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03/02/2004 11:11 9252936121 .AEI CONSULTANTS (SF). . PAGE 01 <br /> EHD LOG NUMBER <br /> p n�� SAN dOAQUIN COUNTY <br /> v ENVIRoNWMN'rAL HEAz.'rs DEP�Ax't'WNT '^ ' <br /> 304 E Weber Ave�Td Floor Stockton, CA 95205 I <br /> MAR 0 4 2004 co.san joaquin.ca.us/ehd <br /> (209)468-3420 Fax: (209)464-01 i 8 Web: www <br /> ENVIRIMENT HEALSE�Ru1VIC1EsS��H CP�ytLPIC(REC�O�ISLEASE APPLICATION <br /> APPLICANT:IvQ-��`Q �"-'"z�`—� eHUS1iESSlAGENCY:� - g �� <br /> ADDRESS: <br /> FAC$IM1LE: <br /> PHONE: `` � CMur- <br /> TENTATW APPOINTMENT DATE: I ) / K S � <br /> (Please alines 10 b� IML loll$Iron date of app0catiw subTlttal) ;1 .n� <br /> PROCESSED IN 3 BUSINESS DAYS <br /> CHECK BOX TO EXPEDITE REQUE5 -$13.00f: -REQUEST G ATE <br /> SIGNATURE OF APPLICANT I papanmant Use 0 <br /> T UNIT <br /> FILE ADDRESS m _ <br /> G of6 Unit 2 <br /> a Sunni �• <br /> unit <br /> GI <br /> s' 6tlp°m G Unit 4 <br /> o a ONEMIIRONMENTIAL HEALTH DEPARTMENT FILES <br /> En SOLID WASTE FACILITY <br /> CLEANUP Sn'E CLOP) OHO USING ABATEMENT 0 SOLID WASTE vENIcLE <br /> UNOERGROUNOTANK(UST) 0 FOOD FACII-RY d DAIRY <br /> 'OTHER CLEANUP SITE(NON--0P) 0 DOG KENNEL 0 PKG TREATMENT PLANT <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0 CHICKEN RANCH R PUMPER TRUCKIYARDICHEM TOILETS <br /> H/AZAROOUS WASTE GENERATOR 0 MOTELIHOTEL 0 LAND USE APPLICATION 8rMS <br /> TIERED PERMITTED FACILITY 0 POOUSPA <br /> 0 TATTOOISODY PIERCING ❑IOTHER(PL EASESPECIFY) <br /> 0 MEDICAL WASTE FACILITY ect thes of files from the list above by checking <br /> f, List up to tan addresses In the space above. MUST be selected. Fax to 209 464-0 <br /> 138 or mail to the <br /> the appropriate box(es). At least one Isle type <br /> e confirmed <br /> address indicated above. EHD files exist An appointment for review will blieat on The files <br /> EHD will notdy the applicant if any days after receipt of aPP <br /> 2. days phrtme receipt <br /> should bescheduled <br /> approximately five business da but in later than foerevi� APP <br /> will be held for a maximum of five business i mess days available for review. A new <br /> accordingly. EHD staff may not be immediately <br /> 3. A file that is actively being worked on by reorganized by EHD staff at the expense <br /> application may be submitted when the file is available, be vire a 593.00 deposit prior to review. <br /> 4• Any file not returned in the same condition as n same eased anti may req <br /> of the applicant Future file reviews bye d <br /> 5• `TENTATNE appointment dates mus be confirmed with next business day, <br /> received after 3 00 pm vn0 be process <br /> 6. <br /> Applications rete <br /> ] TfME <br /> r.`fiRMEb APparRlTettFEN7'.IIATE ` '� � r F L '�!i yy l r `n . y •' ' r r"'r n u i r:' -; <br /> +, v r J �r r � 1 r., i E} FNM1 ..1 ��y, n...�r•�'` `:}i'aA {: <br /> NFIRMED' <br /> .DASE <br /> aarmw <br />