Laserfiche WebLink
Ir ��i SAN--.AQUIN COUNTYPUBLIC HEALTH bwAviCES +moo we Nub N <br /> (. \�/ EKYiR0NMEN <br /> TAI~ NUE, TH DMStQId `2 /) <br /> NO U�1 5 2000 304 EAST WEBER AVFJVLTE.TFitRD FLOOR l <br /> STOCKTON CA 952o2 <br /> ENVIRONMENT HEALTH PUBLIC R�CQR,[�S������� ��, lC� ra <br /> PER d T/SER'I <br /> PAurANT 0`C <br /> ¢� <br /> BUSIN$SS/AGENCY � <br /> 111DDFiE55 8w L►S V A ` <br /> I 4-1 <br /> z 6 <br /> �FA/G51pA1LE <br /> TENTAI')VE`APPOItYrArlENT AAl 13 f" ' tz TIME <br /> (pleas*give 7 to to bkOsir)"A days from OAR of yppucatlon subrrattel) <br /> CHECK BOX To EXBEOYTE)REQUEST' OCESSED IN 3 tauSRvE9S QA r5 <br /> SIGNATORE OF APPLICANT DATE +✓4 <br /> PILEADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SUkRCH <br /> Q I OL. 9-5-,)--7 - <br /> c <br /> �/ ENVIR MENTAL HEALTH DIVISION FILES <br /> 13� NDERGROUND TANK(USTI CLEANUP SITE(LOPJ 0 HOUZI IG ABATEMENT 13 SOLD WASTE FACILITY <br /> P OTHER CLEANUP SITE(NoN-LOp) 0 FOOD FACtU7Y 0 SOLD WASTE VE111CLE <br /> O UNDERGROUND TANK(MONIT13RINUIREMOVA1•) 0 DOG KENNEL 0 FAIRY <br /> �DOU.4 WA517E Cil lE1tAT017 O CHICIMN RANCH G PLCO TRPATMEWrPLANT <br /> Tlt?ftEDPEtZMIl'1EBFAC11f7Y 0 MOT6QHQTEL ❑ PUMPER TRUCKMARMHEM'FORETS <br /> n TAT7gorsvoY PEIRClHt3 ❑ J dO"PA • •' C1 LAND USE APPLICATION SITES <br /> q MEDICAL WASTE PACtLITY '❑ PUPLIC WATER SYsTEa1 ❑ OTH&R(PLEAS)•_SPl'CiFYABO4E) <br /> '�. t,Ist up too ton addresses in the space above. Select the•type(S) of files from the 11st above by checking <br /> the appropriate bOX(ez). At least one rile type MUST be selected, Fax To(209)464-0138 4r all to the <br /> ;address indicated above <br /> 2. EHD will notify the applicant if any EHD files exist. Art appointment for review will be confirmed <br /> approximately flue burliness days but no later than,ton(10)days after f6wipt of application.-The files <br /> Will Ise held for a maximum of five business days fcr reviaw. Aypolntmernts should be scheduled <br /> accordingly, <br /> 3. A file that iv actively being worked on by EHD staff may not.be imrrledlaltely available for review. Anew <br /> application may be submitted when the fife is available. <br /> 4. Any file not returned in tha Sam condition as released will be reorganized by EHD staff at the expanse <br /> of the applicant. Future file reviews by the same applicant may require a$87,00 deposit prior to nevi s <br /> S- 'TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3:40 pm will be proCesaed the next business day. <br /> I • <br /> OONFIRMED APPowwENT BATE TIME <br /> DATE CON FIRMED PHONE PAXINITIALS <br /> 6EVIEWED YES No REv1Ew bA7r: <br /> eK a +� a foo <br /> TOTFL P,01 <br />