Laserfiche WebLink
Aug-08-OT 11 :51 l:rum-TTI TETRAH EM INC +9168520307 T-456 P 02/02 F-902 <br /> l7ATF RECEIVED E=NQ I-OG rvUMBFR <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 Main Succi, SiaGIaTCan, CA 95242-3Q29 <br /> Telephone: (209)46$-3420 Fax: (209)464-0138 Web: www sjgov. <br /> PUBLIC RRCO"S RELEASE, APPLICATION <br /> APPLICANT: I` Ifl HUSINESSIAGENCY: P 'e- vsl <br /> ADDRFSS 4 rn lr. Ca _ <br /> PHONE(t): R900 AHONE(2): FAC51MILE: '11 4 D <br /> TE=NTATIVE`APPOINTMENT DATE- a - _TI(,e__ 0"00a t,L <br /> {Please allow 14 ausine5s aayg from dada of ppllc ort suprtuttal-ITenraVve only-m,43t bo confirmeq} <br /> C1 CtIECK(3OX TO EXPEDITE REOUFST-$8100 FEE(CASH OR CH CK ONLY)-REQUEST PROCESSED IN 3 sU51NESS RAYS <br /> SIGNATURE OF APPLICANT RATE --@/8La r - <br /> Electronic Information: ❑ List U Map—Description: <br /> FH-E ADDRESS EHQ USE ONLY <br /> P—V <br /> F �{ Street Flame City El Unit 1 <br /> ( 0 Z.) C E5 <br /> G 1 ► C�`l) ►�6cI 'OS o <br /> 4• unit 3 <br /> \1r' -6. unit 4 <br /> !�A 7 El unFt 5 <br /> �D S <br /> 9. <br /> 1 p Una 6 <br /> Specific Rate Range of Information RequosteT7: From <br /> ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br /> ?IcINPFRGRQUND TANK(UST)CLEANUP SITE{LOP) M HOUSING AdATfMI-NT -P;:�S"ID WASTE FACWTVIVEHCi.E <br /> OTHER CLEANUP SiTI,(NoN-AQP) ❑FooD FACILITY C�WASTE TIDE <br /> UNPFRGRQLFNDTANK J1101014170RsNWREMOVAL) 0 PQG KENNET. 9,PAIRY <br /> AZARDOLIS WASTE GFNFRATOR ❑CHiCKFN RANCm Q WASTEYVATEFR TWATMENC PLANT <br /> TIERED PERMITTFP FACRA" ❑MOTFOHQTEL ❑PUMPVRTRuCK)YARwcmFM TDII-ETS <br /> A TATT0010ODY PIERCING M PQQL1S9A M I`AND VSE APPWCAPON SITES <br /> ❑ MFPIcAI-WASTE FAcioTY CD OTHER(PI-EASE SPECIFY) <br /> WRLr_ANP SEP71C PERMIT RerO PS ARE AvAliAFILE FOR REvlevv - MoNQAY-FRIDAY$:00 AM-6:00PM - EXCLUDING NOWDAYS. <br /> t. list up to ten audresses In the apace aboue. Selsct the typ4(s)Of files from the Ii%aaove by chocking trio appropriate <br /> bctY(esy. At loart one fila type MUST be selcs ted- X 40(206)464-rad 3 4i mall to the adfjrl s indlcatett aaove Adgress <br /> ranges will not be accepted—for atfaltional asQistanvo with file addresses,contact the EHP.Applications received aftor <br /> 3:00 pm will be processed the next businoss day. <br /> 2. The FNR will notlfy the applicant if any EHI7 files exist. An appointment for review will b6 conffrmea approximateiy ten(10) <br /> pays after receipt of application. TI~o flan will he held for a m4xirnum of five business days for review. Appointments <br /> should no schadoled accordingiy. <br /> 3. A file that Is actively being worked on by FHD staff may not be"immedlately available for review. A now application may be <br /> submmecl when the fila is available. <br /> 4_ Any file not returned in the same condltivn a$ reieasod will oe reorganized oy EFmR staff at the expense of the applicant. <br /> Future file reviews by the lama applicant may require a$95.0o deposit prior to reviovy- <br /> EHR USE ONI-Y <br /> t:R��-06 9n arzaae wcp <br />