Laserfiche WebLink
SAN JOA UIN COUNTYPU$LIC V bouai r.aL <br /> CJ!-GO�GY!Li1 C7GLLr11 rttVl'1� V �LJ <br /> tJO IW D V LIU�1 <br /> HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ._ <br /> 304 EAST YYEBER AVENUE,THIRD FLOOR E 3 1 2000 <br /> STOCKTON CA 9SZQ2 <br /> (209)4ss-34zo ENVIRONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION PERMIT/SERVICES <br /> ! <br /> APPUGANT t' l Can -73INtSSlaGExCY <br /> AODRZS,S j:s 0j 1S Y.II"�4 El QQ�,-4,e` ' s7` ((�%l/ � h lA 9 r ��L° <br /> P)iONE_„ '"i L.-L, - +34- 5 <br /> , ._._FACSIMILE <br /> ,UQ <br /> TENTAT[VE'APPOINTMrNTDATEI�- o TwE <br /> �r-Tt (Play-.e:p�reT io/�U b�smeis nays tem¢ate oQ sq{ilie�Iw�s�mrt+tttall <br /> L-J CHECK ROX TO EXPEDITE REQUEST-S 4U EE-R t iy�'---- SSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT V1S., DATE 2`,2 -O <br /> I"-AQQRESS TMS Silt@ Eno STAFF USE ONLY <br /> PROGRAM&cLE XM SE'ArdGN <br /> B52(r <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> P:J�-NDERGRGUND TANK(U5T)CLFANUV SITE 040P) O HOVSWG A 3AIENEXT LT SOLO WASTE FACa.rTY <br /> ,43 UTHER CLFANVp 31TE INOx1.oP) Q FOOQ FAC7UTY E2 SOLID WASTE VEHIGLE, <br /> ND"(6XOVNV TANK VA0MT0MN(;1REMDVAL) o DOG KENN" O. QAIRY <br /> O HAZARDOUS WASTE CENERATOR O CWUKEN RANCH ❑ PKO TRPATMENT PLANT <br /> C TRFRED PERMITTED kAGIUTY D MOMMOTEL c, ruwsit TRUC)VYARtimmEM YmETS <br /> p TAYiOD/600Y Pts'iRmo E7 POOLFSPA U LAND USE APPLICATION SITES <br /> O WEDICAL WASTE FACILITY L7 P"LIC WATER SYSTFM O OTMtA(PLEASE SP*M"A00yE4 <br /> 1. List up to ten addresses in the space above: Select the type(s)of filet:from the list above by checking <br /> the appropriz%v box(es), At feast one file type k1t1ST be selected. Fax to(2�9y 4114-0138 or mail to the <br /> address IRdi4;ated above, <br /> 2. EMD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application, The fles <br /> will be held for a maximum of five business days for review. Appointltrents should be scheduled <br /> accordingly" <br /> 3. A fila that iS activtly being worked on by EHD gait may not be Immediately available for review. A now <br /> application may be submitted when the file is available. <br /> R. Any file not retumtd in the Sarna condition as released will be nhwGanired by EHD staff at the expense <br /> of the applicant Future file reviews by the sarne applicant may require a$78.00 deposit prior to review. <br /> S. -TENTATIVE appointment dates must be confirmed with EMD staff. <br /> S. Applicafions received after 3'00 pm will be proce=ed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAA_S <br /> REVIEWED YES NO REVIEW DATE <br /> Esw �. <br /> TpTFt. P.01 <br />