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TF ::�169622678 <br /> ;r EB. -25' 05(F�ia 11:82 VAR, iNC. PHuE <br /> f=tiVIRDWENTAL HEFII T� l <br /> QUIN COUNTY i <br /> SAN JOA <br /> U � ���.+ }JfIL <br /> !7 U ENVYRONMENTAU d EALTH SEP T95702-2708 <br /> 304 Fast Weber A�en&,3 FIQQr, Stockto , CA <br /> Telephone-- (2p9)458-3420 IF= (209)464-0138 Web;ww -slgov.orzlehd <br /> Ef4VIR0III ],�LNT H-1 1 EALTH pjTB�,I RECQRUS AELEASE APPI..XCATIO- # <br /> f�f <br /> OuSINESS(AGENCY:, <br /> APPLICANT;ADPRESS: Su <br /> IM14:—al <br /> PHONE(1), 3 �7 HONE 171: <br /> �} Tlme: <br /> 'TENTATIVE' APPOINTMENT GATE: Tentative aniy.muat be confirmed} <br /> (PleaYr.isllow is business days from dalx of applll:atian submittn1"" caS i <br /> # 17 cH>±GK aox TO>=xPE0l7V REQUEST•$93,00 E~L;t ICASH OR CHECK QNlY1–REQUEST PR I�ATIw�p 11J 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT " , ` <br /> UAll <br /> jUnit ntl 5 unit 6 In Other(niactronIC1113tsbnapal <br /> UNIT PISTRIPUTION nit 1 Unit 7 <br /> Flti±At7DR1wSS I HD USE ONLY <br /> tract NCIMO c <br /> 5trtiat� ity <br /> i - - -- <br /> 2. ukl <br /> � <br /> 1 r mall — <br /> 3. <br /> 4. <br /> I 10, rfarrtlation Requ@rated; Froin <br /> Specific Date Range of In ` <br /> ENVIRONMENTAL HEALTH PEPARTMI=NT FIDS <br /> t1i4lJ6ING AeATEM9N7 to SOLID WAVF VAC1LIrY1VEHICLE <br /> NDEgGROUNDTiNK(UST)C1,EANl1P SrTE(LOP) d rDDP FACILITY <br /> Eu <br /> U WAST <br /> ETIAE <br /> ITHER CLEANUP SITE(NON-I.OPI M Doo II Ll 0A1NY fi <br /> NDCRGRGUND TANK(MOtt1T4RINGPRFmOVALI 0 0►iIQKF-N RANCH' 0 Wu SI Mpim�p IR TO A IMFIII Tol4,�s9 <br /> PA l{AIAR11bGS WA3TC G6N�RATaft r}(yr{prEiJHOTCL i 0 LAND Use'APPt IcATION 51TV, — <br /> r¢T�6ft�t1 PFRMiTTe0 FACtUTY 'Ij PooIJSPA <br /> 0 TATTOQIanaY PIERCING j:F-3 OT►IsR(PLEASF SPY"W'41 <br /> KNEDICAL WASTE FACILITY t. <br /> { WELL AND SEPTIC PERMIT ftre:0AR6 ARE AVA015L6 FRft Rpvlrw - MONPAY'1 RIDAY B:4t}gMrS dOpi t'^ �t(Gve IN <br /> b )'{t7LIIT ki . <br /> 1 t.ist up to ten addreS8a5 in the space abaiie. Select 09 type(s)01 tiles from the list above by checking the <br /> appropriate pax{es). At least one file type;MUST be ealected, x to 09 6 -0 3 � aN to the address <br /> indica�iLd� iseve.- Addfees ranges will tint be accepted for additional asgistant:e with file addre5se$, Contac <br /> f <br /> the EHI).Applications received after 3;013 pn7 will be processed intment for revle%4 will be confirmed <br /> The EHD will notify the applicant it any ENA Tilos exist. An app � <br /> raxlrnately ten ito)days after receipt pf applicationec he file V. be field for a�maximum of five businraSs <br /> app A <br /> ointments should bo scheduled <br /> days for review. App a ed on by' HA staff may not he irrimadiately available for review. A new <br /> t s actively being work lF <br /> 3, A file ilia 1 y <br /> { applicatian may be submitted when the file a available• , <br /> rglniyLLdI <br /> at the <br /> # 4. Any Lite not returned l[T the same conditl4n as'relaased will buir�a Aga�e d Pan�F'r1°�to rev ewP�nsn pf the <br /> l applicant, Futulre file reviews by the sams aPplicl<nt may require ^ — <br /> +F <br /> pHo ae.ux•Dec <br /> „r'J.0, <br />