Laserfiche WebLink
P. <br /> 25 02 08: 46a l' RAGE 01 <br /> 06/25/2002 98:25 1138 N LRONMEffCA' =ACTH <br /> Fr♦G OG NUAmER <br /> f AN JO OUNTYPUBh1C HEAL H'SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ��" <br /> / ~ 304 EAST�WEBER AVENUE,THIRD FLOOR <br /> ! STOCKTON CA 95202 <br /> (209)46&3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT A k fft IC /?da 11 _BUSINESSIAGENCY <br /> ADDRESS LZSS v _ ' v i 1-70 Ph �� 3 <br /> PHONE <br /> TENTATIVE"APPOINTMENT DA-M � �`�h TIME <br /> ' (Plrtssa lvo TO hu s days f d><ta ppllt415S <br /> suhmltlaq <br /> oot UESTPROCL�St,�BfBAYS <br /> CHECK BOX TO ExPE0r1'E REQUEST=589. REO <br /> SIGNATURE OF APPLICANT (s'- L DATE <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PRGGRA91 ELEMENTS SEARQU <br /> Luc RA. LjcVJti,J 'CA <br /> lZ 41 Is,11 C Luc Fly. I_u c <br /> t <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> rr N UNDERGROUND TANK(UST)CLEANUP SITE(LAP) 13 HOUSING ABATEMENT 97 SOLID WASTE FACILITY <br /> 0 OTHER CLE=ANUP SITE(HON-LOP) .0 FOOD FACILITY E3 SOLID WASTE VEKICLI <br /> 12 UNDERGROUND TANK(MONITORINGIREMOVA13 -0 DOG KENNEL 0 DAIRY <br /> t 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 91 TKAE13 PERmrffro FACILITY ❑ MOTE LiHOTEL CI PUMPER TRUCK/YARDICHEM TOkLETS <br /> 0 TATTOOIBODY PEIRCM G 0 POOLISPA ■ LAND USE APPLICATION SITES <br /> 13 1r1EDICAL WASTE FACILITY . 0 PUBLIC WATER SYSTEM 0 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 checking. <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 of mail to the <br /> address Indicated above. <br /> 2. EHD will notify the applicant if any EHD Liles 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 busindss days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by E"D staff may not be immediately available for rdvin A new <br /> application may be submitted�when the file is ava€table. <br /> 4. Any file not feturned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by tho same applicant may require a 389.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD Staff, <br /> 6. Applications race lved after 3:60 pm will be processed the next business day.. <br /> CONFIRMED APPOINTMENT DATE. TIME ` <br /> DATE CONFIRMED _ PHONE FAX -INITIALS <br /> REVIEWED YES NO J REVIEW DATE <br /> r <br />