Laserfiche WebLink
FROM : 0 D , i FAX NO. : 209-832-9134 ]'U 2 24)03 11:50RM P1 <br /> 0 �L��`aa,Irl"I2��C, 4 ;4G1 <br /> rATEAUEM0 .-, I ! II ENVIRO Yal,7aL HEik'H <br /> SAN JOAQUIN COUNTY <br /> 'JUN Q 2 2003 ENVIRONMENTAL HEALTH DEPARTMENT' <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 3 <br /> EN PERMIT/SF HEAL iH SrOClrON CA 2 <br /> PERMIT/SERVICES (20111468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> y�(APPLICANT MCC VT Alt ,, BUSINESSIABENCY <br /> Kf ADDRESS 2506__r-`36P>iZee5lSA CO3,;P_T kACY Cil . q. 3i <br /> PHONE (20S)X332 - 3134 PACSIMILI: <br /> TENTATIVE'APPONnrENr DATE_ 6- q' 03 L.__(.TaIE I :'G 1�N IU - <br /> ... —..__�..._.DC7 <br /> ��Jj��,, <br /> (Pleaeo 9I+'D 7 to 10 DUatne9s C OyS cern drte of eppltgtlon cubmi fall <br /> '*10 CHECK BCUG TO EXPEDn61tEQUEST-Moo Flit—RI=W.TT"PROCESSEDINS HU6Wl3SDA'fS �� � 3��hy <br /> SIGNATURE OF APPLICANT �2'LOb tY� . _ VATEE 6- Z - O3 <br /> FILE AOOKM .1—SM'9;M1 IIT U$E CML7 <br /> PROGIrA''.I ELE6TI�?rs sE�CI1 <br /> C 05ST 4 a T" S P-C:§T e T?.ACY . Ul 9 i 3 D <br /> I <br /> ENVIRONMENTAL.HEALTH DIVISION FILI'_S <br /> " UMMIVIR0IND TAW(UST)CLIMUP SME(LOP) C MOUSTiG'ABATEMENT t7 SOI:DWASfi:FACILI Y <br /> Q OTHER CLRANUP WM(NDtbLOP) ❑ FOOD FACILITY Q 80I:D,Mwr-4Tilax:LE <br /> 'UNDE%7ROUND TANK 040NI ORINGIREMOYAL) Q DOG P:ENNEL 0 DAFN <br /> ❑ HALIRDOUN WASTE CKIIERATOR C c1Nd(EN RANCH C PILO TItEATIMITPLANT <br /> D TIERED PERMITTED FACMnY Q NOTEJHOTEL 0 PWIPERT1tl)CiJYAIitVGIENTONLETa <br /> O TATTOOIBODY PSIRCNG Q POMSPA r] LArrD ME A)PLIC.A110N 3ITa6 <br /> InMEDICALWASTEPACIUTY Q OTHtt VILL"R a►actry)_— ___.—__.���_ <br /> 1. Li"up to ten addresses in the space ebovD. Select the typs(s)off lies f,or,1 the IL�t strove by ellsOcing <br /> the appropriate box(ea). At least ono file type MUST be selected tlzl;;3j 4 ii4 tfit8 or m�N to th€ <br /> a(fdressindicatad above. <br /> 2. EHO will notify the eppllosnt if any EHI)file,..exist An appointment for rsvlew Y til(lin cOrAmleu <br /> approximateiyfive b"Inoas days but no Icier than tan(10)days after rerai pt of aplAinntien. Th;e filo% <br /> will be toll tar a mac ream of five business days for review. Appolntmrarh ah,uld I*lloheduk:d <br /> accordingly., <br /> 3. A filo that is acdVety being worked on by El ID staff may not be immedlatsl_v ave liable for review. A rww <br /> .application may be submitted When the file is avallable. <br /> 4. Any file not returned in the same condition as released will be reorganb*d!by 11-10 aufIF at the expense <br /> of the applicant Future file reviews by the same applicant may require s$39.011 deposit prior 413 raviaw. <br /> S. 'TENTATIVE appointment datos must be conffrm6d with EHD stuff. <br /> 6. Applications rocslved after 3:00 pm will be processed the next busines!;&ry, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONPIRMEb . PHONE FAX NlTf,W ) <br /> REVIEWED YES No RMIEW DINE _ <br /> �.r.naor <br /> saatm <br />