Laserfiche WebLink
07 00 03: 33P ,, <br /> ..• <br /> 95-05-?t37J6 td?:@Spr( FRtX9 7r) <br /> X33 12 <br /> SAN JOAQWN COUNTYPUBLiC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Y, 304 EAST WESER AVENU19,THIRD FLc)OR <br /> S7pC1iTON CA 95202 DEC 0 7 2000 <br /> (209)4Ga-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENT HEAL,�! <br /> (,^ . <br /> PLlUAN 1 r, '� fin-/Zr,� ✓ f <br /> �BUSINESSI1AGENGY .�h �/-'? tnYs}� �'LI��� 1� S C*rVl Gt/J, <br /> ADDRESS 1� Kr.+t� X4%7 -Cliff <br /> r <br /> y :.." <br /> TENTATIVE`APPOINTMENT DATE Old@ r$� f? <br /> (plaxca ptrc 7 toio OtUlnesS t7a s rrom dale oiaPA1+ tiolt submiltall fY' <br /> . . -.. ...� ,.r <br /> CHECK QOX TO EXPEDITE REQUEST- 040 F _REQU PR CESSEo IN 3 BUSINESS DAYS <br /> =+IGNATUR£of APPLICANT17 <br /> DATE <br /> FILE mOORESS <br /> THIS SIDE END 6TAFF USE ONt Y <br /> PROGRAM ELFAwwrs sFARGN <br /> 6 IV 05 <br /> ware _ �� xer <br /> 35-;28 K <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANuF SITF.(Lop) ri WOUSWr-ADAT&.V=T p <br /> OTHER CLEANUP SITE(NON-LOP) p FOOD FACILITY fSOLID WASTE FAI:IIrTY <br /> rUND£RGROUND 1ANK(MoN(TORINGJREMOVALy 0 Opti KENNEL D SOLID WASTE VEHICLE <br /> fL7 HAZARDOUS WASTE GENERATOR a DAIRY <br /> O p TXRED PERMITTED FACILITY CHICKEN kANc" L7 PKC,TRFATmElIT PLANT <br /> TATTOOfMoDYPEinci r, p POQ 3pgTCL EI PUMPER TRUCKIYARD(CNFAITOILFTS <br /> MEDICAL WASTE FACIUT7 O 0 LAND USE APPLICATION SrMs <br /> PUBLIC WATER SYMm D OTHER(PLEASE PCwy ABOVE) <br /> 7• List up to ten addresses in thu✓cpaas above. Select the tyye(s)oT Tiles from the fist above by checking <br /> the appropriate box(eS). At least one file type MUST be selected. Fax to 20g 4 -073 mail the <br /> ad ess in❑Gated above. <br /> Z• EHO will notify tlw applicant if an LLD fibes exist. An <br /> � y aAlsOintment for rcriew willtee conftrmea <br /> approximately five business days but no later than ten(90)days after receipt of application. The tiles <br /> will be held for a maximum of flv8 business days for rtwiew. Appointments Should be scheda+ted <br /> accordingly. <br /> 3• A file that i9 ncliraly being worked on by M Staff may <br /> application may be submitted when the file is available not be immediately aVdilabre for review, Anew <br /> `T• Any file not retUrned in the same condition as released Will ba reorganized by END staff at the oxpoor.0 <br /> Of the applicant. Future Ste r¢viowa by the aame alpplscant may requirea$78.00 deposit prier to review. <br /> fi. <br /> 5• "TE$ITATiVE appointM&nt dates must be COAfirmed with END staff. <br /> Applications feceivett after 3:0U pm Will be processed the next business day. <br /> CONFIRMED APPOINT HENT DATE <br /> TIME <br /> LOATE CONFIRMED PHONE FAXtNIT1ALS <br /> EVIEWED YES Nq„ ora«or <br />