Laserfiche WebLink
TO 17 L4779 217Ei P. El <br />D E-' \ <br /> <br />L L!TTT, SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 952Q2 <br />(2a9) 48,8-3420 ENVIRONIVIENT iiEALTH <br />PUBLIC RECORDS RELEASE APPLICATION PERMIT/SERViCES <br />APPLICANT O.L.QJV1 490 6 4D BUSINESS/AGENCY <br />ADDRESS 41,75 1'atI4A-o, .W6,01 A vux tke,i:14-74A1??g(2 7 <br />pHa NE (-n-) 7_2g2 FAcswto. (711i) 1 79—PC760 <br />07/0 1 TIME <br />(plocoe ciivu 7 to 10 busine s tlay'6 from date of application submittal) <br />EXPEDITg REQUEST - 478 Q Et - REQUEST PROgEOSED IN 3 SUSI ESS RAYS <br /> (-- SIGNATURE OF APPLICANT )---%_Q-- DATE <br />FILE ADDRESS THIS SIPE <br />PROGRAM <br />END STAFF <br />ELEMENTS <br />_29, 5--_3 <br />USE <br />1 <br />SEARCH <br />ONLY <br />I. JIL6 S k.k+e,f ivo 0 • • . • e, .Vo ' t-IA6 :_.5-1-1. L1). <br />-17--1-.10-fig-i60A&rivo -I - .*k--kletailLes L_PG1-T—r"--- <br />t • /-11-Q 7' (-Owl-6110P Ko_cd fmk•e:s) i • k ST- <br />311, Lda, too Road c ey tni) L.Li. s'r —li <br />-V4,t J <br />---, <br />IIMIIIIIIIE <br />SUM <br />kardaggSWIAMIREMPik <br />0 <br />a -hdck 412 IMMO <br />••ur\ <br />ME! ' <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />J N 1 1 2001 <br /> <br />TENTATIVE', APPO1NTrieThN r DATE , <br />4f) <br />erp EIOCILIDOD El <br />UNcERGROUND TANK IUST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON-LOP) <br />UNDERGROUND TANK 'MONITORING/REMOVAL; <br />HAZARDOUS wASTE GENERATOR <br />TIERED PERMITTED FACILITY <br />TATTOO/BODY PEIRCING <br />MEDICAL WASTE f:ACILIrY <br />HOUSING ABATEMENT <br />OOP FACILITY <br />CI DOG KENNEL <br />EJ CHICKEN RANCH <br />NiOTEWHOTEL <br />POOLJSFA, <br />ci PUOLIc WATER SYSTEM <br />SOLID WASTE FACILITY <br />SOLID WASTE VEHICLE <br />OAIRY <br />PKC TREATMENT PLANT <br />PUMPER TRUCKNARD/PHEM TOILETS <br />LAND USE APPLICATION SITES <br />OTHER (PLEASE SPECIFY ABOVE] <br />1. List up ten addresses in the space 4bove. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least aria file type MUST be selected, Fax to (209) 4$4-0138 .or mali to the <br />address indicated ap eye. <br />Z. EHD will notify the applicant if any 1-11D files exist. An appointment for review will be confirmed <br />approximately five business days but no later than ten (10) days after receipt of applieatiori. The files <br />will be held for a maximum of five business days for review, Appointments should be scheduled <br />accordingly. <br />A file that is actively belrle 'worked on by EHD start may not be immedtately available for review. A new <br />application may be submitted when the file is evailabie. <br />Any file not returned in the same condition as released will be reoriaanized by P-ID staff at the experlSe <br />of the appticant, Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br />*TENTATIVE appointment dates must he nfirmed with El-I1) <br />8, Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE TIME <br />DATE CONFIRMED <br /> <br />PHONE FAX iNITIALs <br /> <br />(2-cn) li-0 3 <br />•••••All ••••••• • •-• • PSVIPVtIPn V b