Laserfiche WebLink
v UAiE Fr-CC1vEG EN LIJG NVYBEH <br /> SAIv ENVIRONMENTAL HEALTH DIVISION VICES <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 �p ,y 000 <br /> (209)4583420 1 <br /> - PUBLIC RECORDS RELEASE ,APPLICATIO .,,I•, . <br /> APPLICAN � l"Of/,�/f SUS/IINESSIAGENCY ,/mac r.��F_L��� � furry/I1r1ii(�[C <br /> ADDRESS �! /,/�T'OI�D//�.(/e� l/7F[J <br /> PHONES Y._'7 ,yD-7n -P;-211 FACSIMILE <br /> TENTATIVE-APPOINTMENT DATE TIME <br /> (Please give 7 to 10 btninas days[.om date of application aubmitUl) <br /> El CHECK SOX TO EXPEDITE REQUEST-$7a.D0 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTI�� L � DATE <br /> FILE ADDRE55 <br /> V • zz� T 1 l <br /> a a S <br /> v 2d�0 a39 9S <br /> 10 5 <br /> ILIto 2381 23 O 5 Z <br /> � f� w 3 aS <br /> N o2 0 Oe <br /> r .yif/O :2.3_8J <br /> D <br /> ENVIRONMENTAL HEALTH DIVISION FILE$ APR 12 LOCO <br /> NDCAOROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILITY <br /> P <br /> THER CLT�1tIUP SITE pi(]N-LOPJ d FOOD FACILnY . O SOLID WASTE VEHICLE <br /> NDERGRcx)ND TANK(MONITOR1NGfREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> AZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH O PKG TREATMENT PUNT <br /> 0 TIERED PERMITTED FACILITY O MOTEUHOTI L ❑ PUMPER TRUCKNARDICHEM TOILETS <br /> ❑ TATTOOIBODT PORCING d POOLISPA O LAND USE APPLICATION SITES <br /> O MEDtCAL WASTE FACILITY b PUBLIC WATER SYSTFM O OTHER TLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in tho 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(2D9)4§4-p138 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 hold 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 578.00 deposit prior to review. <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. 4 <br /> S. Applications received after 3:00 pm will be processed the next business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX lNn7ALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH m �. etesa <br /> TOTAL P.92 <br />