Laserfiche WebLink
FROM : CTE-Esc` Lg � FAX N0. : 7605460328 Jun. 17 2002 11 : 36RM P1 <br /> - - N15 �G"� q 'd ENVIRONMENTAL. HEALTH ' <br /> PAGE 01 <br /> w SAN JOAQUINCOUNT'YPUBL IC, HEALTH SERVICES P11P 4uG NUMeC0. <br /> ENVIRONMENTAL. HEALTH DIVISION (/S� <br /> v 304 (RAST WEBER AVENUE" THIRD FLOOR I <br /> C'= ` ! I l f. . i I : 3 STOCKTON CA 95202 <br /> < � 9 <br /> ) 4684420 <br /> PUBLIC RECORDS REL-EASE APPLICATION <br /> APPLICANT sly-Tee( _ eu51NE591gGENCY ebnSffVC�jpn �i <br /> AODREss z4 (Y Vino aad STE . G ESconclicfo Cly `12ox t � <br /> PHONE 740) 7Y (, ^ FACSIMILE 76D — <br /> TENTATIVV APPOINTMENT DATE 725710Z TIME Ile 00 <br /> " <br /> (Please g)ve > t010 bUSIne a d m date 0 apPllcalion eUbmlital) <br /> CHECK BOX TO EJ(pEDITE REQUEST��! _ REQUEST � <br /> OORrSS�N 2 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE <br /> ' FILE ADDRESS THIS SIDE PHO STAFF USE ONLY t <br /> PROGRAM ELEMENTS SEARCH <br /> 3d OS EI <br /> ?kjq ' atE or o S <br /> 0 ',l70 1 0 S?r« <br /> 2D 'od or <br /> �" ENVIRONMENTAL HEALTH biVISION FILES <br /> UNDERGROUND TANK (UST) CLEANUP SITE 1LOP) 17 HOUSING ABATEMENT M SOLID WASTE FACILIYY <br /> OTHER CLEANUP SITE tNON-LOP) d F000 FACILITY ❑ SOLID WASTE VWCL.S <br /> UNDEROROUND TANK (MONITORINGIREMOVAL) M 000 KENNEL b DAIRY <br /> ❑ HAYARDOU$ WASTE GENERATOR b CHICKEN RANCH O PKG TREATMENT PLANT <br /> Q TIERED moDy PERMITTED FACILITY <br /> O MOTFLIHOTEL M PUMPER TRUCIOYAROJCHP.M TOILET$ - <br /> •❑ MEDICAL <br /> WAS PEn2CING 0 POOL/SPA CI LAND USE APPLICATION SITUS <br /> MEOICAI, WASTE FACILITY 13 PUBLIC WATER SYSTEM q OTHER (PLEASE SPECIFY ABOVE) <br /> 1 . List up to ten addresses In the space above, Seloet the type(s) of files from the flat above by checking <br /> the appropriate box(es). At least one file type MUST be selected, Fax to (x091464-0138 Or mall to the <br /> flgdress indicated abovg, <br /> 21 END will notify the applicant If any END files exist, An appointment for review will be confirmed <br /> approximately five business days but no later than ten (TO) days after receipt of application , The flies <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> aceordingly. <br /> 37 A file that Is actively being worked on by END staff may not be immedlataly available for roviaw. A hew <br /> application may be submitted When the file is available. <br /> 4. Any file not returned in the same condition as releasbd Will be reorganized by EHD staff At the expense <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD stall. <br /> Q, Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE . TIME <br /> DATE CONKIRMEO PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW bA7E <br /> ;,ate ,,, <br />