COMPLIANCE INFO 1992-2010 - Laserfiche WebLink

Home Browse Search

r2�04� 46PM Nei I00 (2 Anderson & Assoc . No •4226 L`'`P • 2 �I�� D SAN 1,0UNTY FEB Z 7 2004 ENVIRONMENTAL HEALTH DEPARTMENT q1qq 304 E Weber Ave 3rd Floor Stockton, CA 95205 ENVIRONMENT I�1Z1 H68-3420 Fax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/ehd PERMIT/SERVICES n PLIC RECORDS RELEASE APPLICATION APPLICANT: q A% 2e cw BUSINESSIAGEENCY: 4 6 k 0 • Ay\Ayv s c%-N ADDRESS: 102 \yJr,US�wI Vy u�+ /� - 9`�Z-f?._ PHONE: 3iR� -3 "1Lv I FACSIMILE: r3(_9 " L ZZ g ]. TENTATIVE'APPOINTMENT DATE: ?J r 2 I 0`f Time: 9 rh (Please allow 10 business days from date of application submittal) CHECK BOX TO EXPEDITE REQUEST-$93.00 FE REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT i u"� .-2 �z DATE ( ) Department Use Only FILE ADDRESS UNIT ------------------ 33 W• 7y\A_ Sk. �i ❑ Unit : sve 230 1n61 cb; ct R dv� J� 3. Sued n27-3 1W�11. vi 4 • C° � Unjt 2 4. sose Z t S tN- 93 �vwt 1 ti c. Rt QVI G 1; Unit 3 6. svee� r�'77.. 6. SUe�t l 0 � S� Cit F Q>n so-e" S W• Mi o •� o t nit4 6. siree33 EYl1 S•4 • — IJa � l.� w 9. Street 3 1 �- VAaAA .S4 " eu M ❑ Unit 5 ,p. stw 304 tau&- INVt:• � �+ c. � ENVIRONMENTAL HEALTH DEPARTMENT FILES Q) UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY W OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE ¢K UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY It HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILET: ❑ TATTOOIBODY PIERCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) - 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checkil the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to th address indicated above. 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately five business days but no later than ten (10) days after receipt of application. The file will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A r application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expel of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to rev 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. 6. Applications received after 3:00 pm will be processed the next business day. CONFIRMED APPOINTMENT DATE TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE _ EHD t6.n1-0a6 6RR001