Laserfiche WebLink
Auo•2b• 2003,( 1 20PM , CODDOR EARTH TE WG.LOGIt5 IV'I T� <br />Enn LOG Nus WR <br />o�►t'r; RCc�uen ,� <br />SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br />ENVIRONMENTAL. Hi*ALTH .DIVISION <br />C, `1 L`�L� 304 EAST WEBER AVENUE, THIRD FLOOR { <br />STOCK -TON CA 95202 <br />a (2139) 468-3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />,_ RUSWESSIAGEIYCY ` ' <br />APPL1CANT_ T -- - - ` <br />AL3I7RE�.5 i�� S' • ��rr�� �� � . <br />PHONE 123L FACSIWI..E <br />TENTATIVE' ApFoINTNIENT DATE' -JO V -r mE .-. <br />(Pleaze give 7 to % btLon d4o tram data of 2pp11CA1latt submmul) <br />CHECK BOX To EXPEVIT - REQUEV-487.40 REQUEST PROCESSEA IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE .0 3 <br />Cj <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />UNDERGROUND TANK (UST) cL2-ANUP Srrz (LOP) C1 HOUSING ABATEMENTSOLID WASTE FACUJTY <br />OTHFR CLEANUP SITE (HON -HOP) ❑ FOOD FACILrrY SOLID WAS•'!~ VEHICLE <br />UND -RG ROUND TANK (MoNrmR1NGMXM0VAL.) ❑ DOG KENNEL ❑ HAIRY <br />HAZARDOUS WAS-I••!r GENERATOR ❑ ' CHICKEN RANCH 0 PKG TREATMENT PLANT <br />TIERED PERMITTED FACILrrY Q, MOTELIHOTEL 13 PUMPER TRU CK1YARfUCNENTOILETS <br />TATTOOIBODY PEIRCING EI POIOLJSPA, ❑ (LAND USE APFI TG1TiON Sn'ES <br />j MrzDICAL WASTE- FACILITY PUBLIC WATFA 5YSIV-M 0 OTHER (PLEASE SPECIFYA8OVE) <br />1. List up to ten addresses in the spaceabove.' S$leC� the #ypa{s} of files from the fist above by checking <br />the appropriate box(es), At least orae file type MUST be selected. Fax to 2t)9 464-13'1 s or mail lo thg <br />address indicated above. <br />2_ EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed <br />approxlmateiy five business days but no later than tell (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 EHO staff may not be immediately available for reviein . A new <br />application may be submitted wizen 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 $87.00 deposit prior io review_ <br />5. *TENTATIVE appointment dates must be. ccnfirmed with EHO staff. AM <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE <br />