Laserfiche WebLink
3ti <br /> PAGE 02 <br /> 12/16/2003 17:54 209- +-2225 MMSAN }ODE�SyTO ATC } trtiu wu rurv�z <br /> M <br /> r = - UNW <br /> ENvmoNMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3'd Floor Stockton, CA 95205 j <br /> 209)458-3420 Fax: (209)464-0138 Web:www.co.san-joagnin.=us/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPL;ICANri�'-' ` ri BUSINESWAfQF_NCY: <br /> acs <br /> ADDRESS: L~on @. G `Irf. A <br /> PHONE: FACSIMILE, <br /> TENTATIVE'APPOINTIMENT DATE: Iq - <br /> w <br /> (PIWwo allow 10 business days tram of on sufxttittt� <br /> In CHECK BOX TO EXPEDITE REQUEST-$03.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> onpartrnont Um Only <br /> FILE ADDRESS UNIT <br /> t-o b Untt 1 <br /> 2 d 3 Unit 2 v, <br /> s L <br /> °°"" 31 q Unit 3 <br /> L a i <br /> U Unit <br /> ea.a I <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑ HOUSINa ABATEMENT Q SOUR WASTE FACILITY <br /> NDMROUND TANK WST)CLEANUP SITE,(LOP) ❑ FQ=FACILITY ❑ BOND WASTE VEHICLE <br /> TITER CLEANUP SITE(NON-LOP) 0 DOG KENNEL C1 DAIRY <br /> NDERGROUND TANK(MON FirORINGIREMOVAL) ❑ CHICKEN RANCH o PKQ TREATMENT PLANT <br /> r2rjUq, DOUS WASTE GENERATOR 0 MOTELINOTEL C7 PUMPER TRUCK1YARDICH€lM TOILETS <br /> ❑ TIERED PERMITTED FACILITY Q poOUSPA ❑ LAND USE APPLICATION BITES <br /> C3 TATI'001BODY PIERCING p OTHER(PLEASU.8PECIFY) i <br /> ❑ MEDICAL WASTE IeAGILIrY <br /> 1. Okini <br /> List up to ten addresses In the space above. Select the types)of flies from the slat Above 04:2134 Ofn ahrglM i <br /> the appropriate boxes). At least one file type MUST be selected. <br /> EVZ 19 ROM-4 <br /> InAltmtod above. Jos <br /> rmed <br /> 2. EMD will notify the applicant i a nyEHD o later than t (10)days after reintment for cti pt of asw lPpllcatlQn The files <br /> approximately flue buss Ys <br /> will be held for a maxlrnum 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. no <br /> appliaatlon may be submitted when the file is available. reorganized b EHD staff at the axpons - <br /> 4. Any file not returned In the some condition as released will be rearg Y <br /> of the applicant. Future file reviews by the same appilcant may require a$93.00 deposit prior to revie : <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> B. Applications received after 3:40 pm will be processed the next business day. <br /> TIME <br /> 1CONFIRMED APPOINTMENT:DATE <br /> PHONE <br /> X. <br /> REVI�t7 <br /> Y. -ES <br /> REVIEW DATE. <br /> =,a.2� <br /> swsow - � <br />