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21-2004 13:3^ FROM-COLLIERS If +2094755102 T-469 P.002/002 ,F-473" <br /> SATE RPCElveo SAN JOAQUIN UOUNTY <br /> ENVIRONMENTALHFALTOCAEP A95205 T ^��% <br /> 304 B Weber Ave 3`a h'loat Stockton, CA 95205 -Ql1/ <br /> (209)468-3420 Fax: (209)464-0138 Web=www.Cmsan joaquimmus/ehd <br /> PUBLIC RECORDS RFLFASE-A^PPLICATION <br /> & �. 'y`{'/-�y�.. BUSINESSIAOEpNC�Y: <br /> CAN <br /> 4ADDRESS: ->�i <br /> HONE: <br /> �3 ^-Zr O FACSIMILE: J- I 0 <br /> TENTATIVE'APPOMWENT DATE: time — <br /> (Please allow 10 puslness days flan date of applleatloD submittal) <br /> a�- <br /> ❑ CHECK BOX TO EXPEDITE REQUEST EE-REQUEST PROCESSEn M 7 BUSINESS DAYS --Lf M1 1 <br /> DATE M1 <br /> SIGNATURE OF APPLICANT Dapornont Use Onry <br /> , rJ j VL"4 6-F <br /> �na,+ i 2 O5. -ASil '�'•✓FFt�np.L ADAREss aaa <br /> 5� / <br /> „ UNIT <br /> Unit <br /> 1%JA 11 <br /> 1 <br /> Unit 2 <br /> nit <br /> nit 4 <br /> 7, Unit <br /> S <br /> to S.e.1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> p ❑ HOUSING ABATEMENT MSOUD WASTE FACILITY <br /> rfM �TATTOOIBOOY <br /> DERGROUND TANK(UST)CLEANUP S�(LD ) O FOOD FACILITY ri SOUP WASTE VEHICLEER CLEANUP SIT£(NONdAP) ❑ ��� ❑ DAIRY <br /> DERGROUND TANK(MON1TORIN6IREMOVW-) ❑ 1"TREATMENT PLANT <br /> ARDOUS WASTE DENER.•ATOR O M IOTELhKITEL CKEN H V PLnucc_R TIWCIvYARDICHEM TOILETS <br /> RED PERMITTED FACILITY ❑ PA ? ❑ LAND USE APPLICATION 3ffE5 <br /> PILRCING HER TLEASE SPEDICAL WAST£FACA�TY <br /> f, Llst up to ten addresses in the space above' Solea the types)of flies from the list above by checking <br /> the appropriate box(es)- At least one file type MUST be selected. Fate to{2091 b64 Q�gB or mail to the <br /> ^dqdrass indicated above_ review will he confirtned <br /> 2. EHD will <br /> ln otify the <br /> e business days licant irf butDno later than ion(70)days0afterrreceip of application The files <br /> aper Y for review• Appointments should be scheduled <br /> will be held for a maximum of five business days <br /> accordingly. <br /> 2. A file that is actlV ty being worked on by I=HD staff may not be immediately available for review• A ne' <br /> application may be submitted when the file is avaUable-WN be reorganized by EHO staff at the experts <br /> 4. Any file not returned in the same conditionasreleased <br /> Lent may q ire a;513.00 d®Posit prior to revie <br /> of the applicant. Futuro file reviews by the <br /> samepp <br /> 5- 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 pm will be processed the next business daY• <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE . FAX N TIA).5 <br /> REVIEWED YES NO REV)EW DATE <br /> 9-a�-UU: U`�T rrl�"� (JA-:Inc,✓�c;kA. <br />