Laserfiche WebLink
� —_ � �Fa40136 rrvv sr<ura�, , �� ,•.�� .: . <br />•, fr4p� I,cu: uteµUCa <br />SAWN JOAQUIN COUNTYPUBLIC HEALTH SERVICES � <br />JAN 02 2007 ENVIRONMENTAL HEALTH DIVISION Aft <br />304 EAST WEEER AVENUL, THIRD FLOOR <br />ENVIRONMENT HEALTH STOCKTON CA 95202 <br />PERMIT/SEVICES (x09) 488-3420 <br />(ip 0%4/ <br />PUBLIC RECOP.DS RELEASE APPLICATION <br />AFPUCANT 6Y -C i:a BUSINESSIAGENCY � Sy <br />ADDRESS Z� G1 ) )� e �% � 9 9 <br />PRC►HE 00 FAGSiMILE �7/215, <br />TENTNTIVE" APPOINTUC NT DATE I /��� TIME <br />(Pleavo give 7 Its 10 bUS(hutra days from 040 of appllrAtIon <br />0 CHECK 00' X* <br />TO EXP9DrM REQUEST' • W1.00 FEE — REQUEST PR0: MEO IN 3 BUSINESS DAYS <br />*SIGNATUR5 OF APPLICANT <br />ENVIRONMENTAL. HEALTH DMSION FILES <br />M /_UNOERGitOUNb TAN*( (UST) CLUANUP SrTtE (LOP) <br />rat Cip—"UP SITE (NON -LOP) <br />NDE <br />' ANK ('0 "ToR'NGM"OVALI <br />.. AROOttS WAST•!: GENERATOR <br />t'a TiF lb PERNUT' 60 FAC.ILt1Y <br />0 TATTOOMOPY PEIRCING <br />D MEDICAL WASTE FACILITY <br />A HOUSING <br />In •r• FACUry <br />■ 000 KENNEL - <br />13 <br />0 MOTEUIUML <br />C3 POOLISPA <br />'W2A/066 <br />"OLID WASTE FAC <br />® SOLID WASTE VEMICLE <br />Q DAIRY <br />0 PxG TREATIAENT PLANT <br />C3 pUMRER TRUGUYARDICl1EM T ok"iT's <br />to •L,&mn USE AI'PLIGAMN SIT Es <br />A OTHER (PLEASE S'PECIFYABOVE) <br />'t. Ust up to ton addresses In theSpaCc above. Select the type(s) of rtes from the list above by chocking <br />the appropriatcbox(es). At least fano file type MUST be selected. Fax to (209f 464^0938 or mail to- the <br />�- adclmss indicated above. d <br />2. EMD will notify the applicant if any EHb files exist. An appointment for raviow will be confirmed <br />approximately five business days but no later than ton. (10) days after receiot.of appficatiorn. The fries <br />will be held for a maximum *f live business days for review. Appointments should be s cheduiad <br />accordingly. <br />3. A fake that,ls, actively boing worked on by END staff may not be immediately available for review. A now <br />alppfication may be submitted when the file IS available. <br />A. Any flia not returned in the same condition as released will be reorganized by EME7 stat( at the f3Xpansc <br />of the appiieanL Future filar reviews by the same applicant may require a $69.00 doposit prior to review. <br />5_ *TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Appiiaations receivcd after 3:00 pm will be processed tha next business day_ <br />CONFIRMED APPCIhNYMM DATE, _ _ TIME <br />DATE CONFIRMED PHONE PAY. INITIALS <br />RSVIEWED YE`' NO REVIEW DATE--- <br />.. <br />'To r•nM <br />TO 39bd Tb8Z861016T TS:60 L00Z/E0/10 <br />0 <br />