COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

FROM NOA Environmental uem a[ttlV[Y PHONE NO. : 209 369 4228 Dec. 23 2002 12:24PM P3 SAN J(TAQUIN COUNTYPUBLIC HEALTH SERVICES EHD IOG WM ER ENVIRONMENTAL HEALTH DIVISION 304 EAST WEBER AVENUE,THIRD FLOOR DEC 3 20Qs70CKTON 9520210qVT (209)468-3-3 420 ,,, y ,:P,_UBLIC RECORDS RELEASE APPLICATION APPLICANT _G/� L ,)CO<.iJ 14e�,.I BUSINESS/AGENCY_,LiQ8 (i�rov�.•y��_- ADDRESS z2. (��. (4OVSA, l _ Ld; 'C /q 5.10Z/6 PHONE &0i)3b7-370 / FACSIMILE_t L9) 3( I —qz2 IT TENTATIVE'APPOINTMENT DATE 10, 6q83 TIME :6ze .,_ 1-2-fi3 7 (Please give 7 to 10 business days from date of appilcatlon submittal) CHECK BOX TO EXPEDITE REQUEST-589.00 fEE_RE T P OCESSED IN 3 BUSINESS DAYS Uhl SIGNATURE OF APPLICANT DATE OZ- THIS ZTHIS SIDE EHD STAFF USE ONLY PROGRAM ELEMENTS SEARCH O 880 is r ltd. Lid: G/4 V V v V 'Z 9001 EO N 7 0 V v a 5 E7 LtDdi CR Vv M ENVIRONMENTAL HEALTH DIVISION FILES t9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY Rr OTHER CLEANUP SITE(NON4-OP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE 19' UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL. O DAIRY W HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKlYARD/CHEM TOILETS ❑ MEDICATATTOOL WASODY PEIRCILI ❑ POOUSPA ❑ LAND USE APPLICATION stirs❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM 94 OTHER(PLEASE SPECIFY ABOVE) 1. List up to ten addresses in the space above. Select the type(s) of flies from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of rive business days for review. Appointments should be scheduled accordingly. 3. A fife that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. 5, 'TENTATIVE appointment dates must be confirmed with EHD staff. 6. Applications received after 3:00 pm will be processed the next business day. CONFIRMED APPOINTMENT DATE TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE OAI-0M'.