Laserfiche WebLink
_— <br /> PAGE ©1 <br /> 07/30/2003 11:30 — 209-579a'Q'25 -MgDEST0 ATC <br /> ..eNo LoaiwmEER <br /> i <br /> SAN JOAQUIN CO <br /> 0-t UNTYI'I_ ', .,,°i:._, ,k, DEPARTMENT <br /> ENVIRONMENTAL HEALTH <br /> �� 3 304 EAST WEBER AVENU7A,THIRD FLOOR <br /> L\0 <br /> J U L 3 STOCKTON CA 952G2 <br /> (209)468-3420 <br /> rF'Ls h PUBLtiC RECORDS RELEASE APPLICATION <br /> � vw�tr� 8USINESSfAGENCY <br /> APPLICANT �1 d 4b ' <br /> IIS L. w P�,Iw. . G Sv, C ' <br /> ADDRESS _5� '222 <br /> 2Og'S�cl-7_22 FACSIMILE <br /> PHONE TIME <br /> Avl)Z <br /> TENTATIVE*APPOINTMENTlease RATE Ikcatlon wbrnittal) <br /> (pleasegive7 to 10 business dnyr>t�►°date°�APP <br /> • <br /> ft� ` <br /> ❑ CHECK BOX TQ EXPEDITE REQUEST $89. Q FEE-REQUEST PROCESSED IN 3 8U SI <br /> nAYsDATE <br /> SIGNATURE OF APPLICANT <br /> STAFFNLY <br /> EHD <br /> DE <br /> f1L€ADDRESS <br /> TPROGIRAM ELF MENT S E O CN <br /> t � t S <br /> ?n r �.y S ic�o✓` <br /> 35,T7 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING IRE MOVAL} Q DOG KENNEL 13 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Q PKG TREATMENT PLANT <br />� IERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRElCKlYARplCHEM TOILETS <br /> ❑ T <br /> ❑ TATTOOlBODY PED CiNG <br /> FACT ❑ POOLISPA 4 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <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 i to the <br /> addre s indicated above. <br /> ent for review will be confirmed " <br /> exist. An appointment <br /> 2. EHD will notify the applicant if any EHD files pP <br /> j approximately 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 />�. applicatlon 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 /> i of the applicant. Future file,reviews by the same applicant may require a$69.00 deposit prior to review. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:60 pm will be processed the next business day. <br /> CONFIRMED-AP <br /> � POINTMENTDATE <br /> 71ME <br /> DATE CONFIRMED. <br /> PHONE FAX IP41TIAL.S <br /> ylr@IIEp; <br /> :Y1:5 NO REVIEW DATIEr;`._ <br /> Erin 16L2-00E .• ,d► :, <br /> ]1261]00] <br />