Laserfiche WebLink
10 1yL59109S_i2 F.Ol <br /> L�NiY"cIflYCD - ' tNl]LU:.Nl1MIlLtI <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES/1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APR 1 7 2001 30.4 EAST wEBER AVENUE,THIRD FLOOR E� ` <br /> STOCKTON CA 96202 <br /> $ <br /> PUBLIC RECORDSRE EASE APPLICATION celvpd <br /> APPLICANT V16 LC\(. Ti�y �0/}'S Te¢NTUSItr ...G.ENCY (i e-q CBN Oif! �+ <br /> ADDRESS j'�714 lr�t . I.C)ST�PQ$f T�}s �� ✓jT' STTp- 'L C7.S <br /> 1 PHONE Z� �0•�L FACSIMILE <br /> TENTATIVE"APPOINtMENT DATE_ / /Z�p TIME <br /> (Plaaae Ova 7 to 10 business days irom data or■ppilcation submitew) <br /> ® CHECK SOX TO EXPEDITE REQUES"T�/.a�7.00 FEE-REQUEST PROCE38 E�D�J+D BU <br /> E3S DAYS <br /> SIGNATURE OF APPLICANT y�1=i%r>r•�!-y.r ajli^— DATE 47- l? V <br /> i <br /> FU.0 ADDRE53 THIS SInE EHD STAFF USE OHLY <br /> PROGRAM ELEMENTS SEARCH <br /> dr L D 6 2 3fr0 38/ o Z ZU, <br /> 5 a2 8lo 94 2a Z2 <br /> Z <br /> 0 toO oa/ 2 N <br /> cGcr 4V019S N Z- <br /> duTf7 CLOL{Gft a A4� i n/ .t, <br /> LOCk ORD T E L.O3)W�, <br /> 2 8 <br /> J <br /> 5;rV C K 0 2300 23 <br /> ENVIRONMENTAL HEALTH DIVISION FILES ^^^ ^^n <br /> j DERU ROUND TANK(51ST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT m SOL®WASTE HER HER CIAANUP SITE:(NON-LOP) ❑ FOOD FACILITY 11SOLIDWASTEIlflll111Jrr' <br /> NOERUROUND TANK(MONITORINWREMOVAL) ❑ DOG KENNEL ❑ DAIRYn <br /> AZARDOUS WASTE!QEH£RATOR ❑ CHICKEN RANCH ❑ PKC TREATMENTPLANT MAY - 1 20 <br /> Uf TIERED PERMITTED PACnirY ❑ MOTEUHOTEL C1 PUMPERTRUCKNARD/CHELITOILETS <br /> � ❑�ATTOOteODY PELRCWG O pO0U8pA E3 LAND U]4 APPLICATION SITES <br /> Q�MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASe SPlCiry ABOVE) <br /> I. List up to ten addresses In the space above. Select the type{&)of files from the list abavo by checking <br /> the appropriate Iwx(ez). At least one file type MUST be selected. Fax to 12091 464-0133 or mrll In the <br /> eddras lndicateda , <br /> t <br /> 2. EHD will notify otify 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 files <br /> will be held for a maximum of five bushes¢days for revlow. Appointments should be scheduled <br /> accordfngly. <br /> 3. - A file that iz sctivaly being worked on by END staff may not be immediately avallabI for review. A now <br /> application maybe submitted when the file IS avallabla. <br /> 4. Any fits 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 /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications recetvid after 3:60 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br />