Laserfiche WebLink
\ - FROM : ENGEO INC TRACY, CA FAX NO. 209-835-0675 Jun. 07 2004 09:50RM P1 <br /> V DATC RECEIVED16 EHD LOG NUMBER <br /> n�(�FEINFED SAN �OAQTJINCOiTNT'Y <br /> ENVIRONNIENTAL HEALTH DEPARTMENT <br /> JUN 0 7 2004Q304 E Weber Ave 3'd Floor Stockton, CA 95205 Q <br /> (20 9) 468-3420 Fax: (209) 464-0138 Web:www.co.san-joaquin.ca.us1ehd o <br /> ENVIRONMENT HEALTH <br /> }_PflVIIGJES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:�Jf SEY LEE Jf1)S # BUSINESSIAGENGY: _FV6*iED b0C, <br /> ADDRESS:_..ZB`d0 A) 794CY 1 -VA '37F. 37)TA['%, Cf 9,G371 <br /> PHONE:, �QQ-SH'6-06 0 FACSIMILE: 209- 35 -0675 <br /> 71 <br /> w � <br /> � 1 <br /> A -? <br /> TENTATIVE'APPOINTMENT DATE: .5"rTime: � <br /> (Please allew 10 business days from date of application submittal' <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE G17(05/ <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> +. seeei 3 i Sir o Unit 1 <br /> 2. 21 tE GN <br /> a. 3o-eet $- i G <br /> V.4, 3�eet Y d^'q c. La <br /> Sveet + av f Unit 3 <br /> s. 61mv CRY <br /> 7, Street O Unit 4 <br /> e. svee o <br /> ge <br /> 4e Unit 5 <br /> t0. street a � <br /> rase— <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> y' UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 'R HOUSING ABATEMENT W SOLID WASTE FACILITY <br /> RS'OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY kr SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL lido-DAIRY <br /> )aG HAZARDOUS WASTE GENERATOR CHICKEN RANCH AP PKG TREATMENT PLANT <br /> VP TIERED PERMITTED FACILITY QQ' MOTEUROTEL 00 PUMPER TRUCKtYARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING POOUSPA 9 LAND USE APPLICATION SITES <br /> J' MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one rile type MUST be selected, Fax to(209)464.0138 or mail to the <br /> address indicated above. <br /> 2. END will notify the applicant if any END 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 business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. A new <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 END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with END staff. <br /> 6, Applications received after 3:00 pm will be processed the next business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE . FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> FNO e4-02406 <br /> MQ2f10] ' <br />