Laserfiche WebLink
Apr 23 2003 8: 06AM S 408E '041;1 p. 2 <br /> r 4 221 g03n4640138 ENI+IRfk4ENTAL HEAL•I'H PAGE 01 <br /> SAN JOrAQUIN COUNtY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 2 3 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 93202 <br /> ENVIR�_�N,M NT NEALlFi (209)468-3420 <br /> /p�� _�PUBLIC RECORDS RELEASE APPLICNTI N <br /> AP <br /> pLICANT L C�Ft�tr�j�1 BURIMFSS/AGENCY <br /> ADDRESS r2PHONE_J�Ok FACSIMILE T�� 76Z zi���•-4 -- l <br /> -V3 <br /> TENTATIVE*APPOMM6NTDATE TITIMErr --- <br /> (PImme give i to 1D buWnses days from date of+lppfbatlon eul7ml'KRI) <br /> 0 CHECK BOX TO EXPEDITE REQUEST- MG0 FSG–RIEDUE3T PROC&"ED N 3 BUSI.'NES+S Da:" Ll <br /> ' <br /> SIGNATURE OF APPLICANT -- DATE -- <br /> TH13 S1I7E EHD 3T06.FF usi ONLY <br /> FRA ADDRESS PROGRAM ELEMENTfl SEARCH <br /> U } I. 2.7 <br /> ENVIRONMENTAL HEALTH DMSION FILES <br /> ❑ HOUSING ABATEMENT C3 SOLID W1hSTI;FACILITY <br /> UNDHRRROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY p SALIID WASTH vnHIGLE <br /> OTHER CLEANUP SITE(NON4.0P) ❑ DOG KENNM Q VAI1;Y <br /> UNDERGROUND TANK(MONITUMNctlR MOVAt-) O CHICKEN RANCH ❑ F1tG TREATMENT PLANT <br /> �(HAZARDOUS WASTE GENERATOR p CHICKIAOTEN RAN D F1JNIFEfi TRuCKYAR=HHM T'09LETSr <br /> O TIERED PERMITTED FACILITY O POOUSPA O LANI)USF-ARf''LICATION SITES <br /> ❑ TATTOO/BODY PSIRGINd ❑ OTNQR(PLEASE SPECIFY) _- <br /> 0 MEDICAL WASTE FACILITY <br /> 1. List Up to ten addresses In the space above. Select the typs(s)of flle!Iz from the Il:st above by checking <br /> the appropriate box(es). At feast one floe type MUST be selected. fix.to. 20? 4*Lg 2ULgr—nal to hI <br /> �.1'Iruca Indicated above. <br /> 2, EHD will notify the applicant If any EHD files exist. An appointment for <br /> re�iwie of ill becatla The filen► <br /> co e <br /> approximately live business days but no later than ten (10) days <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3, A file that Is activeltr being worked on by EHD staff may not be ImM0dlatnly availa'bl®Tor review. ru�w <br /> application may be submitted when the file Is available. <br /> 4_ Any file not returned in the same condition a9 released will be re rg ilzIr tr$a9r0 d1oposi aprior bo raylow. <br /> of the applicant. Future fila reviews by the same applicant may requ <br /> th EHO <br /> b, <br /> 6. t Va�l -. must b lu <br /> Applications after 300 pm� beIcA�the next Staff, <br /> lrw�s.:ay. <br /> CONEfMEQ <br /> -- - <br /> AppOINTMENT DATE Time! -- <br /> DATE CONFfRIVIED <br /> PHONP- FAX, IIgI rIALS <br /> RIEVIEWED YES NO REVIEW DATE <br /> an".noa I <br />