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09/27/2005 23:29 8639180 RHINO REALTY PAGE 01 <br /> 09/28/2005 09:51 ��4640138 ENVIRONMENTAL HEALTH PAGE 01 <br /> ►�„ Y/E <br /> USAHJOAQUIN COUM <br /> . EN ONMNTAL EMALTH DEPARTMENT <br /> SER ? 20nn��,' 304 Best Wet=1 v: 3"Koor, Stockton,CA-95202-2708 <br /> elephoue:(709)468 3420 Fs�x:(209)464.0138'bleb.,wwwxjgov.org/chd <br /> ENVIRONAAENT NEALT <br /> PERMIT/SERVICES -hBLIC JACORDS A LLASL,p,PPLiCATION <br /> "PUCAW!ESS: <br /> BUSi1it WAGENCY: <br /> ADDR <br /> PHONE(AP PHONE,: ��37 rAMI&OLS: Silo3 211 <br /> TENTATiV0 APPOMM-0 DATE: rOrc�e: <br /> (Pkne 91QW i0 6in1.n ss d*ptram d 0fof&POCatbh submittal-•7'entt6M WY-M=t be CO iMOM <br /> E3 aim BOX To'nCPEon mcros-r•mm FE(CASH OR CHECK ONLY)•REQUEST F F200 =IH I SYSI=q DAYS <br /> r 510HATURE OF APPLICANT DATE <br /> tYK(T t)tS7iiisuti0fi a tlntt i z uc�it a rurit A o urltLIZ= <br /> a Oti,er(electraN�) <br /> FILE ADDRESS EM USE ONLY <br /> BA�et AI • Sheet Naso <br /> 9. <br /> ' Spec3fia bate Rango of Infonmatlon Requested:lFrata 1 to <br /> �7_ Ell <br /> �DPY <br /> WMRONMeffA..HEALTH DVARTMI NT FILES <br /> D Fbtl M*P*ktWMff WASTE rAsxLMW0 = <br /> TAtpc NS1?C4E�N�P ) a Foao FAa#alrr /99 We <br /> Owl <br /> w StsE(PION-LOP) ❑Doo Kit P Da�rex /MJ�1 <br /> ,a EicRc TN4KPAac«M06M XOM4 a a WAMEWAtM'1XatMrrPWW <br /> WAsn:GCMMMk . d RTARlCIUY TOR�1� <br /> PP atm FActmr o Me�rE1Jt14T�, <br /> r 10 POCUSPA 123.6M Un prnjc�k"SM <br /> W=MWA5'MFAca.rn Qpn ctPx�Aaesprc�r) <br /> Wj31.Aw SES PMV F=qMMEAVALA=PM PZM"W• I�dlCR7AY^FfilAJ1Y MIS-'40PM • AY9,.- <br /> 'l, 1.lst up to tett addresses tri tine space above, $elect the types)of fdes from the Gst above by ehlecldng the <br /> appm"Iate box(es). At least 00 file too MUST be selected. NX 2091�t8�138 or man to the address <br /> caAtac! <br /> ndWtAbove. Address ranges Witt not be accepted M f;or addltaorr:tl assistagcs with fits adds see, <br /> r#d <br /> the Wo,Apptinat one received offer 3:00 loin v4u be processed the next business day: <br /> 2 The EHD will rioW the&Pprcant if any END NO exist. An appointment for revieWw'"lt be confirmed <br /> approAmately ten(i0)days after receipt sof application. The fates will be held far a Maxirnum a five business <br /> dais for review. AppolnWents should be scheduled accordingly. <br /> 3. A file thzt is actively Ding worked on by WD staff nW not be immediately avar'tabie for rariexr� A rxe�t <br /> application may be submitted when the file ij�aylilable. <br /> 4. Any file not returned to the same condition as releats¢d wilt be rmorganind by F_HD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93,00 depositprior to raview, . <br />