Laserfiche WebLink
SAN JOAQUIN COUNTYPUBLIO HEALTH SE 'ICES <br /> RPR 5 2011 ENVIRONMENTAL. HEALTH DIVISION <br /> 304 LAST WEER AVZNUII .THIRD FLOOR # a. <br /> i 1 STOCKTON CA 95242 f <br /> (209)46$~3420 <br /> PgsLiC RECORDS RELEASE APPLICATION <br /> APPLICA � LL 1i t'1 P_ 1 SUSINE$5JAGENCY Jy "1 n <br /> P�Ids,t���/-t��•)���- ��.���}"���•%���•��[.`�s=acsrn��>`>_ ���'8) 5�3�-��` � . .� _. � � <br /> , I '1 <br /> s k;,g,TEIH�A;(`IVE-At-m-+'i +LENT DATE_tu�4 �C I_ ;ttria� � v 4V <br /> i Lys.~-` giY6 7 to 10 busiti tlay�s kor�i+^d3„ti2 4f 3lpptcsp:vn suhm;tly[} - .. - <br /> 4,CFi;izk$OX TQ EXPEDITE REQUEST-517.74 i=EE-REQUEST PROCESSED IN 3 aUS3t4ES5[DAYS <br /> SIGNATURE OF APPLICANT . !'6 I-�,� ,-� - R � .� ._ DATE F* <br /> II <br /> 1^17--Rf?ORM E TALS SIPS EHro STAPr USE Qt4L Y <br /> i ,I PROGPtAM ELr;MF-NTS 5 tCr+ <br /> Sad <br /> :j <br /> t l -40 JS 3a <br /> E[ � 3 Il <br /> FNVIRONMEKTAi-HFAL'I-ti DIVISION FILES <br /> Nzi <br /> ARATLI4I IT Q 50LID WASTE FAClL(7Y <br /> G1� ER <br /> UjjDERUND TANK JU37)GLNUP SITE L 31G1151 <br /> (LOP! Q F40D NG A0TY 1;1,S01-115WASTE VEHICLE ' <br /> >B OTKER CI„5ANuP srrE,,taQ1J-Lbs) LZ pC3G KENNEL <br /> i t7;'DAWY <br /> UND RGROUNP YANK(moNFTC KIN WREMOVAL) CI CHICIAEN RAKCH P ❑ FKG TRZAThAMIT PLANT <br /> 7 itaZARDOUS WASTE GENSRA-TOR ci o F P'IJmpaR TRUCKIYARDictield TOILETS <br /> C) T7EFtED PER1193i75-a FRC1l iTYC3 i*00USP4 X. LA3iD USE APPUCATIOt3 SITS$ <br /> k 0 TA-rr=800Y PEtRC111IG I G Pi79LtG WATER SYS7EAI 01 CrrHER(PLEA3F SPECIFY ABOVE) <br /> )AED1CAj-WA5'TE FACII_I Y !s <br /> c sof files from the list above by checking <br /> 7. l_9st up to ten addressers in the space above- Select the type{ <br /> th+x appropriate bOz(i35j. At least orte file type MU5T 6e selected. max t4 (20 4f+4-0738 ar mat!to the <br /> oddre ed above_ <br /> 2- EH£D will notify the aWICZnt it alxy F-1410 fifes exist- An appaintlnent for'revieyr will be torifirrned <br /> apprairMately bua lxlsslntss days but no later than ten(10) days ointments rh4u d btc>tedu edfiles <br /> ,vilj bq hQld for a m2LxImum of five husiness days far review. App <br /> accord'sllgl . <br /> 3_ A file that i$actively being wotrlted on by EHo staff mtMmediately airailable <br /> ay not b6 for review- Anew <br /> application 3nay be submitted when the fil-0 is available. <br /> g, Any;ile not retur►sed,in the same cnridiiion as released will bo reorganized by I~NL�staff at the expense <br /> Ot the appricant_ Future file reviews by Me 5amg appTicarnt r31 require a$87.00 deposit prior to review. <br /> 'TENTAi IVB appointment dates mu4t be confirmed wits,EHEY:Staff- <br /> b. Applications received after S:44 prP will be Processed the next truSerlgss day_ <br /> CONFIRMED APPOINTMENT DATE Tli�lir <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> NO REVIEREVIEW <br /> RF-VIEWED YES I'.©1 <br /> )d1 Do 74 W✓471o0 I# - <br /> i' <br />