Laserfiche WebLink
- i <br /> FROM NOR Environmental PHONE NO. : 209 369 4228 Sep. 18 2003 08:28AN P2 <br /> / �[ ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> SEP 1 8 2003 STCCKTON CA 95202 <br /> 9 <br /> UAI_IH PUBLIC RECORDS RELEASE AP <br /> F`rRi'. 1T/SF-RVJc . PLICATI < <br /> APPLICANT �) 02cJ J _„ <br /> BUSINESS/AGENCY )� <br /> ADDRESS <br /> PHONE F'S 'X-7-3701 �G! — <br /> FACSIMIL,E ZA9 <br /> TENTATIVE'APPOINTMENT DATE ZL b 3 ,,ma�yy <br /> TIME <br /> (Please give 7 to 10 9_ Ut✓'a _w� ' <br /> business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-3gq.p1LFEE f 3 <br /> � _ QUEST PROCESSED 1N 3 BUSINESS GAYS <br /> SIGNATURE OF APPLICANT rte- <br /> DATEIZL /zo <br /> FILE ADDRESS <br /> THIS SIDE EHD STAFF USE ONLY i <br /> PROGRAM ELEMENTS SEARCH <br /> ------------------ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 6t"OTHER CLEANUP SITE(NON4-OP) 13 FOOD FACILITY <br /> 9'UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ SOLID WASTE VEHICLE <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RAMC}{ DAIRY <br /> ❑ TIERED PERMITTED FACILITY PKC3 TREATMENT PLANT <br /> ❑ TATTOOIBODY PEIRCING ❑ M07EiJHOTEL 13 PUMPER TRUCWYARDICHEM TOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by cheC.kin <br /> the appropriate box(es). At least one file type MUST be selected_ Fax to (209) 464-0138 or mail to the <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 ffle! <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 ni <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 expen. <br /> 5, <br /> of the applicant. Future file reviews by the Same applicant may require a $89.00 deposit prior to revle <br /> 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. 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 /> ZEVtEWEU —YES--- NO REVIEW DATE <br />