Laserfiche WebLink
A <br /> 05/25/2005 14:11: FAX 208 948(, t U 002' <br /> DATE RECEIVED SAN JOAQUIN OUNTY <br /> ENYMONN INTAL HE iiDEPARTMENT <br /> 04 E Weber Ave 3`'Floor tockton, CA 95205 <br /> %.g51i4 3 20 , (209) 454-oz38 '� t:b: .co.Sazx ei 7 <br /> ClUIN s nl c© )STY <br /> IC RECORDS RELEASE APPLYCA.UON <br /> _f-,naw 66 III 6USINESSIAGEI�It: � e i N fG P L <br /> APPLICANT: -- <br /> ADDRESS: �'`� �• e I— <br /> ! [ ��..- t:-• ��;, .. <br /> PHONE: 43 Y12 4(5- 42arm F=ACSIMILE: P 0 90-7 4(0 a , <br /> :t • <br /> TENTATIVE APP017 <br /> ENT DATE: I a Time: <br /> allow i hss da am f application submival) <br /> MAWS <br /> QIi1=CK BOX TO E7CpEDtTE REQQW-$93.00 F"EE-REQUEST PR ER IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PATE <br /> I� oepanment Use Only <br /> UNrr <br /> FILE ADDRESS <br /> ,. O 11 a Al ❑ ' Unit 1 <br /> i sane .a 31.5 N r ovl ee <br /> a. sa+xc Fc *6 r- Unit 2 <br /> '• sbed <br /> S. sweet o Unit 3 <br /> F, sqvd o <br /> City nit 4 <br /> I <br /> a sit <br /> s. siren a ❑ Unit 5 i <br /> ,Q. sweet <br /> -ENVIRONMENTAL HCALTH DEPARTMENT FILES <br /> -K UNOERGROumo TANK(UsT)CLEANUP sme(LOP) ❑ HOusINGABATEMENT SLSOUO WASH FACILIFY <br /> IS OTHER CLEANUP SITE(MON-LOP) ❑ FOOD FACT 0 SOLID WASTE VEHICLE } <br /> a UNOERrpRoUND TANK(NIONITOftINGIPMMOVAL) lO DOG KENNEL K-DAIRY <br /> Z HAYAROOUS WASTE GENERATOR ❑ CHICKEN RAb CH 1&-PKG TREATMENT PLANT <br /> t] TFt:REO P>=FZMrrT1:D FACILITY L'a MOTEL-MOTE ❑ PW PER TRUCFVYARDICHF-M TOILETS <br /> ':4 TATTOOIBOD•iY PIERCING ❑ POOLISPA CE iLArlio USE APPLICATION SM <br /> 1:3 ME41cAL wASTir FACILr7Y In OTHER(PLEA.SE SPECIFY) <br /> 1. Llst.up to ten addresses in the space above. Sele the typo(s) orfues from the list aboye py checkin <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 208 454-0138 or mail to the y <br /> address.indicated above. <br /> x, EHD will notify the applicant it any EHD files existAn appointment for review will be confirmed � <br /> approximately hoe business days but no later tha i ten (10)days after receipt Of application. The files <br /> will be held for a maximum of five business days or review. Appointments should be scheduled <br /> ii accordingly. <br /> I� 3. A file that is actively being worked on by EHD sta f may not be immediately available for review. A n, <br /> application may be submitted when the file is available, <br /> fif 4, Any file not returned in the same condition as rel aced will be reorganized by EHD staff at the expen <br /> I� or the applicant. Future file reviews by the same ipplicant may require a$93.00 deposit prior to nevi <br /> =TENTATIVE appointment dates must be confirmed with I;HO staff. <br /> B. Applications received after 3:00 pm will.be processed the next business day, <br /> � ONFAF l4lEQ ;al?f?OINTM�N "l]AT�' � ' Y•IIME R'?' ::s - `'.;ux: - :, <br /> 'aATI=•C}ON>+Ii41AED" 'r'�d FAX <br /> RFVIF1rVED YES NO REVIEW DATE.-. . . <br /> i� <br /> I <br />