COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

01/20/2004 09:55 4640138 ENVIRONMENTAL H TH PAGE 01 �—�--� DATE RECE IVED EMU Wu rvuiwocn EUV LSD Er vNIRONME TOAL DEATH DEPARTMENT Now EA0011 304 E Weber Ave 3`d Moor Stockton, CA 95205 JAN 2 468-3420 Fax: (209) 464-0138 Web: vr,,VW.co.san-joaquin.ca-us/ehd 004, W ENVIRONMENT HEALTH pFRnnlTrcrQ1nrI:4Z PUBLIC RECORDS RELEASE APPLICATION APPLICANT: ADDRESS: PHONE: 15 10 -q3 `} v Cr?iDO FACSIMILE: tg(CHECK BOX TO EXPEDITE SIGNATURE OF Time: H: ' 3 (Please allow 10 business days from date of application submittal) :SSED 1 �USINESS DAYS �av►K DATE Tt Ly(�� z, d- UNIT DOnly ❑ Unit 1 ❑ Unit 2 Unit 3 Unit 4 ❑ Unit 5 ENVIRONMENTAL HEALTH DEPARTMENT FILES ,.� 'W UNDERGROUND TANK (UST) CLEANUP SITE (LOP) C1 HOUSING ABATEMENT ❑ SOLID W CIL OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE 1)4 UNDERGROUND TANK (MON ITORINGIREM OVAL) ❑ DOG KENNEL ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILET ❑ TATTOOIBODY PIERCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. 2. EHD will notify the applicant if any END files exist. An appointment for review will be conflrrned approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked an by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. 5. '"TENTATIVE appointment dates must be confirmed with END staff. 6. Applications received after 3:00 pm will be processed the next business d CONFIRMED APPOINTMENTDATE TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE ereaoos JAN 20 2004 10:01 4640138 PAGE. 02 in, Ing �llt-11il1�0 Ur1U�I1I11�/IM1111, - Tt Ly(�� z, d- UNIT DOnly ❑ Unit 1 ❑ Unit 2 Unit 3 Unit 4 ❑ Unit 5 ENVIRONMENTAL HEALTH DEPARTMENT FILES ,.� 'W UNDERGROUND TANK (UST) CLEANUP SITE (LOP) C1 HOUSING ABATEMENT ❑ SOLID W CIL OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE 1)4 UNDERGROUND TANK (MON ITORINGIREM OVAL) ❑ DOG KENNEL ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILET ❑ TATTOOIBODY PIERCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. 2. EHD will notify the applicant if any END files exist. An appointment for review will be conflrrned approximately five business days but no later than ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked an by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. 5. '"TENTATIVE appointment dates must be confirmed with END staff. 6. Applications received after 3:00 pm will be processed the next business d CONFIRMED APPOINTMENTDATE TIME DATE CONFIRMED PHONE FAX INITIALS REVIEWED YES NO REVIEW DATE ereaoos JAN 20 2004 10:01 4640138 PAGE. 02