Laserfiche WebLink
�Cjpl1"L/Vuc <br /> 02/22/2005 13:08 FAX 209 948062~-:A--- t <br /> c�ivi=o SAN SOAQTi,3IN COUNTY <br /> Ei r4laRONMZN'rALREAx,TH DEPAYTMENT ' <br /> 304 V,Weber'Axe 3'd Floor Stockton,CA 95205 <br /> 46&34?0'Fac: (209) 464-0138 W6.-www.ca.saa jaaquin.ca..uslehd <br /> 2 2 2005 PUBLIC'-RECORDS RELEASE APPLYCATI i <br /> E <br /> p� r - at�sucfssrAicY: <br /> CA <br /> FACSIMILE: <br /> PHONE: <br /> Time: <br /> TENTAT `APPOINTMENT DATE: <br /> i� l '. <br /> (pleme allow i a busine=days frau data.of appCr�#ion su6milla0 <br /> D CI•IECK DOXTO WEDn'E pEQtIEST-593.04 FEE—REQUEST PROCESSEp Qd a t US11IESS DAYS <br /> PATE <br /> SIGNATUP.E OF APPLICANT --_ - Q.Da List Only <br /> UNIT <br /> FILE ADDIt>=5S <br /> ❑ Unit 1 <br /> Q;#- o ,, Unit 2 ' <br /> k% <br /> aAirXp K0 a <br /> a U[iit 3 .j �•, <br /> e. swser Unit 4 <br /> G <br /> 7. sneer <br /> e. s3re�; ❑ Unit 5 <br /> ie. 5t,ed ��� <br /> ENVIRONMENTAL HEALTH DEPARTMENT Fibs . <br /> UP SrM(UDP} ❑ FIOUSIFLG ABATEMENT SL SOLID WASTE 1r 11C <br /> UNDERGRQUND TANK(UST)CLEM D Ho FAIGI.AT 13 SOLID WASTE YlrI KAZ <br /> OTHER CLEMUP SITE(NON-LOM p DOG KERNEL. DAIRYa uNDERGROUND TANK(MONITORINGMIn YAL) ,o CHICKEN RANCH 19-PKC TREATMORT PLAW7 <br /> :JD HAZARpoll WASTE GCNERATOR O MOMLIKITEL o PUMPEGi•IE <br /> ItTRUCK"ARD) MTOILE7rS <br /> ❑ T1EREO Ps~W rITED FACILITY AI <br /> POOLJSPA M LD USE APPLICAnoN SITES <br /> O TATTOOMQFIY PIED-CJNG ❑nOTHER(PLEASE SPEC <br /> a MEoIC.A3-1nra9TE FACILITY <br /> List up t4 ten addresses in the spacE above. Select the type(s)of files from the list above by Ghecking <br /> the appropriate box(es). At least one file type MUST be selected. mail to the . <br /> address indicated above. - r review will be confirmed <br /> olrltment for _ <br /> �. EHQ will notify the appficaltt if any EHD files exist, An {p� � P 1:Cation. The filen <br /> approxiMately i"Ive brlsinol days but no later than ten 10 da after receipt of 2tpP <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 immediildately avable for review. A nev . <br /> -application may be submitted when the file is available. ertsc <br /> 4, Any file not retumed in the same Condition an released Will be reorganized by EHD staff at the exp <br /> Of the applicant. Future file reviews by the same applioant may require a$93.00 deposit prior to reviev <br /> 5. 'TENTATIVE appointment dates must be confrna0d with EHD staff. <br /> 6. Allons recelved after 3:04 pm will be processed the next business day. <br /> r�AT <br /> IRMD; i�lEM'i • 'LMENPO1NI DE QF"NbNE EpyE� MpREVIEWATE' <br /> .,wr�� <br />