Laserfiche WebLink
TD 1916t33291:i2 r„I;2 <br /> 10-52-2000 09106A” <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICER <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I 304 EAST WEBERAVENUE,TtiND FLOOR <br /> STOCKTON CA 952OZ OCr 12 <br /> (209)4G&3420 F IRONMENT HEA <br /> PUBLIC RECORDS RELEASE APPLICATIi7 H <br /> BUSINEMAGExCY <br /> - �-• <br /> ADDRESS <br /> PRONEill n � �--`�11� _ _ r-ACSIMILE. <br /> TENTATIVE"APPPIMTUEEN7 DATF. 1al a'31 CO TIME <br /> J (Plas.e give 7 to 10 bu lr� days from ads of application aLmmlita). <br /> �J CHECK BOX TO ECPEDiT£REQUEST-58l!7.DO PEE-REQUEST P 0(:t/SBED IN D BUSINESS DAYS <br /> 51GNATURE OF APPLICANT LN�f Pr �^ DATE (O ! C <br /> L ` '^ — ( yFl ADDRESS 15 SIDE EL 9YAFF US6 ONLY <br /> ( ` ' PRC GRAM ELEMENTS"$E0.HCH <br /> M2tti V rvlrsYorS <br /> t c u esPPR a <br /> w cwc� Q 2 S S <br /> z - eenie <br /> yyyiz ENVIRONMENTAL KEALTH DIVISION FILES l <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LLY) l] NOVSINO ADATEIAEITr CI SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NOR-LOP) R FOOD FACILITY 0 sOUD WASTE VEHICLE <br /> UNDERGROUND TAH'K(MCWTORINOWEMOVAL) 0 DOC KENNEL O DAIRY <br /> D£ I WZARDOV3 WASTE GENERATOR In CHICKEN RANCH O PKti TREATMENT PLANT <br /> 0 TILRED PERMITTED FACSJTY 0 MOTELfHOTEL 0 PUMPER TRUCKIYARLf"9 I I OrLl'-T3 <br /> 0 TATTOCQODY PEIRCING ❑ POOLAPA O LAND USE APPLICATION$I <br /> C MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE aPCC$FY <br /> A1M VE) <br /> 1. List up to ten addresses In the&pace above, Saloct the type(S)of titan from the list above by to kluq <br /> ile <br /> the appropriate box(es). At least one the type MUST be Selected. <br /> adds S JOdiCiatOdal3Dvo- <br /> 2. EHD will notify the appllCant if any EMD files exist. An appointment for review will be coirfirtn <br /> approximately five business days but no later than ten (10)days,after receipt of application:; T 10 files <br /> will be held for a maximum of five business days for review. Appointments should be schodu <br /> accordingly. <br /> 3. A file that is actively being worked.on by END staff may not be immediately available for revial i. A new <br /> applIcatiDn may be submitted when the file is available. <br /> 41 Any No not roturr,ed 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 applhsnt may requ)re a$87.00 deposit prior a review. <br /> $. ^T LNTA'rtVE appointment dateD must be confirmed With EHD Staff. <br /> (. Appltcations received after 3;00 pm villi be processed the next business day. <br /> CONFIRMED AP130INTMENT DATE, TIME <br /> i <br /> [SATE CONFIRMED PHONE FAX INITU" <br /> IREVIEWED YES NO REVIEW DATE <br /> i 7n ral Pas <br />