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=J <br /> 04/02/2004 FRI 14.45 FAX 9160356 �]001J001 <br /> 02/17/2004 15:32 'i-4640138 ENVIR jXHENTAL FLESH PAGE 02 <br /> SA'Y'E 1�eCFNED _..._.. .�R.L...r. .,...,.,. <br /> SAN JOAQUIN COUNTY <br /> Ewmm <br /> AL HIALTH DEPARTMNT <br /> 'APR 0 2 200 30'R Weber Ave 3`'d Floor:Stockton,CA 95205 <br /> -0138 web:www.cvsan-jaagnizy ca.us/ehd <br /> 209)468-3420 Fax:(209)464 <br /> _.., :���[S� PUBLXCRECOtDSkLEASE.APPLICA'T`ION <br /> ,SEPf' <br /> �►��; 1 ,� r� eusa�ssrA� . <br /> ADDRESS: ` <br /> PRONE: 1(--s �' - ?`P FAMMILE: <br /> TENTATIW APPOMI'1+&T DAYF- T+nw. <br /> •' tP4a�&e�lllorr 7D bttittt�as5 days from date of appG�an su�mitkal} <br /> M CHECK SOC To We rrE REQ TEST 4nm ME^REQUEST <br /> PROM IN BASS DAYS <br /> SIGNA URE OF APPUCAHT DATE <br /> —tl L 3 <br /> ,4 — <br /> anty <br /> ME <br /> ADDRESSilNn <br /> �R u 3S� [3 Unit I <br /> O'C4mn� k, L d tinct2 <br /> 6 e LkA 3 <br /> T_ Stare, Lha ' <br /> '� s SA'tefl - <br /> i;; 9. ❑ Unit 5 <br /> Et�IViRONMEWAL HEAuni DEPARTM tT FILM <br /> ' lf'1 RAUND TANK MT)CI.ERM Sire MJM [3 h0V$HG Ai3ATEMFHT � S4cao WASTE F°ud�ir�r <br /> 0-mm CLFJU'IUP srm(NOH-tJC" Q POW FAGIEITY 0 5E1L]U WASTEVEH1C� <br /> MOWROU D TMK R�iGll=1A0VAQ 0 COG KElt T-L Q <br /> Alb (rpptpTbR <br /> DANi1C <br /> j O PUG <br /> PLANT <br /> "xazARaMWA=GENERATOR D PUMPER TRUCrJYMOCF <br /> ENTcro <br /> o T�PERmnTD FACR= n UOTuom <br /> P e,,pA <br /> UIIIEOS ❑ LAND USE APPMAMOM Sit <br /> TAWASTE FAGUTY fl o7ti� a saaca ' <br /> 4. List up to tete addrasses In the spam above, Select the typ (s)Of MOS from the list above by ahet3clrg <br /> the appropriate 6ox(es). iAt least one file type MUSTbe selected. a to 2Q9 IlS4-0i38 or ail to e <br /> address jUggaW0�Ye. <br /> 2. WO Mritt notify the applicant if any EHD files exist. An appotntment for revtew ruin be conf1mmed <br /> appr'Mdmatety five buslhorr.days but no later than ten(10)days af1;eT rec4ipt of JOrleatlon. The fres <br /> WHI be held for a maximram of 1•ive business days for review. Appatntments should be scheduled <br /> accordingly. . <br /> 3. A file that'ls actively Ding worked'o n by END staff may not be Immediately available for t'eYler�t. A nm . <br /> application may be submitted <br /> when tate file Is a9leased anized b EHD staff at the expanse <br /> d. Any fits not returned In the samo canditlon as released vrlll be rearg Ire a$9300 deposit prior to review <br /> of the applicant. Future fele reviews by the sante applicant may q <br /> 5- ITENTA►TIV appointment dates MU$t be confirmed will,EHD staff. <br /> 6, Applications receiYed after 3:00 pM ruin be p Mcessed the next busittesc d2ty_ <br /> 4 .y iii, t 'a''r• -- <br /> CiN ,R'AAED' ? bil�rtlMs~ �._- '• �•s<•' _ ' <br /> !Q061NE FAX':=:" '''_~`':;? `ti • rr <br /> D YE$ Na RiMEY VATS--ItEtvfEM <br />