Laserfiche WebLink
52-14E LU <br /> TO <br /> 12-13-Ly�9 03��F]f=i'I Fj EH0L6..NUNOER <br /> _A* E I MijbACAUIN COUNTYPUSLir T ALTH DIVISION SSSS WtCF-S # '^ <br /> ENVIRONMENTAL HEAL � <br /> DEC 13 1999 304 CAST WEBER AVEN116,THIRD FLOOR ; " ,• <br /> STOCK'TON CA 95202 ... <br /> N iiiziUivulEN"iA1- (209)4F8-3420 HEALTH C RECORDS RELEASE APPLICA �___ <br /> PERMIT / SERVIC, ELt <br /> Calif. . GeophYsical GP' <br /> BUSIN6S91A6EN%Y— ---- <br /> APPLICANT s.,l,,,,., ' C-u��,is'-n— "—�--� 576341 .. <br /> o,DeHEsv P .U. P,p, 578341 Plodest0 CA 527-4II10 <br /> 52'• _t2 47 <br /> FACSIMILE <br /> PHONE.----�"'-'—" TIME An' time <br /> nc <br /> fr��ltTENTATIVE"APPOlNCATE <br /> (Pi� uv47 to 10 business days Yarn date of appLcatio subMittai) <br /> E.l.t• CHECK60XTOEXPEOITE RERUEs 1-i7&00 FEE-REQUES"S PP.00E58£DIN3BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> `T� FILE AopRE$9 <br /> d T ' ilexs <br /> CA <br /> 40. 07 Waterloo Rosd St Stoc4 o <br /> tnCAA "� <br /> ENVIRONMEgrAL HEALTH lyiVislON FILES <br /> D HbUSING ABATEMENT 0 SoUD WASTE FACILITY <br /> NK B CLEANUP SITE(LOP) 0 FOOD FACILITY a SOLID WAsTF VEHICLE <br /> Ui1DERGRCUND TA. ( ❑ DAIRY <br /> .oTHER CLEANUP siTE(NON-LOP) p DOG 1C2NNEL El PKC TREATMENT PLANT <br /> Q UNOEROHOUND TANK(LAONrTOR1Nt3fREMo4AL) O CHICKEN RANCH ❑ puMPFR TRAICKNARDICHOMTOILETS <br /> HAZARDOUS WASTE GENERATOP, q MOTeLmoTel, ❑ tAND USE APPLICATION SVES <br /> q TSEnED PERMITTED FACILITY In poOL)SPA ❑ OTHRR(PLFASE SPECIFY ABOVE) <br /> t] TATToa BODY PoRrIKV ❑ pUBLIC WATER SYSTEM <br /> 0 MEDICAL WASTE FACILITY s of(Iles from the list stove by checking <br /> List Up o a MUST bG selected. Fax 209 4 -0138 or Bit to t e <br /> 1 n addresses in the space above. Select the type <br /> ttE ( <br /> the app p <br /> ro ffata 4809). At least Rfiv iil4 EYP <br /> ate b e. <br /> addro55 ind' .�-��-- <br /> EHD will notif the applicant s after receipt of application. The files <br /> 2. <br /> Y p leant iF any SHIT files exist. An appointmentfor review will be confirmed <br /> approximately I've business days but no Iaterthan ten{10 day <br /> will be held for a maximum of five business days for review bA`mmedlately sva lab a for review. A rHW <br /> accordingly worked an by EHD staff may n <br /> g. A file that is activety t�cing <br /> sized b EHO staff at the expense <br /> application may be submitted when the file jr,available. vire d$78.00 deposit prior to review. <br /> 4 Any file not returnod in th8 Same o by the same as released ant may he require <br /> Y <br /> of the applicant. oFuture nture fila re <br /> i mu tbehconf�ed wtl h FHD staff. <br /> 3. 'T£NTATIYE app m,Hill be processed the next business day. r <br /> 6. Applications receivod after 3:00 p - - <br /> J f0.Ry1�� ' r•` ; <br /> REV1E�1'6ED ^'fir, ,c•. <br />