORDS RELEASE AypuCA.TIbN <br /> aPPucMT: <br /> 6USINESSIAGENCY: <br /> To <br /> L 5--�• S a <br /> p. FACSIMILE- <br /> PHONE: ZA9^ q�2_ <br /> ' T1me: <br /> TENTATIVE'AppOltdl7AENT DATE <br /> (Please allow 10 business daY'S from date of application submittal <br /> Q CHECK BOX TO EXPED[TE REQUEST-$93.00 rEF-REQUEST PROCESSED IN a BUSINESS DAYS -- <br /> DATE <br /> SIGNATURE OF APPLICANT nepartm-aU5e O(W <br /> UNIT <br /> FILE ADDRESS s,. <br /> a 0 Unit 1 <br /> t. sots+ <br /> 1-7--7 I .� <br /> 5S �' 4 Unit 2 11 ' <br /> z �rQa 3 G <br /> ANk <br /> Unit 3 � <br /> 6. su—t Unit 4 <br /> u M Unit 5 <br /> _ 9 Syed 3 Np <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ HOUSING ABAri=M ENT ne 50L.1D WASTE FACtLLTY <br /> S CLEANUP SITE(LOP) ❑ SOUD WASTE VEHICLE <br /> UNDERGROUND YANK N Yl Q FOOD l:Acit rry DAIRY <br /> DTHER CLEANUP SITE(NON-LoP) ❑ DOG KENNEL <br /> tg� UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ CHICKEN RANCH 1E-PKG TREA-rMENT PLANT <br /> ❑ <br /> In HAZARDQUS WASTE GENERATOR 0 MOTELIHOT>=L PUMPEApP pptlIYARDIGHEM T01>_ET5 <br /> ❑ TIERED Fr:RMITT�FACILIY b poot.f5PA la LANs USISE CATION SITES <br /> ❑ TAT TOOMODY PIERCING C7 OTHER(PLEASE SPEC1F() <br /> n MEnrCALWA.STEFACILiTf <br /> ace above. Select the type(S) of Hies from the list above sy checking <br /> 1 List up to ten addresses in the sp MUST be selected. l=ax to 209 464-013d or mail to the <br /> the appropriate box(es). At least one file type <br /> address indicated shove. ointment for review will be confirmed <br /> days after receipt of application. The Hies <br /> 2. END will notify the applicant if any ut n flet exist_an to a10 <br /> approximately five business days but no later ahs for review- Appointments should be scheduled <br /> will be held for a maximum of five business day <br /> accordingly- worked on by EMIR staff may hat be immediately available for review. Anew <br /> 3. A file that is actively being <br /> application may be submitted when the file is available_ anized by EHD staff at the expense <br /> Any file not returned in the same condition as released will be reor9 <br /> 4 <br /> of the applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> es must be conf'irmed <br /> 6. lth p�ENTAT appointment rtsiness day. <br /> 5, pPPlicatonseeived after pm will'be processed the ntbu <br /> CONF:�RME ►�nnPalN r'tENT�'ATE' <br /> Q'L <br /> - r: <br /> FAX.; <br /> ALS <br /> "DATE.C,QNFIRfy1ED DATE <br /> NO REvIE`N <br /> REVIEWED YES <br />