Laserfiche WebLink
09/04/2062 10:38 2094671118 AGE STOCKTON PAGE 01/01 <br /> UA I Of KXU W VLD .y f''„ - pig L06 Nl MM;t <br /> S.; IQAQUIN COUNTYPUBLIC M L SIERVICES <br /> f ENVIRONMENTAL HEALT , . 1 . <br /> Spa EAST WEBER AVENUE,T <br /> x } <br /> STOCKTON CA 95202 <br /> n° O " _ -3aZo(209) a68 �. <br /> PU PLIC RECORDS RELEASE APPLICATION <br /> lilt <br /> APPLICANT �,CLV!L Lr� USIN�S31AG7=NCYEW <br /> N� � " J o � . <br /> PHO <br /> FNE" U FACSIMILE _ / ~III <br /> 1. j L_F <br /> Oft POIHT7UIENT DATE V 7100E 1219-190 _ 11� 12 AIP <br /> (Please Ive 7 to 1u busin da om da of application submittal) LNVIK <br /> PERMIT <br /> CHECK BOX TO EXPEDITE REQU 7-570,00 E—RERU Q E ED IN 3 BUSINESS DAYS r <br /> SIGNATURE OF APPLICANT DATE <br /> . I <br /> FILE ADDRESS <br /> elfr <br /> 1 i ' 1 .R on 5 7- n <br /> 31q-57SMINAT n ' <br /> �m <br /> lair <br /> k <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER cL.EANuP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE " <br /> UNDERGROUND TANK(MONITORING/REMOVAL.) b DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELtHOTEL 0 PUMPER TRUCKJYARb/CHEM•TOIL T5. <br /> Q TATTOOIBODY PEIRCING ❑ POOLlSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL.WASTE FACILITY 0 PUeUC WATER SYSTEM ❑ OTHER(PLEASE SPVCWY AHOVEJ <br /> 1. gist 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 208 464-0138 or mail tot e <br /> address indicated above. <br /> 2. EMD 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(14) days after-receipt of application. The flies <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 new <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$78.00 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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> Er 00 U COMM - - <br /> i <br />