Laserfiche WebLink
Oct 25 04 03: 49p p- 1 <br /> 10/25/2004 .16:09 4640138 ❑.It/IRONMENTAL HEALTH PAGE 01 <br /> % EHD LOG NUMBER <br /> DATE RECEIVED- SAN JOAQUIN COUNTY <br /> U C. 12 5 2004 FNVMONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3'4 Floor Stockton,CA 95205 <br /> \: N99)468-3420 Fax:( 09) <br /> ;? , �,'; it L 2 464-0138 Web:www.co.Sanjoaquin-cau$1ebZOC) Dd <br /> � <br /> Z <br /> (�pLIIgLIC RECORDS RELEASE A�P,PLICATION <br /> - Q.j;� -j O{ <br /> `J X3 Cy4 S C7BUSINESWAGENCY. <br /> APPLICANT -) srrU <br /> ;.--, <br /> Aper. t Jai v <br /> PHONE: F/cSOE <br /> 7 YJ <br /> `�- <br /> TENTATIMAPPOINTMENTDATE: `'b...".rf <br /> ��S a <br /> (please sitoW 10 buonass days Dom date eI ePP$mko°n svbtnittaq <br /> CHECK BOX TO EMOITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT E pepar>srKnIuse OnM <br /> {�(k-, k/� ntbr(L, Ltn.-A.�cz...� �C-t2..r-o •F(.o=i-P(s 1-I-. � - <br /> FILE ADDRESS - <br /> S O D H L",SAL t`` p Untt t <br /> z r� Unit 2 °' L <br /> �' <br /> Unit 4 v <br /> 7. 6e'oet . <br /> ENVIRONMENTAL HEALTIi DE TNIE�FN-m <br /> SOLO WASTE FACILITY <br /> CLEANUP SITE(LOPl O HOUSING ABATEIiE O SOLD WASTE VIEMCLE <br /> XUNDEWROUNDP I D FOOD FAICE.TN 13 <br /> UNDERGROUND TANK SffE Q'O�IrtOR1Nr.�RE WOVAU D DOG KENNEL �DKG TRPATMENT PST <br /> UND0 CH%CKEH RANCH !p PUIdPER TRUCWARWMCHET�M <br /> KAZARDOUS WASTE GENERATOR <br /> O NOTELMOTEL �D USE APPLICAI"SITES <br /> IrRED PE O� A GLM 13POOUSPA <br /> SPECIFY) <br /> C3 MAIC WASTE FACILITY ❑ OTHER E sof files tronl the list at)OYe by cl kIng <br /> above' Select the"type( ) Fax to 209 4 -01 or mai$to the <br /> 1, List Up to ten <br /> addresses l lelea trk the one 0ce 0 type MUST be Selected. <br /> the appropriate b"(es)- will be confirmed <br /> ��.Irpss Mdicated above. HO files exlt- An aPPointment for review a files <br /> app hle8nt if any 1= after receipt of apptication. Th <br /> 2- EHD whim notify the days but no later than ten(10) ys tfneMs should be scheduled <br /> approximately five business da da tot review. Appy <br /> will be held for 0 InaXiMum of five'bus'uless not be Immediately available for review. A new <br /> accordingly_ being worked on by EHD staff may <br /> 3. A file that is natively w.t be reorganized by EHD s�at the expense . <br /> application Inay be submmed wtkn the file is av eased. a 93.00 deposit prior to review. <br /> 4- Any file not roturlled in the same condition nt may require i <br /> of the applicant, Future file nviewsby e same confirmed with EHD staff. <br /> S- RENTATIVE appointment dues M vrili be processed the next business day. <br /> 6. Applications receNed after 3:00 p <br /> DATE <br /> TIME f a <br /> ED,tAPPdiNf.IA <br /> ONFIFtM PHONEFAX. <br /> "DA'T>;CONFIRlfl1ED •.. ,. -; .' . <br /> *ltVIEWEU* <br /> YES NO REVIEW BATE. <br /> • oinuo:aeo <br /> �mnnaa <br />