Laserfiche WebLink
A& 11. 'M4 4':40F i . 'u-INUUK EAR K I ECH -NO. 6355 P. 1 t� <br /> DATE RECEIVED SAN JOAQUIN COUNTY E}tD LOG NUIVIB£R <br /> a <br /> E, J ENVIRONMENTAL HEALTH D AREP TmzNT <br /> n 304 E Weber Ave 3'Floor <br /> Stockton, CA 95205 <br /> AUG 2-7 209t9)4683420 Fax; (209)464-0138 Web: www.co.san joaquin,ca.us/ehd <br /> � ppFRR yfi+ltEly� ti�AL�H PUBLIC RECORDS it�LEASE A.PPx.IC,A'�'YON <br /> fIPALlCANT; 4.rr f!.lC.� L�.¢S DUSINESSIAGENGY: �!{h �UJtR•e�a i�5 �vrC. <br /> ADDRESS: a a <br /> PHONE: O — Z3 1051$ FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: /0 <br /> (Please allow 10 business days from data of application submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST-$93.00 FEI:_RE EST PR ESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PATE B y D <br /> 4artme Use Only <br /> FILEADDRESS LL f UNrr <br /> i, sn31 1A A'4 9 •K Gl TP46C © Unit t <br /> s. S 25I J �,".= G� u ❑ Unit 2 = <br /> 5. SA If <br /> ,.,. Unit 3 <br /> 7. s t �o .L Co v^n _ rpt flC5 _ Unit'4 - <br /> a sum <br /> a S�� ci 0. p Unit 5 <br /> 10. S-1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY i <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITYSOLID WASTE VEHICLE <br /> TK UNDERGROUND TANK(MONrrORINGIREMOYAL) ❑ DOG KENNEL DAIRY <br /> ";K HAZARDOUS WASTE GENERATOR O CHICKEN RANCH A PKG TREATMENT PLANT <br /> ,19-TIERED PERMITTED FACILITY !O MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> 13 TATTOO/BODY PIERCING ❑_PODUSPA-- ----- -- l7-LANp USE APPLICATION Srft~S T- "-- <br /> 0 MEDICAL WASTE FAGII•.ITY b OTHER(PLEASE SPECIFY] <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 1209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files 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 be scheduled <br /> accordingly. <br /> 3. A flle 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$93,00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> A#' "1rf3I+iFi13M�r+�■ <br /> 4. <br /> .� <br /> ,. <br /> Q 48-02-0U6 <br /> dl8 im <br /> I' <br />