Laserfiche WebLink
86/27/2003 13:22 e3133`-- '--133 MARGO MACKEY PAGE 01 <br /> is <br /> 08127/2003 13:31 4644-„,. �) <br /> ENVIRQNINE1uTAL t° TH FAGS 01 <br /> GATE RECEIVED �r-* tnu►w r.,n..r.. <br /> i SAN JOAQUmr COUNTY ;E <br /> �iV EIV, jCNv to M.E:vTAL HEALTH)DEPARTMErtT <br /> 304 E Weber Ave 3`4 Floor Stockton,CA 95205 <br /> AUG 2 7 Z003(2Og)4613-3420 Fax: (209) 4640138 Web:www.co;sart jaac;uin.ca.usrGt�u t <br /> ENVIRONMENT HEALTH PU]BLIC.RECORDS RELEASE ,APPLICATM11 <br /> PE L <br /> BUSt7df:S3lAitBNCY: ���' tin �-'•,roi1 D �F'••. fa.5 <br /> APPLICANT: M01 <br /> I <br /> PHONE- $3i^335` lSv3 FACSIMILP: <br /> TENTATNI?AP>'O NTIytFNT DATE: Tarte: f <br /> (Plaaae allow 10 business days tram date of appitrution submlttAq f <br /> © CHECK 64OX TO EXPEDITE REQUEST-S93.Q0 FE@-REQUEST VROCESSE0 IN 3 IbUSINUV$DAYS �1 �3 <br /> SIGNATURE()F:APPLJCANT HATE "1 <br /> DQpar>�ntlUll CMIY <br /> VwfT <br /> FILE ADDRESS <br /> G p Unit'I <br /> i st� I <br /> L SleetUnit <br /> G i <br /> 4 Unit 3 <br /> I <br /> e. sv.a Unit 4 <br /> eel _ Unit 5 <br /> o <br /> ENYIRaNfAENTAL.HEALTH OF-pARTMENT FILES <br /> [] rlQuenNG ABATEMENT t2'sOiID WATM FACILITY <br /> An <br /> ¢I UNDERGROUND TK(1ST)CLEANUP SITE{LOP) ;5 3OLI0 WASl'E VEHICLE <br /> OTFIER CLBl�H4P BITE(NON-LOP} C7 7rt?OD FAC[1.rrY <br /> ) NNOItlEA7NENTPLANT <br /> UN09RQROVNDTANK(M0HlTQRIICraEMOVALp mucKEN RANCH <br /> g PvmpaK TRUCK/YAlialCHSM TDILETS l <br /> 1P HA7AROOU$WASTE C7VNERATOJ!, C7 MOTEUHO*EL LAF>O tJBE AppU(;AT1oN SITES <br /> 5j -nEREo PrR7ArrTEt7 FACILITY in MOUS12A , <br /> Cj TATT0QrD0DY PIERCING p OVER(PLEA9fi$PF9Ct ) <br /> � MEDICAL WASTE FACIL1'iY b Checking I <br /> �. List up to ten addresses In then space►above. Select the types}of Flees frorn tris list aboYe- Y <br /> the aflproprlaty box{es)- 3S or mall to the <br /> At least One film type MUST. a selected. <br /> g - <br /> I <br /> Address Indirat4o3C <br /> 2. Etta will notify the applicant if any EHO flles exist- An appointment forrevie Ipt Of bl�clconfirmed h•�1e6 } <br /> approximatQIY%f0 bVsina5S days but no later than ten t10}days atin lnetttsl hnitld be sc(aeduled <br /> will be hall for a rn2)dmum 01 five l�usinam7t days for review. Apps <br /> 4kccordingly. <br /> 3, A file that la'actively 6elnN Worked on by P-1-10 staff may s>at be1lmmedlateiy avaliebl�for review, Anew i <br /> application ttlaybe submitted when the flle i3 available. 1 <br /> filo not returned in the flame condition alis released will be reorga:nl�a d93 00 depo i prim to rovlow. <br /> 4. Any ) <br /> of the appiicent. future file rev <br /> ielua bar the aaime applicant may require <br /> 5. 'fENTATTVE appointment dates must be confirmed with SHO step. <br /> ti- Applications rBCeiVod after 3:00 pm will be processed the next business day. <br /> TIME <br /> CONFIRMED APPO NTMI=NT Dorm <br /> PHONE FAX INITIALS .�.-.. <br /> DATE co�11=IRMEn ..�—.-� <br /> REVIZVVEU YES Na REVIEW DATE <br /> o.+~wWO k <br /> uman S i <br /> i <br /> i <br /> t <br />