Laserfiche WebLink
------41/11/2005 11 :39 FAX 10002/002 <br /> SAN JOAQUIN GOUN Y �,, .�..,,.,V.....W.y <br /> NOV 1 4 2005 EIY MONIMNTAL REAUTH DEPARTMENT <br /> 304 E Wcber'Aye:3`d Floor Stockton,CA 95205 <br /> ENVIRONMENT HEAL.TI 209) 468-3420 Fast: (209)464-0138 Web:vnvw_ca.saa(joaquin.mus/ehd <br /> PERMIT/SERVICES , <br /> PUBLIC RECORDS RELEASE APPLICA ITON . <br /> APPUCANT: l e.3 BUSINESSIAGENCY:' (der <br /> ADDRESS• "61 <br /> i <br /> PNONe. _CAcn3 941'- 17wS . FACSIMILE.��v� `roar—crEaJL 1 <br /> TENTATIVE*APPOINTMENT DATE: f/ Time- <-A%,b to . <br /> (Please allow 10 buslnass days from date of application submittap <br /> Q CHECK BOX TO EXPEDITE REQUEST-$93.94 FEE—REQUEST PROCESSED IN 3 SUSINE35 DAYS <br /> SIGNATURE OF APPLICANT-yam �� DATE <br /> Department Use Onty <br /> FILE AaQRESS UNIT <br /> i. sr,�s QTa /Arr /kc' [at j2f 1 Unit 1 <br /> z Sir" 5 a A � 3 aZ - <br /> i. aneet a W. I.& Air%. CW joy.14tft4L CM °" ,� Unit 2 <br /> s <br /> 6 Unit 3 11:ti2 <br /> s. <br /> aty I t� <br /> T. 1WAftC4 I unit , <br /> e, srrn R i <br /> s. srn jj Unit 5 ! <br /> ENVIRONMENTAL HFAi.,TH DEPARTMENT FILES - <br /> UNDERGROUND TANK(UST)CLEANUP SITE(IAP) © HOWING ABATEMENT SL.souo wAsTE FACILITY <br /> OTHER CLEANUP SM(NON-LOP) O FOOD FACILITY ❑ souo WASTE VEHICLE <br /> LINOERG,ROUND TANK(MiONrrORjNGMEMOYAL) E3 DOG KENNEL El-DAIRY <br /> iA HAZAROQU&WASTE GENERATOR G CHICKEN RANCH S.PKG TREATMENT PLANT <br /> ❑ TIERS PERMffTED FACKM CI MOTELIHOTEL E 13 PUMPER TRUCIVYARDICHEM TOILETS <br /> O TATTOOMODY PIERCING E3 POOLJSPA ! IZ LAND USE APPLICATION SITES j <br /> 0 MEDICAL WASTE FACILITY O OTHER(PLEAsEISPECEF't) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by chaakin0° <br /> the appropriate box(es). At least one file type MUST';be selected. Fax to (2091464-0138 or alai(to the <br /> address indicated above. E <br /> 2. EHQ 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 trent <br /> application may be submitted when the rile is available. <br /> A. 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 ravlew. <br /> 5. "TENTATIVE appointment dates must be confirmed v►rith EHO staff. <br /> 6. Applications received after 3:00 pm wily be processed the nextbusifEess day. <br /> rk"l r'••• yi..Y •N r, <br /> - Q F)RM4b APROINT'ME~NYYfAT <br /> DATE CONFIRMED "PHONEFAX i iNfT1AL•S <br /> .REVIEWED YES NO kEVIF-W DATE, ' <br /> ! <br /> • sno,aa,x.gas �. ' <br /> i <br />