Laserfiche WebLink
UATt RECr-tweg <br /> Oil)Lvq HVMSEN <br /> P.AN;.J0Ar'--IN COUNTYPUBLIC HEALTH SER'"-'ES <br /> Ef�,wfRONMENTAL HEALTH D11,1SION <br /> 304 EAST WEBER AVENUE,THIMO 11,0OR <br /> APR 0 3 2003 STOCKTON CA 95202 <br /> (209)468-3420 <br /> i-AVIRONMEN) fifPUBLIC RECORDS RELEASE'AF'PLICATION <br /> j <br /> APPLICANT <br /> L-Axkib 00 BU31Nr!S$/Ar5ENCY EA) <br /> 66 <br /> ADDRESS jr aL Lt-1-19. <br /> -Ch q 0 L4 <br /> FACSIMILE <br /> JS 2-2 2-0?.9 <br /> TENTATIVE.AP-'OINTMENT DATETIME a2i <br /> (Please give 7 to 10 business days-from data o1 app11s:20on submittal) <br /> HECK BOX TO EXPEDIT-REQUEST-$89.00 FP-1E-REQUEST PROCESSED IN 3 101.15INESS DAYS <br /> SIGNATURE OF APPLICANT DATE (4-S-17- <br /> =iLE ADDRESS 'fH-1331DE CHEI STAFF USE ONLY <br /> PROGRAM ELEME14TS SEARCH <br /> aj4r—L, <br /> ilia 1)&"u <br /> .% <br /> "&T- 11rh <br /> IQ 3!A Pc3ar="6t zi'-rl <br /> in ST'll cekn 0g��a- <br /> ENVIRONMENTAL WEALTH DIVISION FILES <br /> 7,11 UNDVRGROUND TANK(US")CLEANUP SITE(LOP) 0 HOUSING A8A1-EMF-NT 0 SOLIII WASTE FACILITY0 OTHER CLEANUP SJTEI(No q-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK�(MO 141TORINGfR]EMOVAL) 0 DOG KENNEL E3 DAIRY <br /> /101\HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 PKG TREATMENT FILANT:L <br /> 173 TIERED PERMITTED FAC)LI rY 0 MOTEUMOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTCOISODY PEIRCING 0 POOLISPA. 0 LANK)USR APPLICATION SITES <br /> 0 MEDICAL wAsTE r-ACiLiTy 0 0 OTHER(PLEASE 9111ILCIFY ABOVE) <br /> 1 List up to ten addresses in the space above. Select the type(S I of filer,from the list above by checking <br /> the appropriate box(as). At least one file type MUST be selectiod. Far tojAg2jr mail to the <br /> _>4-0138 or <br /> address Indicated above. <br /> 2. EHD will notify :he applicant if any EHD files exist An appolill:ment for review will be confirmed <br /> approximately live business days but no later than ten(10)dabs after receipt of apPlic-atic.n. The files <br /> will be hold for A maximum of five business days for review. Appointments should be sch.edul4id <br /> accordingly. <br /> 3. A file that ls�-acllvely being worked on by EHD staff may not tot,Immediately available ' <br /> application maybe submitted when the file is available. <br /> 4. Any rile not�rettirnad in the same condition as released will be reorganized by E <br /> HD !0UM14ft, omw <br /> '!lor to review. <br /> afthe applic:ani. Future rile reviews by the same applicant may require a $89.00 deposit p;r <br /> 5. TENTATIVE aFpoIntmqnt dates must be confirmed with CHO uta". <br /> 6. Applications re aeived after 3-00 pm will be processed the new:business day. <br /> W—Y <br /> CONFIRMED APPOIN—MENT DATE TIME <br /> DATE CONFIRMED I PHONE FAX IP11TIALS <br /> REVIEWED .yj--s NO REVIEW DATE <br /> yea <br /> 04/03/03 THU 13:20 [TX/RX t40 9602) [M002 <br />