Laserfiche WebLink
AUU, 11. M4 4:4UNIN ",)NUUH EAR I H J ECH ., - _ NO. 6355 P. 1 J <br /> DATE RECENED I <br /> 2 SAN JOAQUIN COUN'Ty Erin LOG NUMeER <br /> EWMONMENTAL HEALTH DE <br /> PART'►IENT <br /> 304 E Weber Ave 3'Floor Stockton, CA 95205 <br /> AUG 2.7 Z09k)468-3420 Fax; (209)464-0138 Web: www.co.san;joaquin,ca.uslehd <br /> `W-IN-V HEALTH PUBLIC RECORDS RELEASE <br /> APPLICATION <br /> 13USINESSIAGENCY: -7Y J;L-7;L -s -TvcC. <br /> ADDRESS: a C5 4CAQ(o <br /> PHONE: g,b - Z3 FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: IO tr 2DDa Time.-6;30 AM <br /> k <br /> (Please allow 10 business days from data of application submittal) � <br /> CHECK BOX To EXpEojir;REQUEST-583.00 FEE-RE EST PR qCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE z.� O <br /> I7epartme Use Only <br /> I:ILE ADDRESS LL UNIT <br /> Sires[ lid to. •K Gl TP4� <br /> z S g S�!�( �,� �3r~ o /I E ❑ Unit 1 <br /> q- TOY <br /> SD— a < 1 n ❑ Unlit2 -7� '� <br /> S.V790 <br /> �JcJ/ /� Gl �J� �/1 ?4S L J <br /> -��..� X Unit 3 \ <br /> 6. P fJ4, c�.: ?'�'.r'G ' <br /> 72_ � Ca v�; a 4C5 m Unit4} D <br /> � CR 0. ❑ Unit 5 <br /> ,�. sneer lkk5 acte- . <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUPSITE(LOP) d HOUSING ABATEMENT SOLID WASTE FACILITY � <br /> OTHER CLEANUP SITE(NON-LOP) Cl FOOD FACILITY SOLID WASTE VEHICLE <br /> IXUNDERGROUND TANK(MONITORINGIREMovAL) ❑ 1100 KENNEL 9DAIRY <br /> HAZARDOUS WASTE GENERATOR O'CHIMN RANCH Cy AI4G TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MO71=11HQTEL ❑ PUMPER TRUCKIYARDICHEM TOILET$ <br /> 13 TAT OOISODY PIERCING _ 0-POOLISPA-------=-•----------- a--LAND USE-APPLICATION-SITES'- <br /> 0 MEDICAL,WASTE FACILITY t3 OTHER(PLEASE SPi;CIFY) ) <br /> 9. List 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 209 464-0938 or mail to the p <br /> address indicated above. <br /> 2. EHD 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(10)days after receipt of application. The files <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 flie not returned in the same conditlon 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$93.00 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 /> • p <br /> 01 <br /> MA <br /> . , �, 1 ;•r„f i• i'1�.1�� 2:' S -`^',1N_'� �1,� ,�4.' •�'• •''f'1� <br /> dl01Z003 <br /> Y <br /> I <br />