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,----I-T/06/04 1-T/06/04 MON 15:28 FAX 415 5.4q 5480 TETRA_TECH EM INC SF 160 <br /> ATE RECEIVED - EHD LOG NUMBER <br /> SAN JOA.QT. N COUNTY <br /> Y <br /> 304$Wcber Ave P Moor Stockton,CA 95205 <br /> D E C 6 20 4"468-3420 Fax:(209)464-013$Web:www.co.san-joaquirLmWeha <br /> We$d <br /> P�.`�IT:�R.�i ._ �,• /�,��y���auSIIdE55lACiENcr: (�''�?-�' /� � �-x w Y.��¢�, <br /> PHONE: FACSIMILE: <br /> TENTA'TIVIEil APPOINTMENT DATE; 'Tina x -RED <br /> (Please allow 10 business days from date of application subMIMA GUML <br /> CHM SOX TO EXPEDITE REQUEST-$9 EROCI±S D IN 3.SUMESS DAYS ' i,j <br /> SIGNATURE OF'APPLICANT DINE �`� 0 - <br /> Department Use Only 0 <br /> MEAADRESS � UNIT <br /> t, suv„a53 5- IN l�'f6t Lit Us G�GLet ! 76 2 3 <br /> ❑ Unit 1 <br /> 2. scec! tA/ kp i me�Q v� 2.G�1•Gi <' Gf1 �!S S/ <br /> O u7r - o. s O Ids L��fi� a ate ,d, CW 952Y0 <br /> rr!j .. sage - 4!4 ry Z y ❑ Unit2 <br /> 5. beoctP �u, C' Z f7 C <br /> c-fes S`2 YO <br /> s. srt Al J <br /> —v:- Unit 4 <br /> O <br /> N%l2QNMENTAL IiEALTH DEPARTMENT FILES !;2 <br /> �- vi LG <br /> �,UNVE.RGROUND TANK(UST)CLEANUP SIM(LOP) 13 HOUSING ASATEMENT [3 SOLID WASTE FnclLrrY <br /> '1f UT rI R GLFMUP SITE(NONJ_0P) ❑ FaoD FACILITY ❑ SOLID WASTE VEHICLE <br /> I� INDERGROUND'TANK(MONITOWNGIREMOVAL) L7 DOG KENNEL i3 DAIRY <br /> T� <br /> HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ❑ PKG TPEA•TMENT PLAN' <br /> ❑ PUMPER TRUCKIYARDICKE1 TOJLETS <br /> ❑ TIERED PERMITTED FACILITY ❑ P voaL/SPA t. ❑ LAND USE APPLtCATIvN SITES - <br /> E7 TATT161EDI ao WAS PIERCINGACILT ® OTHER(PLEASE SPECVY) <br /> C3 H9EDICAL WASTE Fgt:ittiY <br /> 1. List up to ten addresses In the space above. Select the-type(S)of flies frorrl the list above by checking a, <br /> the appropriate box(es)- At laast one fila 4,pe MUST be selected. Fax to(209L464-0138 oI mall to the <br /> address indicated above. <br /> 2. EHn will notify the applicant If any EHD files ex1sL An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after fecol�pt of appli tl0n. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being workdd on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file Is available. i <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93,00 deposit prior to reviow <br /> 5. *TENTATIVE appointment dates must be eonfirrned with EHD staff. <br /> 6. Appllcatlt+res received after 3:00 pm will be prrmcessed the next business day. <br /> } 1711"• .f�i;�l�.,1.'1 iYi ..,5��.;:.•. <br /> TIME <br /> iATE G01499-fiil'�LtiHoNE FAX: `.�,>� •I(dl�lA�S:_ =�- { <br /> � dl"t� YIrS NO ,: REVIEW DATE. x, <br /> - Nh.1P.naltnS <br /> i <br />