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I <br /> 3 <br /> FROM Ground Zero Analysis PFdONE NO. 209 838 9883 <br /> Nov. 30 2005 10:10AM P1 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> MMNEDD <br /> ENvI RONMENTAL HEALT11 DEPARTMENT <br /> qj0qj <br /> 304 E Weber Ave 3`d Floor Stockton,CA�95205 <br /> ee l v S 0 LO 46�-0138�'Veb:svww.co.san joaquan! usleh <br /> 2109)468-3420 Faa:(209) I} j� <br /> ENVIRONMENT HEALTH PUBLIC PSCOEDS BELEASE APP , CATION <br /> PERMITISERVICES <br /> APPLICANT: BUSINESSIAGENCY. <br /> it <br /> ADDRESS' J <br /> PHONE: FACSIMkk.E 4 <br /> OC) <br /> TENTATIVE*APPON MENT DA I IM <br /> (please allover 10 business days ffom date of applicaflon submittal) <br /> II <br /> II HECK BOXTO EKPEDrM REQUEST- 3.00 REC1l11`8T PRocEss>=D urs 9U51NFaS LAYSIf is- <br /> SIGNATURE OF APPOCANT M DATE j rm o <br /> 'f � Department use only <br /> Il � <br /> I I UNIT <br /> ALF A I 9 <br /> n F <br /> i sheet �j ' iI ❑ Unit 2 <br /> 9. beet if k <br /> ` Sheet i} C Unit 3 1 <br /> s shit ° ij II <br /> 1.1 0 nit 4 <br /> T. $"a Ij �I <br /> C S'�e` I iI ❑ Unit 5 <br /> IL seeat Ij i'I. <br /> to. 4heaF <br /> ENVIRONMENTAL HEALV DEPARTMENT FIDS <br /> Gt NnERGROUND TANK(UST)CLEANUP SrrE(LOq 0 HOUSING ABATEMENT I7 $OLID WAM FACILITY <br /> RCL UP SITE(NON-LOP) a FOOD F=L" fi to SOLID WASTE MICLE <br /> FHAZARi7 <br /> OUND'TAIVIC TANK d DGC KENNEL ❑ DAIRY <br /> cMCKEN RANCH f 0 PXG TREATMENT PLANT <br /> RRDOUS WASTE GP-NEWOR kVIO�CJ lH07 EL pDMPER TRUcwARDICHEM TOILETS <br /> 0 yIERED.PERMMED FACILITY ❑ POOLISPA LANp USE APPUCAT7QN S11 ES <br /> M MEEMALWAS PE>=K IL 0 OTHER(PE.EAS€SPECIFY} <br /> M 15RLOICAt-wASTEPACILTLY <br /> 7. List up to ten addresses In the space above. Select ilia type(s)of filets from the list above by checking ' <br /> the appropriate box(es). At least one file type MUST be select�d. Fa�to{209}el5q At38 or mail to the <br /> address indl d above. <br /> 2 EEID will notify the applicant if any EHE files exist An a�ppolntment for review will be confirmed <br /> approximately five business days but no later than ten(10)days afterl`receipt of application. 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 worked on by EHL)staff may riot b Iimmediately available for review. An <br /> application may be submitted when the file is available. ,1 11 . Staff at the nSe <br /> 4. Any file not returned in the same condition as released will be reorganize <br /> a$93.0 deposit pTlor ta�rpee�w <br /> Of the applicant. Future file reviews by the same app" yrequire <br /> 5. *TENTATIVE appointment dates must be Confirmed with EHD,`staff. <br /> 6. AppliCat-sons rec e4ved after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> DATIEONFIRMI=D PHONE FAX 1N171ALS . <br /> II <br /> REVEEWO YES NO REVIEW DATE .G <br /> EH046d= <br /> 6�LftQOi <br />