Laserfiche WebLink
t tzt�'t : NOR Environmental PHONE NO. : 209 369 4228 Dec. 03 2002 02:54PM P2 <br /> UAI E RECEIVED _ EHU Soa NUMBER <br /> ' �t�rl"���o, JOAQUIN COUNTYPUBLIC HEALTH SERVICES \ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v 304 EAST WEBER AVENUE,THIRD FLOOR <br /> DEC 0 3 2002 STOCKTON CA 85202 0&5 <br /> 1EAL' (209)468.3420 <br /> ;_IJV-0.11T6FT IjcM, LIC RECORDS RELEASE APPLICATION <br /> FFrs,.�iTlSER,VIG •_ <br /> APPLICANT >� .4 PtGGp �BUSINESWAGENCY f�A tMEN"i'A L— <br /> ADDRESS! .2'-A- V S <br /> PHONE FACSIMILE (?.O�' 39 <br /> T <br /> TENTATIVE*.APPOINTMENT DATE 1 I Z•-d'2.- TIME 10 Ay►^+ ` <br /> (Please give T to 10 business days from date of app[lcation submittal <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE REQUEST PROCESSED IN 3 YS <br /> SIGNATURE OF APPLICANT `'=` DATE tz-3—ozr <br /> THIS SIDE END STAFF USE ONLY <br /> FILE ADDRESS <br /> irodi Rtiz' PROGRAM ELF <br /> MEsNTS SEARCH <br /> ix4.rJ•Gvi Arvt.• <br /> v� 1 t,vnad W <br /> ` �' Ix.'L4 ic�v�' • <br /> e <br /> D eC �1 vvv <br /> DEC <br /> 01 K <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 59 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE FACILITY <br /> IA OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 13 SOLID WASTE VEHICLE <br /> IS UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRYIS <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH . 0 PKG TREATMENT PLANT <br /> O TIERED PERennTED FACILrrY ❑ MOTELIHOTEL ❑ PUMPER TRUCIUYARDJCHEM TOILETS <br /> O TIERED BODY PEo FAciCING O POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACtLrrY ❑ PUBLIC WATER SYSTEM OTHER(PLEASE 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{2091464-0138 or mai!to the <br /> address indica#ed above. ' <br /> 2. END will notify the applicant If any END 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 END 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 retumed in the same condition as released will be reorganized by END staff at the expens® <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 /> F <br /> FIRMED APPOINTMENT DATE. TIME <br /> E CONFIRMED PHONE FAX •INITIALS• <br /> REVIEWED YES NO REVIEW DATE <br />