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09/27/2005 23:29 8539180 RHINO REALTY 4 PAGE 01 <br />09/28/2005 09:51 4640138 ENVIRONMENTAL HEALTH <br />EN moNmNTAL ITRALTH DEPARTMN'>L <br />SEP 20 304 Past Weber Averaaue, 3" Floor, Stockton, CAr 95202,2708 <br />Telephovex (2109) 468-3420 Fxx: (209) 4640138 Web: www.sigov.orglohd <br />ENVIRONAAEMT HEALT <br />PERMIT/SERVICES hBLIC 4EC6PDS RELEASE AxpucA'IxON <br />/"APPUCAW! aUStrt MAGENCY: -_ <br />ADDRESS:„ <br />PHONE (ix <br />PAGE 01 <br />R6)15;q <br />nWATIVE* APPOMM Ma DATE: - - Tltm: <br />(Pkase t1law i0 biistctess chyle tram dais of �cauon setbt: Kul-•renft6VV only- mint be conflnv ) <br />M ORM 8OX TO 1 TEDrM FZ"ST -413M FE (CASH OR CHECK oNLY) - MCtUrST PROC'cSAWIM ! 6 SI '" DAYS <br />4-1 <br />MME OF APPLICANT Q/� �S ,�Q, f� QArE . <br />❑ Uttit toe x . Jfucit 3 JFUM c • o urJt f Jr UfA a Foto <br />q2) <br />MCOP <br />Spedfio Veto Rang* of informatim Retluesw.. Pram, Q _ to <br />VMRONMMTAL HEALTH I)EPARTMENT FiLES <br />Tittete (usn auPpP) 4sAtSo I <br />v HOMACAp WAST2 FACRAYtYelaces <br />❑ iovo FACI'tY*sTpPs U <br />d ,ttlUi`strE(NoN LOP) a Door m P� I <br />a c rrrac �tatasotmtvrR iovAy a cktra + a WASTMAUM TMA' lEff PwM <br />WAMGCXMPAsat d Tru cicnAPA TO <br />�6RllgiiEQ FACttlrr V pool h1aTe. <br />stee�lilovr Pr�=,4- ILM <br />a pooLr iWl ?us : Arrrta�ttote Stns <br />t MLt1lO& WAM PACUT'r a offim a spxi <br />VY1ttntmStpoPan=RecomsAREAVAAASLEFORF-M-K- VKX;VAv,Ff4p."d_AARwa.dlft! r WacouoataHotaaA*M•• <br />1. List up ten a�ddt ses (n the acpace shave Select th4 types) of files horn the list Above by checWn4 the <br />U1 ,tg" 38 mail to the address <br />approp+ % boges). At least one file type UUST be selected. 9e la (� <br />t,Adis�W above. Address ranges wig not be accepted -for addlUonal assist OA with file addresses, colftet <br />the EM, Appticii ons received offer 8:00 pm wilt be processed the next business day. <br />2. The EHD will tigW the apprcant if any END files exist. An appointment for review"ll be conftrmed <br />approAmately ten (f 0) days after reOalpt of kpplication. The Rtes will be held four a maAiatum of five business <br />dabs for review. Appolatritecits should be scheduled accordingly. <br />3. Afire that b $ctively taeIng worked on by EHD staff moy not be Immediately avaalabie far taviev�f� A n�k+► <br />application may be submitted when the file is available. <br />4. Any file not returned In the same condition as refa lsed wow be r4organlrad by END staff at the axpensa of the <br />duir to ravlatnr, <br />applicAnL Rdure file reviews by the same applicant may require a $93,04 deposli,.p. <br />