Laserfiche WebLink
2002 09:06am 0' DRO 15103578053 T-730 P.002/002 F-780 <br /> nt lulN t.VUN I Tt'Uh5L U HkALI H SEHVIGES <br /> ENVIRONMENTAL HEALTH DiVISiON <br /> i '-i I f 16I EAST WEBER AVENUE,THIRD FL03R <br /> STOCKTON CA 9ur02 <br /> (209)468-3420 <br /> PUBIIC RECORDS RELEASEAPP/L/IC'AMN <br /> pA '? LOQ 7 __13USINESSIIA/_G� �K zEHCY /-f-s �el YGR,rr4 P-�!7"YX� <br /> DRESS 0 / <br /> PHX)NE �S Ion a�8- �f�•i-r �PAcLe >o <br /> sianS" s!� �" �y y <br /> TENTATIVE*APvolNruel.Tlla•rE TtuE ' <br /> (PIPA a ir,w//I.r7 to 1Cbtnkwss from dalea nubmillno <br /> CHECK 8 O TO EXPEDITE REOM�fb_ 0 FAAST SSE61B4u i.i5S DAYS / <br /> / SIGNATURE OF APPLICANT �j (.o 4, le' � DATE <br /> ...FUA—AD DR ES'. T1XI HD STAFF OHL <br /> PltocRAif£L6NEHTS SEARCH <br /> �hel� 77T IFt o <br /> e <br /> ENVIRONMENTAL HEALTH DIVISION FILFS <br /> 'P�UNDERGRUUNU TANK(UST)CLEANG P!4n=(LOP) 0 lfOUSIN0 AaATEMENT 0 SOLID WASTE FACILITY <br /> U OTHER CLEAWW SITE(NON-LOP) ❑ FOW PACUM 0 SOLID WA-SU VEHICLE <br /> 0 UMURGRAUNO TANK 06ONtt0RWa RE 111 NAL5 13 DOG KENNEL 0 DAIRY <br /> 13 HAZARDOUS WASTE OENMTOR CI CHICKEN RANCH Cl PKC TREATMENT PLANT <br /> 0 TIERED PERM 11"FACILITY Q E10TELIHOTEL 0 VUUPFK TRUCKNAMCHEN TOILETS <br /> 0 TATTOOMMY PE"t=Q ❑ POOLMPA O LANA USE APPUrATIM SITES <br /> D MEDICAL WASTE FAGILny 0 PUDUC WATER SYSTEa 0 OTHLTa(PLEASE5YEGIFY ASOVEI <br /> 1. List up to ten addre4set in the space above. Select the type(s)of files from the list above by checking <br /> lbe appropriate box(es). AI least one file type MUST be selected. Fag J9(;QM 40-0138 or m9II fo tho <br /> addrg!5--indlcated above:_ <br /> 2_ EHD will notify the app0 mud if any EHD files exist An appointmei tt for review Will be confirmed <br /> approximately rive buxb tei�s days put nv later than tan(10)days after reeaipt of applit2itiam Tho Islas <br /> will be hold for a maximano of five business day$for review. Apptrinbpenta should be scheduled <br /> accordingly_ <br /> 3. A file that is aCtiVeiy bei.19 N erYed on by EHD staff may not be ttm nediately available for review. A new <br /> applicatin"may be subs ail 10�when the file is available. <br /> 4 Any rile not ratumad in :ht:a aura Condition as released will tie reo Vlmixed by EHD staff at the expense <br /> of the applicant Futun fill 1'OYl9ws by the same applicant may require a$89.00 deposit prior to review. <br /> i ''TENTATIVE appointme.tt Matas must be Confirmed with EHD sta). <br /> 6. Applications received alter 3:00 pm will be processed the next but tines day. <br /> CONFIRMED APPOINTMENT 1ATFTIME <br /> EIATE C4sermmpn _ _. PHONE FAX INITIALS <br /> REVIEWED Yrs NO REVIEW DATE <br />