Laserfiche WebLink
MAY. 18. 2004- 2: 08PM~MOt,Jj�MERY WATSON N0, 923EHDLP JUMBER <br /> DATE RECEIVED \� ��`` �,rj'AN JOAQUIN COUNTY <br /> n EC E VIE D ENvmoNMENTAL HEALTE[D&ARTMENT <br /> 304 E Weber 3rd Floor Stockton,CA 95205 I��n <br /> MAY 1 $ ZQ�9)468-3420 Fax; (209)464-01-01 38 Web: www.cosat-joaquin.ca-US/ebd I <br /> :-IN6:, NMENT HEALTH <br /> PUBLIC RECORDS RELEASEyI' /AP(P(LICATION <br /> APPLICANT: U 'r F3 USINESSIAGENCY: <br /> ADDRESS; `t7 `^'S l-S , <br /> PHONE: qzq- Sg'-lel FACSIMILE:�A) 56q-'3LS8 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> I <br /> (Please allow,10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93 00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE d <br /> Departrn nt Use Only <br /> I E <br /> FILE ADDRESS UNIT <br /> i. sveet r'J ADO Cry " 'rf c' Unit 1 <br /> 2 a9we '�J G <br /> a. so-eat 000 .'�sr G" H ❑ Unit2 <br /> 4. street 5 b.Cr uar- G <br /> s. swot Unit 3 c� <br /> G. s"Ot Z ova s. G <br /> ,. sit 1-100 Unit4 <br /> 9. sveat <br /> 9. sit <br /> -S-730 N � .. Gt I'11,fi\•tWW,1l <br /> io. so-aat 2.4 2 n � usr Gt <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 18( UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> EX UNDERGROUND TANK(MONITORINGIREMOVAL) ID DOG KENNEL ❑' DAIRY <br /> .$I_HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKGTREATMENT PLANT <br /> CI TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK[YARD/CHEM TOILETS <br /> to C3 PIERCING P POOUSPA [3 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY [3 OTHER(PLEASE SPECIFY) <br /> 0 <br /> 11 List up to ten addresses in the 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(209)464-0138 w 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 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 neu <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$93.00 deposit prior to review <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 day- <br /> y,.yy�� , „ .N i r' '.M"• , l . <br /> 4Wtl ll ' 'hP,.QINTJ�11P1f DtM+ .a, <br /> DA7 CbN!*lltp'" pi Sr �AtE u 1f(�l( LAS. - : . I ; <br /> 0. <br /> REV18MDYES `r' Na' ° R [�Eu(►DAT <br /> ea2�. �a' �����IOti- P(4 ' i�tUhi��7f)xps 3;S �pm <br />