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r <br /> SAN JOAQUIN COUNTY <br /> MLEWED ENVIRONAINTAY� ALTH DEPARTMENT 274 <br /> 304 E av Reber Memo.3 Floor,Stockton, <br /> ,)Ul. " ® 2005 Ttlepbette:(,M)468-3420 Fox:(209)464-0138�Vab:wxrov.sj�v.ory/chd <br /> ENViRO��ENT NEAITN <br /> PUBLIC CORDS RELEASE APPLICATION <br /> meta Ai+tT: Sa, � SUMESSMAENCY <br /> .. <br /> ADDRM:_► ;!- 8 �"c'd" ., ��( w C ` ! Ick <br /> PWE(1 Sf 0 g 88S x a PHONE 121, 359 8`l�(a F�►c�uMtE <br /> (Please axow 10 b"Irwa days fromsaat applicadft sabstftf-'l464WV b G*-MM bo C0nrmged <br /> CHECK BOX TO OWMM-REQUEST-$13.00 M(CASH Oft CHEM ONLY)..R M"T PRAS E®IN 3 BUS S <br /> f11QNA RE OF APPLICANT DATE – <br /> 1N�IT ss Unit tUnita L4 O Unk i 0 trolls L7 O (ai�ctaor�ICAlstahrfafiat <br /> FILE ADDRESS E HO USE;ONLY <br /> _ t St"Planet tit J <br /> 4. K <br /> ri <br /> 61 <br /> s 9, LAL - <br /> t 10. 6 tenvrwc — `-- <br /> Speaft pate RsnQ*of anforelatloa Requasted:Flan �c4.�- to <br /> ENYiRONMFN HEALTH DEPARTMENT FILM <br /> AaAOMo f 0S3m WASTE FA�KJ�P'rl�/&W,�E <br /> Mm(140*4,4P) FAC7LIrY D WASTE TON <br /> f �TAfat ALj KOM EL 13 CARY <br /> WaStlk toll Ck GE+�RA►fGrl 0 WAST MYATO TMAT1 M PLANT <br /> TMAlft <br /> A®P== <br /> D 1AOteJFib7E6 O PtarrNkR 7fwYArM TCNLPETL <br /> 0`rA P*M#4 J ft*VSPA D LAM USE AfttmAMN&755 <br /> Q WsXTC FA"dtY C1 OMM(PUAN 8MCOM - -— <br /> , WE1-L AM WnT4 An AVMftAaX FOR ft%%%V- iiQPMY fmDAY i:tv Mr4I:02PU - Dzumm ftjMV& <br /> 1. List up to net addtvr"ee iRlife epaco eboYa- S016a the tylia(s)of files from the Elst above by checking the <br /> appro box(es). At least one file type MUST be lel ed. Fax to(309 :21 S, .a'M,M to 8h 0dE21s <br /> fdicatod atwve, Address ranges will not be accepted--fer additional asshUnce with file addresses,contact <br /> the DID.APP114800ft re<:e(v®d after 3:00 pm will be processed the next bualness day. <br /> 2- The E:HD WM Mft the appllcapt if any IM Tries exlat. M IntPnertt for review wig ba eo <br /> WMWhW*tett(10)days after receipt Of NPPOCAtk n. The 111164 will be hold for a moxim mt of five business <br /> days for r+evlow. Appolabuents should be scheduled aoaor4lrjgly. <br /> 3• A file Umt Is aatively being worked on by E HD staff Pnsky not be immed4tely available for review. A DOW <br /> arpplicatiae may be subs+w*d when the 1010 is available. <br /> 4. Any fk pat MftMed In the$ame Condition as released will be reorganized by EHD staff at the expertae of the <br /> applicant. Futretre filo teviewe by the same applicant maty require a$93.00 deposes prior to review. <br /> TO 30Vd -Id1N3MONIAN3 SVN3 666998BOTS 9T:6T 900Z/6T/L0 <br />