Laserfiche WebLink
06/26/2006 12:21 FAX <br /> 1000 2/002 <br /> DATE RECEIVED . • crv..,�..o.,..,.,...., <br /> SAN JC)AQULN COUN"rY <br /> EMIRONNIENTAL E EALT)a DEPARAx TENT j <br /> 304 E Weber Ave 3'd Floor Stockton,CA 95205 E2 'nS <br /> (209)465-3420 Far: (209) 464-0138 Web: w;vw.co.san joaquca. <br /> in. us/ehd Z 1 J�/ <br /> PUBLIC RECORDS RE. APPLICATION (((/// <br /> ApPLaGAKr: �y�-.�� <br /> ADDRESS z& 1r ��k- <br /> t- 14 V_1 1( =E .0"r <br /> ( <br /> PHONS_ .5_G..--I-'11.2 .FACSIMILE: r.-�/ It Z ' —,-- <br /> TENTATIVE'APPOINTMENT DATE __-7 b Tne: - - ----- <br /> (Please allow 10 businew days from date of applicado0 sutmlttal) <br /> © CHECK BOX TO EXPEOITE REQUEST•$93.00,PEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> ATL\b SIGNATURE OF APPLICANT DATE <br /> . Departmentu_R Only <br /> PILE ADDRESS UNIT <br /> a `� U T Q Unt1 <br /> T . <br /> a s� +� ZM (� ✓j Uni;2 <br /> Z9 `�r� p <br /> -7 LA�II`^1 L�-t b_!:f' U <br /> Dtc 1 <br /> s, s K 2& t.Go ✓✓ — UST kVj / Wit 3 1 1 <br /> RJ T <br /> VV (� Unit 4 <br /> 10. Sack Gr _ <br /> ENVIRONMENTAL.HEALTH DEPARTMENT P{LES � <br /> Cy UNDERGROUND TANK(UST)CLEM VP SITE(LOP) [3HOUSING AIIATEMENT GL SOLID WASTE VEHIII.CLE <br /> 06 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILrrY Cl SOCIO WASTE ENE <br /> 03• UNN <br /> DERGROUND TANK(MOrORINGlREMOVAL) O DOG KENNEL ®- 'T <br /> Z HAjp}TDOUS WASTE GENERATOR ❑ CHICKEN RANCH EI-PKGKG T'REATMEN7 PLANT <br /> ❑ TI@REO PERMITTED FACILITY Y ❑ MOT-CLM017-L O PUMPER TRUOWYARDICHEsi TOiL.ErS <br /> • TATTCQr80DY PIERCING ❑ POOUSPA M LAND USE APPLICATION Srr--S <br /> • MEOICALWASTE PACILRY ❑ O'rHER(PLEASE SPECIFY)___-- <br /> t. List up to ten addresses in the space above, Select the type(%)of files from the list aboyo 5y checking <br /> Ute appropriate box(es). At least one file type MUST be :elected, Fax to (200) 464-0133 or rnT ail to the <br /> address IndicatEd above_ <br /> 2. EHD will notify the applicant If any EHD files exist. All appointment far review Will be ronfir:ned <br /> approximately five business days but no later than ten (10) days after receipt of application. The ftl,s <br /> will be held for a maxim Um of live business days for review_ Appointments should be schedulad <br /> accordingly. <br /> A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the rite is available, <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 same applicant may require a $33.00 deposit prior to review. <br /> 5, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> ti. Applications received after 3:00 pm will be processed the next business day. <br /> CSONF>RMOAPf?O(NFf.1ENT`.CSArE: '; < " <br /> TIME <br /> ;:; , :- ....r.�;>.•:.-. ;,-�s�;::;, <br /> DATE bQNF.{f�fiED _ -`PHONE . FAX <br /> ''rItJfIE�L S - '• <br /> REVIEWED YES NO REVIE4V DATE <br />