Laserfiche WebLink
DEC-13-2004 12:53 9NDOR EARTH TECH 209 532 0773 P.01/0` <br /> E) ATE RECBVED <br /> RN-vmomAENTAL HRAvim F, <br /> D E C l 3 2004 304 FF,WeberAve Yd Floor Stockton, CA,95205 <br /> (209)468-3420 V : (209)464-0138 Web. .co.s joaq ' .ems ehd <br /> tl,, O PUBLIC nCORDS RELEASEAPPLICATION <br /> APPLICANT; <br /> ADDRESS., l . <br /> PITONC ! r FAcsimI <br /> TENTATIVE* Pr3 A <br /> -...... <br /> (Ple=a afluW 10 bminan days from data Of 8PPIlcmflan subs-niftal) <br /> CHECK BOX TO MITA T-X93.00 FE 11 r PICC IN 9 BUSINESS DAYS <br /> .:p <br /> SIGNATURE OF APPLICANT <br /> DATE 1 ° <br /> Depoftent U30 only <br /> FILE Ia .!s UNIT <br /> Unit 1 <br /> 2- �$ c <br /> "Sbw4 <br /> Z L- <br /> Unit <br /> s sum e Unit � <br /> i t�rJ oTA� J I K. } r 557 <br /> Unit 4 <br /> nit 5 <br /> a9. 5t c j � L-'' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> kf UNDERGROUND TANK(USI)CLEANUP SITE(t.a�P) 0 HOUSING A13ATEMENT SOLID WASTE <br /> P <br /> OTHER UP SITE(NON-LOP} O F C FACIL17� SOLIt)W Til <br /> UNDERGROUND TANK(MONITORNGIREMOVAL) IM 13OG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR & CHICKEN PANCH PKG TREATMENT PLANT <br /> TIERED PEPXnTEJ3 FACILITY EI tAOTMJHDTEL 0 Pt IMPER TRUCWYARDICHEM TOEMS <br /> i <br /> TATTOOMOPYPtERGING CI POS PA D USE IPLI TI0H SffES <br /> MEDICAL WASTE FACILRY 0 OTHER(PLUME <br /> �. List up to ten addresses in the spade above. Select the type(g)of files from the list above Oy oc( <br /> tha appropriate box(es). At least one file type MUST be selected. Fax to 001 464-0138 or mail to the <br /> address Indicated above. <br /> 2. X11 will notify the applicant If b files exist An appointment for review will be confirmed <br /> approximately five business days but on later than ten(10) day,-,after recelpt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments Shhind be scheduled <br /> accordingly. <br /> . A file that Is actively being wonted on by SHO staff tray hot be immediately available for review. A no, <br /> application may he submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at fbe expens <br /> Of theapplicant. Future file reviews by the Same applicant may require a$93.00 deposit prior to-ravial <br /> d. <br /> *TF-NTArfVE appointment dates must be confirmed with EHO staff, <br /> . Applications received after 3:00 pm will be processed the next business day. = }y <br /> CONFIRMED POl tENT JDATIE TIME <br /> DAFE CONFIRMED 'PHoNE FAX INrilALS <br /> REVIEWED YES NO REVIEW DATE, <br /> TOTAL P.O' <br />