Laserfiche WebLink
FROM ENGEO INC TRACY, CA FOX NO. 209-835-0675 t. 31 2003 11:55RM P1 <br /> DATE RECEIVEDi EHD LOG NUM2E <br /> SAN JOAQUIN COUN1 Y• <br /> ENVIRONNIENi.'AL REALTH DEPARTM-ENT <br /> 304 B Weber Ave 3`d Floor Stockton, CA 45205 <br /> 0C`J 3 'Z'�969) 468-3420 Fax: (209) 464-0138 Weis: www.co.san joaquin.ca.us/eiid <br /> i,L E�1 PUBLIC RECORDS RE1.11;ASE APPLICATION <br /> APPLICANT: SE' ,,l1SE�(/ _ _I3USINESSlAGENCY: BED .UC'. <br /> ADDRESS: $o j) Y) -Z 7L ?. ICY , �'� 4 3 '7d _. <br /> I <br /> PHONE:_ Q 9^ 0.315-Ca6f0 FACSIMILE: 209-tai d67T <br /> TENTATIVE'APPOINTMENTDATE: 1-9/2 Time: <br /> (Please allow 10 business days from date�of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> .)� <br /> SIGNATURE OF APPLICANT DATE ja13/1143 <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> 1. _ Of F 1~014 _ G Unit 3 <br /> I -S'Nel 1426N ' O1GGi �7 C 7'rV <br /> 3. eet Y135 EA41 ZE A UE e. �Ur_e+ a <br /> . .. Unit 2 <br /> 4. Sir= 60 W. [ilv <br /> 5. S1 c, 05 7 Z 0 Gtr 7 reA 14:39 4-D Y 6X <br /> �y <br /> 7. S-el 58ARFF. O Gry ✓ R41 Uni <br /> s. sveet 1 41POa 7 WAY ILIO rf�(17 <br /> s. svc�t 767 LAY d o, <br /> Unit 5 <br /> 10. Stec-1 5 f? W 7 <br /> ENVIRONME=NTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP Srrl=(LOP) HOUSING A13ATEMI NT SOLIDwASTE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY SOLID WASTEff <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL 9 DAIRY <br /> HA AADOUS WASTE GENERATOR CHICKEN RANCH ❑ PKG TRI"ATMENT PLANT <br /> TfERED PERMITTED FACILITY 0 MOTELMOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> G TATTooisor7Y PIERCING d POOLISPA )d LAND USE APPLICATION Sr ES <br /> X MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY)_A&&_j3uh_71/1jeE (/Sr, aR lJA 7 �/� <br /> 1. List up to ten addresses in the space above. Select thl type(S) of files from the fist above by checking <br /> the appropriate box(es). At)east one fife type MUST ba selected. Fax to(209) 464-0138 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 new <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 review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 5. Applications received after 3:00 pm will be processed the next business day. ` <br /> CONFIRMED APPOINTMENT DATE TIME � {` <br /> DATE CONFIRMED PHONE . FAX' INITIALS <br /> REVIEWED YES NO RE IEW DATE <br /> i <br /> EHDf3A1A06 <br /> EAV2003 <br />