Laserfiche WebLink
9/2005 11:59 FAX 209 9980621 - Y X002 <br /> A,r REGEVED SAN JOAQU N CO'[M- <br /> o � D EN'VIROMYiTNTAL HEAL` -aDE'FeRTNMNT <br /> 304 E Weber Ave 3`4 Floor Stockton,CA 95205 <br /> f � $-3420 Fax: (209).464-0138 Web; www,,.cQ-=-3oaqu1ELCa-us/ehd <br /> ,f� E q�potoEal HEALVUBLIC RECORDS RELEASE ATPLICATION <br /> ELI <br /> f i <br /> BUSINESS <br /> ` APPUCAMT: <br /> ..r, - <br /> ADDRESS- � <br /> i'! r t y FACSIMILE; (2521)�_ (q �F <br /> f PHONE, 17 <br /> Time: <br /> € TENTATIVE'APPoINTM2NT DATE= <br /> r� <br /> (Please allow 10 business days from date of nppl;catian guhmitlao - <br /> q; <br /> E: CHECK BOXTO EXPElSiTE REQti5ST-j93_00 FEE REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT Qeaartn,errtl}sa Only <br /> I)NTr <br /> �I /�P -CdZo-� LEAnORSSS <br /> ' 4 c ! p Unit I <br /> 611 <br /> f ' a r rn Unit 2 �//1✓j�.J <br /> IE; s. serest O �.' ,� . <br /> ,31 � <br /> unit 3 <br /> Ilj. s. sues - �`" -' <br /> C. Seel <br /> lh <br /> Illi <br /> T. Sweet <br /> a <br /> ,; pUnit 5 <br /> u <br /> rmavipONMENTAL}1EAL-rH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(L,OP) '0 HOUSING ASA•T9 MkFIT' RL SOLID WASTE FAGiLxfY <br /> prllER CLEANUP srrE(NON�OP) ❑ FOOD FACILFry a SOLID WASTE VEHICLE <br /> 25, uNDER13ROUND TANK(MOMTTORINGMEMOVAL) -0 DOG KENNEL 91.DAIRY ENY PLANT <br /> - <br /> I-IArARooUS WASTE GENERATOR El CHICKEN RANCH U.FKG TP-EATM <br /> R MOTELlFIOTEL R PuMPERTRUCKrYARorCHF;MT0ILETS <br /> U CITIERSD PERMED FACILITY POQLISPA U. LAND USE APPLICATION SITES <br /> �! ❑ TATT04B401f Pi>✓RC1NG ❑ OTHER LE=ASE SPECIFY) <br /> n MEDiCALWAS•TE FACILITY <br /> 1. List Up to ten addresses in the space above. SIviUST be elected F Pax to 1209) 40A-0 les from the(ist aboye 136 orbma l t cthec <br /> i _ the appropriate.box(es)_ At least one file typ <br /> EE; address.indica ted above- <br /> 2. EH0 will notify the applicant if any EHD files exist An appointment for revierrr will be confirmed <br /> approximately five business days but no Fater than ten (10) days after receipt of application. The tiles <br /> will he held for a maximum of five business days for review. Appointments should be scheduled <br /> !'d1 <br /> accordingly. immediately available far review, . <br /> 3, A file that is actively being worked on by EHO staff May not be , rte <br /> application may be submitted when the file is available. <br /> 4. Any hie not returned in the same Condition as released will be reorganized by>rHD staff at the expert: <br /> ;l of the applicant Future file revieNrs by the same applicant may require a 593,00 deposit prior to revie <br /> f , <br /> S. *TENTATNappointment dates must be confirmed,with EHO staff. <br /> h` 8. <br /> Applications <br /> s received•after 3:Qo pm will-be processed the next business day. <br /> Ef� RM�+RPf?OINTMENT'f ;4TE <br /> I 7[iA7QIVFIiiME ;t PHOM>= • .' "=�• <br /> .:,REVIEW DATE- ' " <br /> :�I, REVIEWED YES Pl©" <br /> H�Ij <br />