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12-13-1339 0'3: 3@f-ti FF.1,7. <br />TO <br />t ,e-EIVEDDIAQUIN COUNTYPUBLIC. HEALTH SERVii,, <br />,11,,.., <br />, <br />ENVIR,ONMENTAL HEALTH DINA5iON <br />304 a.A.ST VVEBER AVENUE., THIRD F LOOR <br />STOCKTON CA 95201 <br />ENVIRONMENTAL HEALTH (209) 083420 <br />PERMIT / SERVICjf12,11-- <br />PLICA <br />APPLICANT _..is).11.1)_L-11:.---Laan--------- BUSINESS(AGENcy <br /> <br />ADDREsS P 0 ._" 578341-Modest0 CA 576341 <br />527 -12 47 FAC,SIMILE <br />5 27 - 48 10 <br />PHONE <br /> <br />TIME A <br />TENTATIVE APPOINTMENT DATE ( 1 — -Q-----3-6------- <br />I:l.,11.- i r3 .--- <br />(Please give 7 tote business days lam date of applicaon suhreittan <br />(11 CHECK BOX TO EXPEDITE KEW Es i -1,73.00 FEE - REQUEST PROCtSSED IN 3 BUSINESS DAYS <br /> <br />bia 1Z`f IV 9 9 <br />SIGNATURE OF APPLICANT <br /> <br />FILE ADDROS <br />.d T i1ers 4907 WaterlOo Road Stoc ktD2 <br />a. J:.._ — <br />______-------___ _____-------------------------_ <br />------------------------- <br />_------------ <br /> ••••• <br />ENVIRONMENTAL IIEALTh nIVISiON FILES <br />2 UNDERGROUND TA I'm (HSI) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT <br />'PC OTHER CLEANUP SITE (NON-LOP) 0 FOOD FACILITY <br />C UNDERGROUND TANK (MONTTORINGIREMOVAL) 0 POG KENNEL <br />HAZARtX)US WASTE GENERATOR 00 CMH011ruliNoRANTO-Cli <br />TIERED PERMITTED FACILITY <br />TATTOOIBODY PEIROING <br />0 POOLJSPA <br />MEDICAL WASTE FACILITY <br />0 PUBLIC WATER SYSTEM <br />LSup to ton addresses in the space above. Select the type(s) of files from the list above by checicing <br />the approliffitg isax(K). At led& Rnv Iii? lyre MUST be selected. Fax 209 4 -0138 o ail to t e <br />EHD will notify the applicant if any END files exist- An appointment <br />tor revieW will be confimied <br />approximately <br />five business days but no later than ten (10) days <br />after receipt of application. Tbe files <br />Will be held for <br />a maximum of five business days for review. Appointments should be schedUled <br />A file that is actively being worked on by EttO staff may <br />not be immediately available for review. A neW <br />accordingly. <br />pplioatiOn may be submitted when the file Is available. Any rile not returned in the same condition as released will be reorganized by ENO staff at the expense it <br />of the applicant. Future file reviews <br />by the same applicant may require a <br />$78.00 deposit prior to review. <br />*TE.NTATIV appointment dates must be confirmed with END staff. <br />Applications received after 3:00 pm will be processed the next <br />business clay. <br />e:...rliP,?, eilf••••,- ,--.,;(v, ,••i --••••,,- • : <br />•L,,,,LaisAi. -,el.ii:ca -' •-.1`. ' <br />-----T,V1-7","7•11- : , ' 4,•44.!-:4 <br />-------='-'-----m" <br />DEC 1 3 1999 <br />U GOLID WASTE FACILITY <br />TZ SOLID WASTE VEHICLE <br />In DAIRY <br />El PKO TREATMENT PLANT <br />El pc rap ER TRUCKNARD/CHEM TOILETS <br />LAND USE APPLICATION WES <br />OTHER (PLEASE sPECIFY ABOVE) <br />TOTHL P.01