Laserfiche WebLink
FROM NOR Environmental PHONE NO. : 209 369 4228 _ Dec. 23 2002 12:25PM P4 <br /> _ <br /> SAN Jj, gUIN COUNTYPUBLIC HEALT91ERVICES Em fix:HUNxhrt <br /> / NVIRONMENTAL HEALTH DIV <br /> ION <br /> IS <br /> 304 EAST WEBER AVENUE,THIRD IS OR <br /> DEC 2 3 2002 STOCKTON CA 95202 <br /> (209)46"20 <br /> UBLIQ RECORDS RELEASEAPPLiCA770N <br /> APPLICANT BUSINESS/AGENCY <br /> ADDRESS 2.Z � . �. zwzo <br /> PHON `'1)E ?0367- f 0( _FACSIMILE_ a' <br /> TENTATIVE*APPOINTMkNr DATE 3 .1. �o, Z1%� _ -a-V3 7` f <br /> (Please glue 7 to 10 business TIME a M6. . <br /> days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST.$89.00 FEE-RE ES PROCESSED iN 3 8USR =SS DAYS U <br /> SIGNATURE OF APPLICANT <br /> DATE / Z3 <br /> e. <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> LOW., <br /> 3 5. vies¢ ; G <br /> S �. Ln <br /> �� • oz lV. Gf,, 4-., Lgd; 64 <br /> - we <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> O'OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY Q SOLiD WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) d DOG xENNM p DAY <br /> Jt>'HAZARDOUS WASTE GENERATOR O cHICKEN RANCH . 0 PKG TREATMENT PLANT <br /> E7 TiERED PERurrrED FAciuw E3 MOTEL/HOTEL ❑ PUMPER TRUCWYARD/CHEM TOILET$, <br /> C3 TATTOO/80DY pE(RCWG ❑ POOLISPA ❑ LAND USE APPLICATION Sm;S <br /> ❑ MEDICAL WASTE FACILITY ❑ PUI3UC WATER SYSTEM W-OTHER(PLEASt SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209L W138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <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 actively being worked on by EHD staff may not be immediately available for review. A new. <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> .6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> .n no 4w <br />