Laserfiche WebLink
gmr"1;77ELDI <br /> AEI CONSULTANTS- SF< ) " �PAGE _:01. <br /> SAN JOAQM COUNT <br /> EHD LOG NUMt3Ef <br /> ENVIRONMENTAL,HEALTH DEPARTWNT <br /> SEP 0 9 2004 304 E Weber Ave 3 Floor Stockton, CA 95205. <br /> (2TH,39)468-3420 Fax: (209)464-0138 Web: <br /> ENVIRONMENT HEALwww_co_sau Joaquin ca us/ehd <br /> PERMITISERVIGES PUBLIC RECORDS RELEASE APPLICA.MN <br /> APPLICANT: V1V1 SYY1t�� BUSINESS/AGENCY: E C YAW- a4c � <br /> ADDRESS: b („aY(lino Cela 1n �� 2o'D WaInJ Crete (-A <br /> PHONE a )a i;.3 aau C) FACSIMILE; q d5 as-,4 al a1 <br /> a q,pU S/n,� TENTATIVE"APPOINTMENT DATE:4*0 <br /> (I/, = Time <br /> n <br /> 6'C� C (Please allow 10 business days from date of application submittal) <br /> t:H� i f-y-PCJA e, f12 b, go <br /> &3BUtS2 - ,howK BOX TO EXPEDITE REgUEST ;93.00 FEEQUESROCESSEINt SS> A1rS <br /> SIGNATURE OF APPLICANT L"L DATE <br /> -qgtt3 <br /> Department Use Only <br /> FILE ADDRESS UNrr <br /> 1. city S (7 [] Unit 1 <br /> i. shoe 3co 5'a E, c, e k a " <br /> s. sweet 4iarlac, s ?: <br /> 4 a '' tit tZ A ES Unit2 J <br /> n <br /> 5. si,.t r -WMkA N. City-- Unit 3 <br /> r. street 5y'lp f\i. 1� a �' Uy"f CS Unit <br /> e, s 0 <br /> 9?' _suaet <br /> atyUnit 5 <br /> 10. Street d - <br /> ENVIRONMENTAL HEALTH DEPARTMENT"FILES - <br /> UNDERGROUND TANK(US1)CLEANUP SITE(LOP) HOUSING ABATEMENT P<SOUD WASTE FAG ' <br /> �.OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEH E <br /> UNDERGROUND TANK(MONrroPJNGJREMOVAL) Ll 000 KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMWME)FACILITY ❑ MOTELIHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOOJHODY PIERCING ❑ POOLISPA LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑ 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(209)46470138 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 file that is actively being worked on by EHD staff may not be Immediately available for review. A nem <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 reviem <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 p'm will be processed the next business day. <br /> -CONFIRMED APPQINTMENT DATE - ;TIME Q <br /> . DATE CONFIRMED--::­:'. 'PH6114E.. .'FAX-- INITIALS: : <br /> REVIEWED -,:...-,..-YES NO REVIEW DATE <br /> • EHD 48-0S-0Q6 . <br />