Laserfiche WebLink
Rpr 29 04 02: 27p V-9ZRN & RSSOCIRTES 91F 564 2222 p: 2 <br /> 02/06/2004 12:12 4640in EMIIRONMEWAL HEAL-0-6 NAL n� <br /> _ env wta�.v.++.+�•• <br /> c6jyE`�1�' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL REAL-Va DEPARTMENT <br /> 304 E Weber Avc 314 Floor Stockton,CA qui <br /> APP 2 9 20�)468-3420 Fax:(2,04)464-0136 Web:www.co-san jan <br /> oqui .ca_uslc#td <br /> ENVIRONMENT HEALTH 'PUBLIC Xt 'CORDS RELEASE "PLICATION <br /> APPLICANT: �' WMINESSIAGENM- <br /> �G'F <br /> ADORE53: <br /> PHONE,. �� — �d FACSIMLE: <br /> Thrle: <br /> TENTATIVE*APPOINTMI T DATE: <br /> (please aow 10 pusinass days 6—data of aPPRApon 1"ttad) <br /> CHECK sox TO EXPEDTrE p'F-QUtEST- 0 FEE-PX=EST FROCEMSED IN 3 BUSINESS OA"ATE <br /> 44SIGNATURE OF APPLICANT DWaTU tent Use Ort* <br /> UNIT <br /> FELE ADDRESS /y� <br /> � 5 �' ( - Unit 1 <br /> t. N ��, <br /> x KN SNE y� _ Unit 2 <br /> � '70 <br /> A I T ti a Unit 3 ,h� <br /> e. s, <br /> Unit <br /> Unit s <br /> s. Slott <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 3 <br /> t <br /> TY <br /> L7 NOUSING11BA -MENT 9SoLt WASTE VEHICLE <br /> UNMRGROUND TANK(USTI CLEANUP StTf(LOP' D fDDD t%ACIL.A.T � SOLID WASTE V>rFIICEE <br /> OTHER CLEAKUY SITE(NON-LOP) ❑ DOG KENNEL Cl DAIRY <br /> NDERGRW KD TANp({MONITORING/REMOVAL) 0 cmICKEN 11ANC61 pXG TREATMENT PLANT <br /> �i HA7ARDOUS WASTE GENERATOR 0 PUMPER TRUCWNAA="EM TOILETS g <br /> 4A D OTTUNOTEL 0 LAND USE APPLICATION SITES <br /> O TIERED PERMITTED FAClkrrlf Q pOOLISPA <br /> O TATTpOfdO!!Y PIERCING 0 OTHER(pLEME SPECIFY <br /> Q MEOIGAL WASTE FACiLIT1f <br /> 1 List up to ten addresses in the spate above. Select tht type(s)of flies from the list above by checking <br /> the appropriate ten a b addresses <br /> At least one tits type MUST be selected. Fax o 209 �g4-0t3g er msi!tot e <br /> ddress indicated above. appointment for review will be confirmed <br /> 2, fi1iD will ratify the applicant if any EHD files exist An app P p llcadon. The files <br /> or review. Appointments should be scheduled <br /> approximately five business days but no later than ton(10)days after revel t o1;application. <br /> will be held for a maximum oT live business days f <br /> accordingly. being w0l*ed on by EHD staff may nat be immediately available for review. A new <br /> g, A file that is actively <br /> application may be submitted when the ills Is available' Elie staff at the expenso <br /> 4. Airy file not returned in the same condition as released reorganized uire$93.(10 deposit pylar to review. <br /> of the applicant. Futuro fife reviews by <br /> the same applicant <br /> S. '"'TENTATIVE appointment dates must be conNrmed with EHU staff. <br /> s, Applications reoelved after 3:00 pm will be processed the next business day. <br /> TIME - � -„�.. - <br /> CONFIRMED APPOINTMENT DATE PHONE . FAX' INITIALS <br /> DATE CONY-111MED REVIEW DATE <br /> REVIEWED -. YES NO <br /> e�ao� <br />