Laserfiche WebLink
0 <br />03/0/2005 11:05 FAX 209 9480621 00.2 <br />DAM LgL(PIE � �gj [ 7C-, <br />q r)� / COUNTY <br />L w kc, 1L)) SANJO VJ[N <br />ENymoNwImNTAL HF,,ALTu JAPARTIVIENT <br />MM, 3 2005 304 E Weber -Ave P Floor Stockton, CA 95205 <br />ENVIRINMENTRMA8-3420 Fax; (209) 464-0138 Web: NvWNv.co-M-joaquin.Ca-uS/6hd <br />PERMIT/SERVICES <br />pUBLIC RECORDS RRLEASE APPLICAUON <br />APPLICANT; BUSINESSIAGENCY. <br />(A <br />ADDRESS: 2q7< ;6jls-%E AittL-SWA <br />PHONE. <br />—FACSIMILE: <br />TENTATIVE' APP61NTMENT DATE� Tim, <br />JPI-aase allow 10 tltmine--�sclays from clate of applb;ation submittal) <br />11 CHECK BOX TO EXP.EDrrE REQUEST - $93.00 FEE — REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT 2 uu— FATE L-./ Department Lisa Only <br />-ENVIRONMENTAL 14EALTH OF-PARTMENT FILES <br />� 11 1�111 <br />C1 Unit I <br />.49f000'Unit 2 <br />opr000bnit 3 <br />Unit 4 <br />❑ Unit 5 <br />UNDERGROUND TANK (UST) CLEANUP srm (Lop) 0 HOUSING ABATEMENT UL SQLJD WASTE FACILITY <br />OTHER CLEANUP Sa'E (HON -LOP) 0 FOOD FACILITY C3 sOLioWAsTE!VEHICLE <br />M UNDERGROUND TANK (MONrroRiNGiRF-movAL) E3 DOG KENNEL 11L DAJRY <br />Z OUS WASTE GENERATOR OR <br />11 CHICKEN RANCH ELPK(3 TREATMENT PLANT <br />HAZARD <br />[3 TIERED PERMITTED FACILITY 0 MOTEZLJHOTEL 13 PUMPER TRUCKJYARDICKEM TOILETS <br />10 TATTOOISOOY PIERCING 0 POOLISPA M LAND USE AF pucA'nom sn7es <br />0 MEDICAL WASTE FACILM 0 OTHER (PLEA . SF- SpeclFr) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list *above by checkin#ftAft <br />the appropriate box(es). At least one - file type MUST be Selected. FAX to (209) 464 1139 or mail to the <br />address, indicated above. <br />2- EHO will notify the applicant it 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 fifes <br />will be held for a maximum of five.business days for review. Appointments should be scheduled <br />accordingly. review. A nes <br />3. A file that is actively being worked an by EHD staff may not be immediately available for <br />application may be submitted when the file is available. staff at the expense <br />4. Any rile not returned In the same condition as released will be reorganized by EHD <br />of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to revieN <br />5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications re . ceived after 3-,0a pm will be processed the next business day. <br />- 4t. C-& <br />REVIEWED <br />EH -0 49-04dd <br />RIPPIAM <br />IRMED <br />YES NO <br />FAX <br />REVIEW DATE <br />