Laserfiche WebLink
Aua • 12. 2002 12 :01PM OR EARTH TECHNOLOGIES No -0818 P - •ISI <br /> paTfi RECFLVEO • <br /> SAN JOACIUIN COUNTYPUBLIC HEALTH SERVIG�� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> q -] F; Xro <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 1 <br /> S'rGCKr0N CA 95202 AUG 12 2002 <br /> (209) 468-3420 LTH <br /> PUBLIC RECORDS RELEASE A1PPLICATIOWNVIRONtv1ENT HEA <br /> pFRne�T« A <br /> APPLICANT JQ: ��.�_HUSINESSIAGENCY( �1^C L��.� <br /> 1$8 � <br /> ADDRESS <br /> PHONE FACSRJILE <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give r to t��a frte�tic�uon submittaq <br /> CHECK BOXTO EXPEDrM RE4uEs7- o PR EO I S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE r a OZ <br /> FILr ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEIWENTS SEARCH <br /> Io 1 !3 c <br /> 12r-0 r& i-. <br /> 4St. <br /> S -61 . <br /> Sfi <br /> VSO S , ntiurlr` SO <br /> S � a <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> fA UNnERGROURD TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT #4 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LDP) ❑ FOOD FACanY IR' SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONrrORING/REMOVAL) ❑ DOG KENNEL. O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> G( TIERED PERMITTED FACILITY ❑ MOTELJHOTEL Q PUMPER TRUCKIYARDICHEM TOIL M <br /> 0 TATTOOLBODY PEIRCWG ❑ POOLISPA '" ❑ LAND USEAPPLICAnox SITES <br /> V MEDICAL WASTE FACLLrrY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the types) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD flies 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 flies <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for revievlr. Anew <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with 1_HD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br />