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12/09/2004 09:49 FAX 916290,1 , WKAvENVIRONMENTAL 002/002 <br /> 1L/VIr L004 1r:o0 9bgo1LWIRDNMENTAL 16TH PAGE 01 <br /> "M RECEIVED . : EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENvxRoNmzNTAL HEALTH DEPARTNmNT <br /> 304 E Reber Ave 3"1 Floor Stockton,CA 95205 / <br /> (209)468-3420 Fax: (209)464-0138 Web:www.co.sau-jo?iquirLmus1chd (Yvf <br /> /Agyp <br /> )PUBLIC RECO"S RELEASE A1PPLICA'I N <br /> APPL1CA NT. M o.4+kL v r.-1 BUSINESSlAGENCY: �,tJG !`(tee -•ku 1.� ¢ /a-5-r ,'e 4-t I <br /> ADDRESS: .3050 2�Awf4-e,,.) Q)VDIWsf} CA `f-57 <br /> PHONC: <br /> q /4 — 3 ;Z2— /4137 FACSIMILE: d) 6 ' Z 9° SS` 2— <br /> 9 <br /> y <br /> TENTATNE-APPOINTMEw DATE: �e C e"'h c. /5; 2 Tb e: `j : 3 <br /> JQ�II/SED (Please alva to b,ni ess dwpfrom d2to ofopplkatlon Subnl[V l) <br /> CHECK BOX To EXPEDITE REQUEST-$0.WF —REQUESTP OC^ESSSED I73 BUSINESS DAYS J <br /> SIGNATURE ,F1APPLICANT "_- DATE �2 /8 ID <br /> ) Departrnrnt Ueo ONy <br /> ` <br /> FIADDRESS \1 <br /> t. S� / •SOV+-h L;ncelrjatrTee. 13 Unit ix <br /> z <br /> 8"4440we3co- AVC• S rac)erh" ML ee <br /> er A%/C- 7"OcXr*dA, 1 a94 Q Unit ?� <br /> tee. 11511w We bri AVG S o Kra^' \��\ <br /> S (y o W We o- + Unit \ <br /> e 66 W LLue bei aF cw STo *-rd <br /> 0 W e- ci AVfr Sr6c)ars" unit <br /> y a s..d A N ,3 rA60 - 26 <br /> —�. a sxK+ APN /3# -260 O Sr.-cAr'd— ❑ Unit5 <br /> Ink <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNDERGR ND`tJWtC Nsn CLEANUP SITE(LOP) D HOUSING ABATEMENT GySOW.WASTE FACILITY <br /> OD <br /> OTHER CI UP BIME(NON-LOP) D FOFACILITY 4"?D saVD.WAeTE VENC= <br /> UNDFRGROUNb TANK M T�N� �� D 000 ltd" O;l)A&E <br /> ]S�HlSARDOIIS wA.STT=GENERATOR D CHICKEN RANCH r'`• m PKG TREATMENT PLANT <br /> TIERED PERMn'TED FACalTY _ - D MOTELINOTEL ❑ PUMPER TRUCKIYARDICHE- S <br /> TOILETS <br /> 0 TATTOWdDY PIERCING O LnND USI•APPLICATION SITE <br /> AAEDICAL WASTE FAC0.RT D (PLFAsE SPECIFY) <br /> 1. List up to tan addresses4[the space above. Select the.type(s)of files horn the list above m ll t o idng <br /> th <br /> the appropriate box(es).=Atleast one fife typ' MUST be selected. Fg to 209 4640138 or mail to tha <br /> a drcss indica_-,_YtaC above• <br /> G EHD will notify the applicant H arty EFfU fifes exist An appointment for review will be confirmed <br /> approximately five business days but no Tater than ten(10)days after Tecept shouof ld Iba sehadutedicailon. Thu�l� <br /> will be hold for a maxiraa.m of five business days for review. Appointments • <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be Immediately available for review. A nal <br /> application may be submitted When the file is avallable. <br /> 4. Any fate not returned In the same condition as released will be reorganized by EHD staff at the GXpens' <br /> of the applicant. Future file revlews by the same applicant may require a$93.00 deposit prior to raviai <br /> S, •TENTATrYE appointment dates must be confirmed with EHD staff. <br /> g. Applications received after 8:00 pm will be processed the next business day. <br /> • >'.r„. ;;4j.[': • • ' is TIME. ” .,� : W11,d'T�$';'q4 <br /> �" .r: tip:::• :'P;}lbNE FAX.. _ <br /> .f,3A'J��CpNt;1,R(11E�. su. - •�=;;a;:; ... '.::. �• • .. <br /> �(ES t10 4 }:'. RIGtYIEW DATE. <br /> •f�ENEVYED .'+• . <br />