Laserfiche WebLink
Mar 05 2004 1 : 06PM GEOLOGICH 14155977880 P• 1 <br /> 03/05/2004 11:52 4640: ENVIRCtUaE�rfpL r LTH <br /> PAGE 02 <br /> fi [D) SAV JaAQUM COUNTY <br /> ENVTRO <br /> NWNTAL HEALT11 DEPARTMENT <br /> MAR 0 8 2004 304 B Wcbcr Ave 3''d Float Stockton,CA 952D5 <br /> (209) 468-3420 Fax: (209)454-0139 Web:www.co.sanijoaquin.Ga.us/chd <br /> rQ'Eii, ui'dIviENT HEALTH PUBLIC RECORDS RELEASE; APPLICATION <br /> BUSINESSIA+GENCY: efa o v1 C <br /> ADDRESS: <br /> v' G'70 <br /> PHONE- -7— <,-� FACSIMILE: — <br /> TENT'ATrVE*u'POffYTME1IT DATE: <br /> Time' 1 it Et 4*� <br /> (Pfeass$110w 10 bush-mms Axys fI date at appllONCOCI tubmNld} <br /> CHECK BOXTO WEDfTE REWFS �$43.00 I: IN t BUSINESS DAYS <br /> Sl(3NATURE_Of APPLICANT `--_ <br /> Only <br /> DATE <br /> DeQa lace <br /> FILE ADDRESS Ut1R <br /> r we.a ti v u `•j ❑ Unit t <br /> 4 i $snit z <br /> Unit 3 <br /> t _ <br /> c <br /> s ea. Unit 4 <br /> eueK <br /> ,o. a Unit 5 <br /> I <br /> ENVIRONMENTAL.HMTH DEPARTMENT FILES <br /> .1d�MCRGRMNO TANK JUS-r)MEANUr srm(top) cl HOUSING ADATEMENT <br /> OTHER C �svua WASTE FAi4LITY <br /> XEANUf SRE$NON�.OPI ❑ FOOO FACILITY a SOtM WASTE YEFNCLE <br /> kJl1DERQRbUt�D TANK(IIrONMR2,MMEM OVAL) 17 DOG KENNEL II DAIRY <br /> W ZARDOUS WASTE GENERATW ❑ CTS III pARCII ❑ <br /> I] TIERED PERMITTED FACLJTY ❑ rMIOTELAialEL PKG MCAl TENT PLWT <br /> 0 TA�Tf'OOf60RYPIERCING PUMPER TRUCKIYARMCHF-M TOtLM <br /> d MIEDICAL WA3U FACXX f 0 OTHER <br /> (P ❑ LAND usE APt'I.cxnoM SnTES <br /> "OT1'tfiR(I'LFA9ti&P(rCIFY1 <br /> 1- List up to Ian addresses In the space above. Select the types)of files from the list aeboye by checking <br /> the apPr©priate box(es), At least one file type MUST be selected. Fax to 204 464-0133 at alt fo the <br /> address dlcat� stave, <br /> 2- EHl3 will notify the applicant H any EHp f1les exist_ An appolntment for review Will be eoinfirmed <br /> aPIately five business dAm but no later than ten(10)days after receipt of application. The fries <br /> will be held for a maximum of five buriness days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked an by EHD staff may not be lmmdiateiy available for review. A new <br /> application may be submitted when the file Is zvallable. <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"me appliCanl may require a$9300 deposit prior to review, <br /> 5• 'TENTATIVE appointment dates must be confined with EHO staff. <br /> �• Applications received atter 3:00 pm WIN be processed the next business day, <br /> ONFiIJiM D",l i btNTl tmf bATE;. ,:> ..; <br /> Y: .� TIME <br /> 'DATAO�ii"IRM`i7 *f'HOt+lE FAX'" '.1N11•IALS x, <br /> Rt=1llEVY>`t) YEs NO REVIEW DATE.. i > <br /> ern«,oa.ao ' <br /> ✓inQQ�S <br />