Laserfiche WebLink
0 • <br /> Aar £0'39Ud -luiol TO 4581800 P.01 <br /> �,-L7-eeni na-JLFPI rFin <br /> nlr l�,"C SAN JOA�UlN COUNTYPUBLIC HEALTH SERVICES <br /> E VIRONMENTAL HEALTH DIVISION <br /> AUG 1 3 2001 3C4 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTtNt CA 95202 <br /> E (209)4GS-3420 <br /> r� PUBLIC;RECORDS RELEASE <br /> ^APPLICATION ' <br /> .APPLICANT BUSINESSIAGENCY <br /> ADDRESS - Ql`� .u\rc� CP. b-)-40b <br /> P.♦opE '�6ao�'S�1ti-�a�4t, FAcsiuuLe � � "` ��'� <br /> T£NTATNE`;APPOINTMENY DOTE TIME <br /> (Pieaea gite 7to 10 6usinoss clZYs tram dam d appGCRtlon submittal} <br /> CHECKeOXTO expED17EREQUEST•Sa7:00 FEE-REQUZSTPROCESSkDIIDBUSINESS DAYS <br /> -SIGNATURE OF APPLICANT , DATE <br /> FTLE ADDRESS' YHLS SWE.EHO STAFF USEONLY <br /> PROGRAM ELEMENTS SEARCH <br /> _'2 t Ott -ooc t�N d a 35a Z <br /> '2\\� �..PtST l�oca\ AV tirtStl <br /> tZ CSL-Lt.9e --rc.�c�e2-c�tv. <br /> Ptl Ec3R>'c -T1�Si�G-u�G Gtr C\n9`f <br /> BCrL tvoQ'ct1 CL�i Lam\ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> U NDERG ROUND TANK(14-1)CLEANUP SITE(LOP) 0 HCUSINGADATr-MENT a SOU15 WASTE PAcaLIrY <br /> OTHER CLEANUP SITE(NOPP4 OF) D FOOD FACILITY Q SOUR WASTE VEHICLE <br /> UNDERGROUND TANK(MNITORINGIREMbVAL) D DOG KENNEL O UAIRY <br /> G HAZARDOUS WACTE GCR8RATOR - ❑ CIRONEN RANCH O PKG TREATMENT PLANT <br /> G TIERED.PERMITTED FACILITY O tdOTEUHOTEL 0 PUMPER TRUCtVYARD1CHE01 TQRETS <br /> 0 TATTOOWDY PEIRCING U POOLSFA ' - a LAND USE APPLICATION SITE$ <br /> c MEDICAL WASTE FACJWTY 0 PUBLIC WATER SYSTEM 6 OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten.addresses in the space above. Select We type($)of tiles from the list above by checking <br /> the appropriate box(es). At feast one file type MUST be selected_ Fax to (209)464-0138 or mail to the <br /> apdross indicated above, <br /> 2. EHD will hotlfy the applicant it any itHP tiles 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 tie scheduled <br /> accordingly. <br /> 3. A tike 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$87.00 deposit prior to rcviow. <br /> 5. "TgNTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be prGeessCd the next business day.. <br /> CONFIRMEDAPPOINTMENT DATE _ TIME <br /> DATE CONFIRMED PHONE FAX INITIALS. <br /> i <br /> RE*iEWED YES NO REVIEW DATE <br /> r:x oa x� a tae TOTAL p.01 <br /> r. rinbrA+-riTC f,l 0.r.+r <br /> nri - 7-IT17-lI"1 N7IIJnu N-I T'-''r" T'.. CT nnH <br />