Laserfiche WebLink
4_ ___-x41/07/2004 WED 14:30 FAI 002/002 <br /> coir v r 1 cuuY t 4:rJ4 L4 a0 r-NVIKUNMr-N i HLop�: L 1 h Ul <br /> " Et1u Lllt:r nuonu�n <br /> m(� DATE RECEIVED SAN JO,A.QUIN COUNTY. <br /> LRl L�-���+i- ENVIRONMENTAL TJEALTH DEPARTMENT <br /> I:_ li 1�'i ii i <br /> 304 E Weber Ave P Floor Stockton.CA 95205 40 <br /> JAN 0 7 2.001 (209)468-3420 Fax:(209)464-0138 Web:WWW.co.san_jQaquincaus/cbd <br /> ENVIRONivit,1 HEALiHl PUBLIC)RECORDS RELEASE APILICA110N <br /> FERMI <br /> APPLICANT:1 BUSINESSIAGENCY: �•SK �4Soc ES <br /> ADDRESS: -- <br /> PHONE:�6�/) o� d�7/ %aj1-1 FACSIMILE:f �/ <br /> TENTATIVE*APPOINTMENT DATE: / ,3l OT Time: <br /> {Please allow 10 businass days*Orn date 4f aPPilcation SuDmithO -7- <br /> rT Sp/cxlTo a rUESD��4j1/ <br /> CHECK BOX TO FXPEDITE REQUEST•$M.00 FEE-REQUEST PROCES$i»D IN 3 BUSINFSS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DeDartmard Use Only <br /> FILE ADDRESS UNIT <br /> 4CAMd <br /> S7WC D Unit 1 <br /> zo05 v3 Aif + � Unit 2 <br /> ,. saeel 03 041f �R <br /> s, sues a 500 Nit rn D Unit 3 <br /> o. *_reel o�0 I AY iZ �- <br /> 1 �EWIS .? 0295 G Unit <br /> 7 31 e. <br /> std S D o <br /> z .TlV V <br /> nit 5 <br /> SOW <br /> 9. Strom <br /> �a S"d <br /> PF// <br /> � ENViRONMtNTAL HEALTH DEPARTMENT FILES 1> <br /> ERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT =OLID WASTE FAGIL <br /> L�OTHER CtFANUP 517E(1lON-i-OP) U FOOD FACILITY M SOLID WASTE VEM E <br /> Cl UNDERGROUND TANK(MONMORINGIRMOVAL) G DOG KENNEL O DAIRY <br /> O HAZARDOUS WASTE GENERATOR M CHICKEN RANCH O PKG TREATMENT PLANT <br /> Q TIERED PERM TTCO FACILrfY 13 MOTELMOTEL 0 PUMPER TRUCKlYARt)mH9M TOILETS <br /> C] TATT001BO0Y PIERCING O POOLWA LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACOMY O OTHER(PLEASE SPSCIF1� <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list aboye by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 20 139 or.rnali to the <br /> addross Indleatecl_a ove. <br /> 2, EHD will notify the applicant if any EHD Flies exist. An appointment after receipt of appli tion. The files <br /> approxirnately five business days but no later than ten(10)days P <br /> will be head for a rnaxlmurn of five business days for review. Appointments Should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A nes i <br /> application may be submitted when the file is avai{able. <br /> 4. Any file not returned in the same condition as released will be reorganized biD Vtaff at th ere ns <br /> of the applicant. Future file review*by the same applicant may require 91$ deposit <br /> ie <br /> S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. ApplicaUoris received after 3:00 pm will be processed the next business day. <br /> CONFIRMED A, POiNTMENT•DATE TIME <br /> `BATE GONOIRMED 'PHONE . FAX-' INfi'iALS - <br /> •REVIEW.ED .t• <br /> YES NO REVIEW DATE <br /> Brio,aozaoe - <br /> usrzops - <br />