Laserfiche WebLink
SENT BY: G€.gLQGI I{f L 415 597 7880; JUN-11 -0' i :26PM; PAGE 1 /1 <br /> "05/10/280313[54 --46 0136'✓ <br /> oAM PAcuvm ENVIRONMENTAL HEP17� 'PAC;E O1 <br /> JUN 1 1 2003 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> c:N"OR(AMEN i HEAD`1 304 EAST WE8ER A'/ENUE,THIRD FLOOR 105 <br /> PFRMjT/SFr,V1CFS STOCKTCN CA 95202 J <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATIC�N r <br /> APPLICANT i 7 IL /CAPEI" 5uslNes4I1A(3ENcT F0FeG7cA-1.-'ro <br /> ��- <br /> ADDRESS 594 kow,4)9�P Sr. � S IE- He o /y t±±.v ajs :o "A <br /> PHONE AJIS• S9 9 8 9/ FACSIMILE_ /}/S• ✓r4 )�� '7l. ^.__� <br /> TENTATIVE*APPOINP4ATE TIME . <br /> *0 <br /> (!•kayr augelvA 7 to 10 buslna33 daY�•from� datn of appilaAlOn submfKtl) <br /> *❑ CHECK BOX TO EXPEDITE REQUEST.589.00 FEE-REQUEST PROCESSED IN 3 BUSINES:;DAYS .` • eJ 1 <br /> SIGNATURE OF APPLICANT !/ ` DATE .-CL'h'T• <br /> i <br /> S[DE IiHU STAT°FUSE ONLY <br /> FILE ADDRESS PROGRAM ELT AF.!ITS SLNtCH <br /> I• 2-801 VAI-r;7- L NE roc�cJr>/✓ �(``_ __ <br /> z• ALL /} V8. yrs cKNN �=�c - <br /> 00 1 IA N. �rror�lroN <br /> 23S AG INE , <br /> s. W Sr L1rN 11F 5 fb�K >✓ _ <br /> off I-9 EST t�-. <br /> ? 1 L /NA L 4'TO ro/J�� <br /> q, 230 (n/ g L Ne U�K717N J. <br /> it. V DZ wZSY LRN�, 47� rn � 3�5 <br /> 1Y• � N" tUlLyoN y/yty ENVIRONMEPTTALHIJLLTHDi'I SI FIL� <br /> X UNDURGROUND TANK(UST)CLEMUP SRLC(LOP) ❑ HOUSING ABATEMENT V.SOLA TE F, (,I y ^� <br /> OTHER CLEANUP SITE(NOr+-LOP) ❑ FOOD FAI:ILITY n S :?11ASTE vEHI AJC / <br /> 6C UNDERGROUND TANK(MONITORINOIREMOVAL) ❑ DOG KENNEL IB DA1Rf j �4 <br /> HAZARDOUS WASTE GENERATOR fZ CHICKEN RANCH Cf PKG TR1;ATI11 ENT PLANT <br /> BTTIERED PERMnTEDFACILIr! ❑ MOFEL/FIUTEL 5tPUMI'SP,TRU:KfYArIDICIi MTOILETS <br /> M TATTOOMODY PEtRCING ❑ POtlUSP A 41 LANE)U:3E N!PLICATION S"S <br /> )K MEDICAL WASTE FACILITY ❑ OntER(PLEASE SFECIi'1� ,.— .+.�-1— - <br /> 1. Litt up to ten addresses in the space above. .;elect the type(s)of fills trom the list above biy ctrecking <br /> the appropriate box(os). At least one file type MUST be selected. EUiS.L'209,)�1t:4=0 !js[,mall to Uto <br /> addrvas indicated above. <br /> 2. EHD will notify the applicant if any END files a dat. An appointment for rrniL'•W will Do confitrned <br /> approximately five business days but no later than ten(10)days aftet retolpt Of .IPPIic;Wcn; The files <br /> will be held for a maximum or five buslneU days for review. AppOintmerrle ahadd be schaid uiDd <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately avol Ablr.for ra*iew. A new <br /> application may be submitted when the file Is avallable. i <br /> 4. Any file not retumed in the same condition as released will be reorganized by EHD urnff at the Impanse <br /> of the applicant. Future file reviews by the wine applicant may require a 09.00 depaltit p r bi review- <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. t <br /> 6. Applications received after 3:00 pm w1H be processed the next business aa;v. <br /> Past-it*Fax Note 371 i ,)-J�� Ix'9ose <br /> CONFIRMED APPOINTMENT DATE <br /> DATE CONFIRMED PI-ION Co6—wl. _ o >G ' )fQ_._ <br /> °r "in <br /> I 547 78'Sd <br /> REVIEWED YES NO <br /> ansimPl -- <br />