Laserfiche WebLink
Aua • 12. 2002 12:0IPMCANDOR EARTH TECHNOLOGIES • <br /> N0 •Uui6 r • ' <br /> y SAN JOAQUIN COUNTYPUBLiC HEALTH SERVIG <br /> pwi5�CE1V� � <br /> ENVIRONMENTAL HEALTH DIVISION <br /> n 304 EAST WEBER AVENUE,THIRD FLOOR AUG 12 2002 <br /> V' STOCKTON CA 95202 <br /> car (209) 468-3420ONNIENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATIONS NVIR <br /> APPLICANT 1,Q: � !�-�'e�"�6USINESSIAGENCY S V <br /> ADDRESS 1C7� 'y d S <br /> FACSIMILE 4' <br /> PHONE <br /> TIME <br /> TENTATIVE-APPOINTMENT DAT>= Gcatlon SlJbntit2a0 <br /> Zof(Please pve T to ie bctsirt055 d <br /> en 1 3 BUSINESS DAYS <br /> LJ CHECK BOXTO EXPEDrfE REQUEST <br /> DATE <br /> 0 1 2 <br /> SIGNATURE OF APPLICANT <br /> THIS S=WE EHD USE ONLY <br /> F11.E ADDRESS <br /> PROGRAM ELEMENTS SEARCH <br /> 5 c o`N` S� <br /> S � a <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 14 SOLID WASTE FACILITY <br /> IX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) U HO SIFACH.I T MENT Opp SOLID WASTE VEHICLE <br /> FO <br /> [y' OTHER CLEANUP SRM(NON-LOP) 0 DOG KENNEL la DAIRY <br /> UNDERGROUND TANK(MONrfORMGIREMOVAIa ❑ CHICKEN RANCH ❑ PKG TI2EA CKr PLANT' <br /> HAZARDOUS WASTE GENERATOR ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYAmom SIMTOIL S <br /> 9( TIERED PERmnTED FACILITY q POOUSPA .. , ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOO/BopY PEIRCING C1 PUBLIC WATER SYSTEM C3 OTHER O'U'SE SPECIFY ABOVE) <br /> QI MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209 454-01 9 or mallto e <br /> address indicated abpop e. y for review will be confirmed <br /> 2. EHD will notifythea applicant if an EHD files exist An appointment ysp lication. The files <br /> approximately five business days but no later than ten 10 da aftntments should be scheduled <br /> will be held for a maximum of five business days for review. Appo <br /> accordingly. y worked on b EHD staff may not be Immediately available for review. A now <br /> 3. A file that is active! being y e ex ense <br /> application may be submitted when the file is available. by EHD staff at th P <br /> 4. Any file not returned in the same condition as released will be reorganizedsit riot to review. <br /> of the applicant Future file reviews by the same applicant may require a$87.00 depo p <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 9:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> 11ATF CnAIC1DReFn <br />