Laserfiche WebLink
Oct 25 04 03: 49p P. 1 <br /> 10/25/2004_.1.15:09 46.8 ENVIROWENTAL OTH PAGE 01 <br /> r" EHD LAG NUMBER <br /> DATE RECMW- . <br /> .. SnN JoAQuIN COUNTY <br /> UGI 2 O 2004 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3''n"r Stockton,CA 95205 <br /> I'i"tACit�o9)468-3420 Pax: (209)464-0138 Web:www.co.san joaquin.cLtWebd <br /> z0go <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BOa1NEs+/ <br /> APPLICANT: �G fL.�VI 9,'«•.•"{1C'` AIGEHCY: <br /> 1 Ju cf ,5 0� :� L+ 9NYo <br /> ADDRESS'. �.�� <br /> PHONE: IoS�.I 'y_.2 —FACSIM0.E: <br /> � 10 �8 1 Tole:�•.�---• . <br /> TENTATIVE'AppomMENT DATE: `�–•rf ® ,. <br /> (Pt.se Nlow 10 business days from dated aMoation submfSal) 8='•x <br /> CHECK BOX To t INVITE REQUEST"$97.00 FEE—REQ QUEST PROCESSED IN a BUSINESS DAYS A <br /> /SIGNATURE OF APPLICANT tstDS Depar6,�nlusa DAv <br /> till-1 lin ISLf•�L, aa.z-Iz� 1��-� Fto�!-p(F,�-. <br /> FLE ADDRESS unit f <br /> a a Ulkt 2 <br /> f., <br /> a. s�eet ti <br /> .Urwl <br /> r. -Unit4 v <br /> s. suer <br /> f. 6evn •� <br /> e- ser 0 <br /> r. SKr <br /> TGs : :�•,� + <br /> m Sven <br /> ENVIRONMENTALHEALTHDEPA�TME.NT„s,;,ftLl:S <br /> SOLID WASTE FACLRY <br /> CLEANUP SITE(LOP) 0 HOUSING ABATEMEICP O SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(OST) 0 FOOD FACILITY ❑ DAIRY <br /> UNDERTHER CLEANUP StfE(NOMAJOfl D DOG KENNEL �yKG TREATMENT PLANT <br /> GROUND TANK iM�ITORINGrRFMOVAI) CHICI�N RANCH / <br /> HAZARDOUS WASTE GENERATOR O mOTELAIOTEL O NNP ERTRUCLICATINN SITES LETS <br /> TIERED PERMITTED FACILITY 0 poOUSPA LAND USE APPLICATION SITES <br /> 0 TATTOOBODY PIERCING ❑ OTHER(PLEASE SPECIE[) <br /> 0 MEDICAL.WASTE FACLrrY s)of files from the list above hY checking <br /> 209 4 -013a or mail to the <br /> T, List up to ten addresses In the spaleeted. Fax to <br /> t¢above. Set¢ct 1hetYPe( <br /> the appropriate box(es). At least one fde t)'P¢MUST be sret for review will be confirmed <br /> address Indlwted above• i{p otos exist. An appointrne Ker melpt of application. The files <br /> 2. EHD will notify tfle applicant if any E Id scheduled <br /> approximately five business days but no later than tan v1� in�e�shy <br /> wi4 be held for B maximum of five'business days for re <br /> . A new <br /> acceMmf3ry. vyorked on by EHD staff may not be InunediatelY available for review <br /> 3. A Tile that k,aetively beln9 nized by EHD staff at the expense '. <br /> aPpiication may be submitted Wizen the lite is available. s1t for to review. <br /> 4 Any fits not rewmed in the same TAnditlon as released will be reorga <br /> Of the applioenI, Future file reviews by the Sema apPl-Lth EE HD staff, <br /> may require a=93•W depo pr <br /> S. -TENTATIVE appointment dates must be con0*med <br /> with <br /> S. nS received after 3:00 pm be will Processed the next business Fday. <br /> APpDcatlo <br /> (TNF.aFOA JIPPOBNTMENT DATE <br /> "PHONE : FAX dNtltt�S <br /> �ATECONFIRINEU REVIEW DATE. <br /> StI _WED YES NO <br /> ero�wxarr <br /> uvzd� <br />