Laserfiche WebLink
09APR.23.20043: 9:15AN6401APEX ENVIROTECH. INC. cIIVIMUnr'u}'M" " ^ N0.588 P.2' -- <br /> �11nrF,RFiPIVNO <br /> SAN �QUIN COUNTYPUBLIC HEALTHORVICES 1 ra�sn�N a, <br /> \' ENVIRONMENTAL HEALTH DIVISION <br /> APR 2 3 2004 V 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 1791 <br /> 1 /;LiII (209) 4683420 <br /> 1I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT eyui.(�cr W c)r-3 OUSi^NESSSIAGENCY. �K ��to-x �c� l <br /> ADDRESS 1(i;y �t C lr[ 7 '�' lA7 O[p` i`-LUG,( C.L� GISC0�0 r A <br /> PHONE q(rrO $51 - O f'1 L �FACSIMILE R <br /> c. <br /> TENTATIVE*APPOINTMENT DATE TIM E <br /> (Pleas*give 7 to 10 business days from date or applleatlon submittal) <br /> 93,00 <br /> CHECK 80X TO EXPEDITE REQU X00 FEE,-REQUES?T PRZOCFySSEDDIIN 3 6USINESS DAYS • <br /> SIGNATURE OF APPLICANT /j�l �'�� l DATE �aS O f <br /> FILE ADDRESS THIS SIPS FHO STAFF USC ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 4 S e l(k 5! Tr DIST <br /> D Yh 64- j <br /> 46c E. D <br /> (fa CAs \ O <br /> Oo +c C %,ST <br /> r u- ,-i,� F`. �� <br /> 5 I SE C- usT <br /> AT:5 7W e r' �s-- <br /> ZN E1 5�— -rraC4ST <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 'b UNDERGROUND TANK(UST)CLEANUP SITE(LOPI ❑ HOUSING ABAT£M1ENT 0 SOLID WASTE FACILITY <br /> ❑ OTHER CUZANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> ❑ UNU6RGROU140 TANK(MONRORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> .PrHAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERWI-rED FACILITY ❑ MOTEIIHOTEL 0 PUMPER TRUCIVYARDICHEM TOIi.E <br /> ❑ TATTOOI300Y PEIRCING ❑ POOIISPA ED LAND USE APPLICATION SITES <br /> ID MEDICAL WASTE FACILITY , ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to tan addresses in the spaco above. Select the type(s) of files from tho list above by check <br /> the appropriate box(es). At least one fila type MUST be selected_ Fax to (2091 464'•0133 or mall to t) <br /> address indicated above. <br /> 2, EHD will notify the applicant if any EHO 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 fil <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 W <br /> application may be submitted when the fila is available. <br /> 4. Any File not returned in the same Condition as released will be reorganized by END staff at the expi e <br /> of the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to re' W. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will be processed the next business o-, <br /> < F <br /> CONFIRMED APPOINTMENT DATE, TiME <br /> DATE CONFIRMED _ PHONE FAX INITIALS <br /> REVIEWED YES INC) tZeVIEW DATE R _ <br />