Laserfiche WebLink
SENT BY: GE040.01CgjINC- 415 597 7880- JUN-11 -01' i <br /> IrJ <br /> 13:54 1 464013" ENVIRONMENTAL HE! <br /> DATE R111CSIVIED -P4%E 01 <br /> JUN 1 1 2003 SAN JOAQJiN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> fjVir�. 304 EAST WEBER AIIENUE,THIRD FLOOR, <br /> '()` L-1�, <br /> PF`'('lI :( <br /> T STOCKTCN CA 95202 <br /> . `PW1CFS (209)468-3420 <br /> PUBLIC RECORDS RE-LEASE APPLICATION <br /> 1-41 <br /> APPLICANT ENGY <br /> 6USINE=/A( <br /> 4 <br /> ADADDRESS �/c "Vo , -, <br /> PHONE FAMMILE <br /> TENTATIVE'APPO".iENT DATE TIME <br /> (Please glv*7 to 10 bur-Irm33 day!;from date of appllcntlo"submItt 11) <br /> CHECK BOX TO EXPEDITE REQL1 EST•589.00 FEE-RE01,1EST I 11ROCESSF-1113 IN 3 BUSINES!;DAY'-; <br /> UX <br /> -*-SIGNATURE OF APPLICANT 1 DATE <br /> Nils slur 171.T"::F USE CINLY! <br /> FILE ADDRESS <br /> PROGRAM ELEMMIT $Lr1VtCIj , <br /> 2-801 W 7- �-,A NE 5;7-V 011'/VA/ SGA <br /> Z. 1 00 A1- 4 V�. N (�� - P�,�3 <br /> 1800 ( L, A 7-0 CK- <br /> 16 I <br /> 7V <br /> ?-Opp, L-9 5 ro e4-7 <br /> k <br /> L <br /> --t <br /> /N ft L ;T-0 CK rV IV <br /> -P:�-ftPWL �,C-A�IY-7r <br /> ,1 - <br /> 4 23u Wt7-r C. NE <br /> sou <br /> 0 y—ENVIRONMENTAL HEALTH DIVISION FILE-S, <br /> N- Wll-yUN VJ111f <br /> (A UNDERGROUND TANK(UST)CLFJNUP SITE(LOP) 0 HOI)SIN(i ABATEMENT 50 <br /> 1 <br /> Ir ALILITY <br /> X OTHER CLEMUP srrF-(mQt"op) 13 FOOD FA�')LITY d SOLID WAST: VEHICU! <br /> Oi(UNDERGROUND TANK(MONITORINUrREMOVAL) 0 DOG KENNEL DAIR ir <br /> R MAZAFWWS WASTE GENGRATOR CMICKEN RANCH PKQ TRI-:ATM F HT PLANT I <br /> Z TIERED PERMITTED FACn-rrY 0 mor"101TEL St pUMpjF:TRLj."Kn'Ajtr,1Cl`l4M TOILETS <br /> 0 TATTOOMODY PELRCING 0 PO4tJ9F 4 Ig LAND U::iL Aj-'j)LI(;j\7I0N 3!TFS <br /> t9; MEL)ICAL WASTE FACILITY n 07liER("'LEASE SPECIFY) <br /> 1. Utt up to ton addres-ses in the space above. Eelect tho type(s)of filw?s from the listobtrve <br /> the appropriate box(es). At 19ast one file type MUST bo selected. <br /> address-indicated_Above. <br /> 2. EHO will notify the applicant if any EHL)files eclat. An appointment for riryi0w will I)o oonf itmad <br /> approximately five business days but no later than ten(10) days afte,T reColll)t Of Ipp�ic;a1lon'i Thefiles <br /> will be held for a maximum of five business dr.ys for review. App <br /> oillimigfitsgl)clll(It)gsctlei ul',%Cl <br /> ac"irdingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be imrnedlatuly evnj ijkflie for ri4iew. A new <br /> application may be submitted when the file Is wallable. <br /> 4. Any file not ratumad in the same condition as released will be raorganiz0 ljy(EI�D StItIff Al,ihe IMparlse <br /> of the applicant. Future file reviews by the same appilaant may require a $B 9.00 rjjp4)jdL p+r b:) reviomr. <br /> 5. 'TENTATIVE appointment dater.must be confirmed with EHD staff. <br /> Fj- Applications received after 3:00 pm will be processed-tho next business <br /> po.;t-it,Fax Note -1 137SDs <br /> CONFIRMED APPOINTMENT RATETo K �2- rl/q <br /> DATE CONFIRMED PHON. <br /> REVIEWED YES <br /> FIHIJ <br /> i. <br />