Laserfiche WebLink
11/14/2002 08:18 7074528413._* _ JEAN HUGHES S41 <br /> !��'�L7 S JOA UIN COUN <br /> U LIC HEALTH ERVi E ;EVVED ; <br /> ENVIRONMENTAL HEALTH DIVISION <br /> NOV 14 2002 EAST VVE13ER AVENU THIRD FLOOR <br /> STOCKTON CA 9UO2 <br /> cAVIhvNMENT HEALTH PUBLIC ECO ( 'RELEASE PLICATION <br /> 6 � ®a <br /> APPLICANT itUS Y <br /> ADDRESS f <br /> .PHONE - <br /> FACSIMILE <br /> TENTATIVE!APPOINTMENT DATE <br /> (Please give T to 10 buss • tiW hom of appllaatlon suemltt®q <br /> U60% <br /> CHECK Bax TO EXPEDITE REQUEST-Sati.00 FEE—RtUEST P ESSEn IN 3 BUSINESS DAYS I <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> FILE ADD THI IgE EHb-STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> Dnft <br /> M <br /> to <br /> O - . <br /> CJ <br /> iF- rT E NM6 H TH DIVISION FILES <br /> O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY NOV 1 8 2G02 <br /> NpER CLEANUP <br /> TANK(UST)CLEANUP SITE(LOP} ® FOOD FACILITY ® SOLID WASTE VEHICLE <br /> Ea CLEANUP SITE(NON-LOP) 0 DOG KENNEL 0 DAIRY <br /> 1410 ROUND TANK iMpNiTORiNOlREMOVAL) ❑ CHICKEN RANCH O PKO TREATMENT PLAN ' <br /> H WASTE GENERATOR D MOTEL1HO`ML O PUMPER TRUCKIYARWCHEM TOILETS <br /> TIERED PERMITTED FACILITY D P A O LAND USE APPLICATION SiTES <br /> O MEDICAL <br /> WAS E F CINI3 . ❑ PUBLIC WATER SYSTEM C7 OTHER(PLEASE SPECIFY ABOVE) <br /> � MEDICAL WI►sTE FACILITY <br /> 1. List up to ten addresses In the space above. Select the type($) of files from the list above by checking <br /> the approprlats box(es). At least one file type MUST be selected. Fax to(209)414.01 dor mat{to the <br /> addrs�s loot r, fled abovs, <br /> 2, EHD will notify the applicant if any EHD files exist. An appointment for review veli{be confirmed <br /> approximately five business days but no later than ten(10)days afterreceipt <br /> should of obe:Che. The files <br /> will be held for a maximum of five business days for review. Appo <br /> uled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A now <br /> application may be submitted when the file Is avellablo. <br /> 4. Any file not returned in the some condition as released wilt 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 /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> oATE CONFIRMED PHONE FAX INITIALS . <br /> REMEWED YES NO REVIEW DATE <br />