Laserfiche WebLink
0EMWE t'-?/ <br /> �"` �H1�4oc:uu*luG�l <br /> SAN JOAQUIN COUNTYP'UBLIC HEALTH SERVICES <br /> JAI 0.2 2007 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST'Wiw191=Iti AVZN'UC,THIRD FLOOR <br /> ENVIRONMENT HEALTH STOCKTON CA 95202 <br /> PERMIT/SERVICES (209) 463-3420 Z(o74/ <br /> PUBLIC RECOPW RFLEABF— APPLICATION <br /> APPLICANT c` r'iz dy GUSINESSIAGENCY UY1�V ti " <br /> � 9 9 <br /> ADDRESS � 1 <br /> `PRONr Z FACSitAILL q7�S <br /> TENTATIVE,APPOINTMENT DATE i 1 �a-7 TIME 910of' ' <br /> (Pica:- givo 7 to 10 bUSIonkis dsys Item onto of appllcaUvn.ubmllini) <br /> CHECK Dox Tp cxp5nmiz RGOUE�VT•$09.00 FEE—RCpttI:ST PROCESSED IN a BUSINESS DAYS <br /> *SIGNATURE OF APPLICANT _4r DATE <br /> FELE ADDRVS$ THIS SINE Elia ST AFK US12 qLy <br /> PROGRAM ELEMENTS SCAR H <br /> 5 I � IY1 1./n✓ r ;I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 5/ NOERGROUHb TANK(U51)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT W SOLID WASTE FAC <br /> L$' T�rR Ct,EnNUP SITE(NON-LOP) ❑ FDOU FACILITY D SOLID WASTE VEHICLE <br /> R`'�Tj�IJOERG>xOUF20 TANK(M0t11TaRIKGlE2) SM1OV/U I Cl DOG KENNEL- 0 DAIRY <br /> WHAZARMLIS WASTE GENERATOR CHICKEN RJWCN f� ru TREATMENT ARDPLAI't <br /> =RED PERMMED FACILITY C1 MOTEUHOTEL � DANDER C APPLICATION <br /> SIT rO�I I-s <br /> t7 TAT'TOOMODY PEIRCING Ct POOUSP'A a OTHLANER <br /> USP:EASFI5ATidN Saes <br /> D MEDICAL WASTE FACILITY A I�THER(i'I Et156 SPCCIFY AI30VE) <br /> 1. Ust up to tan addressas In the Spa= above. Select the type(s) of files from the list above by checking <br /> the appropriate boix(es). At least onu file type MUST be selected. Fax to (209)464.0138 or Inai) tO.the <br /> aiddrass indicated above. <br /> 2, EHD will notify the appficartf if any FHd files exist. An appointment for ruview will be confirmed <br /> approximately five business days but no latorthan ton.(10)days aershou dpli scheduled on, The riles les <br /> will be hold for a maximum of five buslnuSS days for review. Appointment-, <br /> accordingly. <br /> 3, A file lhat,l5,actively baing worked on by EHO staff may not be immediately available For review. Anew <br /> applic.atlon may be.submitted when the fiila is avallable. <br /> 4. Any flla not returned in the same condition as releasad will be roorganlzed by ErHD staff at the exponsc <br /> of the applicant. Future file raviows by the same applicant may require a $89.00 dop❑sit prior to review. <br /> g_ *TE=NTATIVE appointment dates must be confirmed with EHD Staff. <br /> 6, Appiiaations received after 3-OD pm will be processed the next business day- <br /> CONFIRMED APPOINTMENT DATE, TIME <br /> nATI_CONFIRMED ___ PHONE FAY, INITIALS <br /> REVIEWED YET NO REVIEW DA'T'A <br /> 1.nnr T� <br /> ZO 39VJ LV8Z86L0LEL 29:60 L00Z/60/10 <br />