Laserfiche WebLink
Nov• 12. 2002 4 06P CONMQ, EARTH TECHNOLOGIES '` No. 1895 P. 1/1 <br /> OATZ REGEMW EMD LCG mw4aR . <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES 1 fl�r�f <br /> 1 304 EAOTIWEB R AVENUE,THi DI FLOOR f�� L `C' VEE <br /> O� <br /> i � STOGKTON CA 93202 <br /> (209)468-3420 NOV 2 2002 <br /> 'f� <br /> PUBLIC RECORDS RELEASE APPLICATION t_PdV113 N <br /> APPLICANTMI�Fi- MQ1 BIlSINE55/AG1"NICY Callod� 1 l oi•0 C f�FRVICES <br /> ADDRESS -0. Y-W EST-6 _5 f;.s }Vy r6 71:- - <br /> PHONE ?AS— MY _�1 .—_ - - FACSIMILE. �,ol-?3g—a5, e 1 (2I��Cif]I�n <br /> TENTATIVE'APPOINTMFNr DATE TIME <br /> (Ve give 7k(,bRk?EITPR07%-;SEDIN38USMESSDRWIRONME-NT <br /> days m to of application samlltapi <br /> � �"CHECK BOX TO EXPEL} R AILS - .0HEALTH <br /> SIGNATURE OF APPLICAN �- PDEaT�T�SE�RVI z5 <br /> FILE ADDRESS THIS SIDE ERD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCii <br /> 3 od S. CAH F0 <br /> % <br /> ze zxa NAnjli <br /> 3 Su ST.' <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> fZI UNDERGROUND TANK(U37Q CLEANUP SITE(LOP) 0 HOUsiNG ABATF-lMENT SOLID WASTE FACUJTY <br /> OTHER CLEANUP SITE(NON-LOP) ID FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> Pf UNDERGROUND TANK(>MONIrORINGfREMOVAL) Q DOG KENNEL ❑ DAIRY <br /> f� NAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILM ❑ MOTI~LIHOTEL D PUMPER T'RUCK[YARINCHE M TOILEM <br /> ❑ TATTOOIBODY PEIRCING Q POOL/SPA a LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <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 MAST be selected. pax to{209) 464-0138 or mail to the <br /> addresE indcat24 a ove. <br /> 2. EHD will notify the applicant if any EHD Eales exist. An appointment for review will be confirmed <br /> approximately five business days but no later than tern (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 file 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 rile 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 review. <br /> 5. *'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> L:ONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED"� __ PHONE FAX INITIALS <br /> 1 <br />