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p?,?7p K-9zRn RSSOCZRTES s] 564 2222 P.2 <br /> ML <br /> AO rswt N <br /> 46407 ' _ EMJIROFB�feNTAL. Hcrw�,w�i:i�:�ui�� <br /> 02/06/2004 12:12 <br /> CeNen- SAN JOAQUIN COW" <br /> HE <br /> � ENVIR0MaNTAL'T1EALTH DEYAR•CMENT <br /> 304 E Weber Ave Td Floor Stockton,CA n jquin aasslchd <br /> Apft 2 20 9}468-3426 Fax:{2,09)464-0138 Wcb:w"�'w"'saoa <br /> �ikA�TH X.iC RECORDS�,�,EASE APPLICATION <br /> E�1V4RONIMIENT PUB <br /> sti9aifSsrAcfNCY: <br /> IE APPLICANT: �• Q <br /> FACSWILE: <br /> I <br /> PHONE, L6 1lme: <br />! TENTATIVE'Appp1t1TMENT DATE: <br /> 5of Wi"00,mit"it4d) <br /> (Phase allow 40 bualnfss days ft-�e ap <br /> EDITE REQUEST. G Fre:– quEST IPROCL t)IN 3 BUSINESS DAYS r <br /> t XCMECK BOX TO EXP <br /> t]AT6 <br /> 1 SIGNATURE OF APPLICANT paoa es+t tlae dnh <br /> ,.�/] UNIT <br /> FILE ADDRESS / r i p Uni;1 <br /> ` T—,��✓� <br /> Unil 2 tU� <br /> O4 <br /> Unit 3 �6J� <br /> s. SvoN (f � <br /> vrlie <br /> 7. WWI <br /> F Unit 5 <br /> I <br /> e. Ate+ <br /> �. Snet <br /> 70. 4' <br /> 4 ROAL HEAL.YH DEPARTMENT'FILES � <br /> NNIENf' Px �__,: <br /> EN1f1 <br /> » .HOi1SING A9ATTild>~NT � � �SCLED WASTE FACILITY <br /> UNDERGROUND TANK(USTI CLEANUP S%-M(LOP) E] FOOD FACILITY ♦3 SOLID WASTE VEHICLE <br /> OTFIEIt CLEANUP STTE("044-LOP) DOG XIENHEL CI DAIRY <br /> XnINQERGROUND 7ATJK(MOeitTORINGMEMOVAL) .13 CHICKEN RANCH ❑ P1CG TREATMENT PLANET <br /> NAZARDOUS WASTE GENERATOR G3 <br /> =SPA O LAND R TRkE PLICARDICHEM TOILETb <br /> td <br /> :RED PERMffTED FACILITY POOt13PAII LAND US>=AppLlCAT10NSnacs <br /> TATT001500y PIERCING ❑ OygrR(PLEASE SPECWn <br /> ❑ MEDICALWASTE FACILITY <br /> s of files from the list above by checking <br /> 1, List up to ten addresses in the Spate above. 3etect the type( ) qgq-p•I38 or emit to s <br /> °MUST be selected <br /> ax o 2t19 <br /> the appropriate box(es). At least one file type ointment for review will be wnflTrrled <br /> ddr will <br /> Ino fy the <br /> h a applicant EHD files exist. M appointment <br /> $ 2. EFID will nail thesies if any t of a lication- The files <br /> approximately five business days but na later than ten vieJ10dye atter re nts PA <br /> r wilt be held for a maxirnurn of five business days for review. Appalntmenta should t>'e sehodlsled <br /> in be Held worked nal be immediately available for review.-A new <br /> accorapfile that is ac <br /> plication rnayl be submitted when the fi a Is available EHE]staff at the expense <br /> 4, Any file net rel file in the SaTne condition as released will <br /> �a��q�ire i 3.00 deposit Prior to review' <br /> of the applicant. Future ilia reviews by the same app <br /> 5. '"TENTA'r WE appointment dates me usMih�o�o�sssded ithe ncx!business day. � <br /> g, Applications Iraeelved after 3:00 P ' <br /> TNA£ <br /> a ERMEWED <br /> NFIRMED ARPOINTMENT DA'L'E PIiOlIt FAX'' 4NfTlAIS <br /> TE CONFIRMED REVIEW DATE <br /> YES NO <br /> I _� <br />