Laserfiche WebLink
Ll-11 <br /> lu, ' � [��I SAN JOAN COUNTYPUBLIC HEALTH SEICES <br /> U l� E ONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> JUL - 6 2001 STOCKTON CA 95202 <br /> f 'vlli,'!id°j., (209) 468-3420 <br /> -c PUBLIC RECORDS <br /> � vRELEASE <br /> APPLICATION <br /> APPLICANT BUSINESSIAGENCY MOA , gyir <br /> on <br /> ADDRESS , Hoskon cf� 5-2y <br /> (2 !� <br /> PHONE 2 o 9 -3 6� —3 761 FAC7SIMIL/E'�7 0 / ✓ (7 �T / /Z 2- 6 <br /> TENTATIVE"APPOINTMENT DATE= AC/ — / / — 20O � TIME !; �? /T <br /> (Please 0ive7 to 10 business days from date of application submittal) <br /> CHECK BOX TO E; PEDITE REQUEST-W..G6FL RE- UL' PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7- 6 269) <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> R)) Lc.i} v-e PROGRAM ELEMENTS SEARCH <br /> i <br /> 1-7:200 -5. aes,R1 San To a2 v.ti (o e- -2 •!r _ <br /> Q S• ��\ �Z Cam ..Yer'C � ��� <br /> 5, w a�c� Izc1 OcC <_\c\ C�?ntc 7 .2 ,v Tf�C <br /> Ie a 4e <br /> OD , rev P41 1<W a. v29, Jw <br /> tc• ` r N i 2y� I •`� <br /> n a��Ie rS <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> VUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER 11 CLEANUP,SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TAttIK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> AZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> �( TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING -❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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 file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approxiiinately 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 EHD 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 EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD 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 /> EH 00 14 oaorioo <br />