Laserfiche WebLink
FROM : Ground Zero Analysis PHONE NO. : 209 e38 9883 ul. 05 2002 09:09AM P1 <br /> aiie ,e <br /> ZEU[ si:io ueuvwr �„� .•,�,.,.,� ..... . . ..- -- <br /> e\YgRgO6N60 LHq yoC NUM06a <br /> SAN JOAQUIN COUNTYVUBLIC HEALTH SERVICES <br /> n ENVIRONMENTAL HEALTH DIVISION <br /> O N 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STomroN CA 95202 <br /> (209)488.3420 <br /> 01; PY 14 <br /> PUBLIC RECORDS RELEASE <br /> � RELEASEAPPLICATION PPLICATIION <br /> APPLICANT BUSINES91AGENCY (LYX- ” <br /> ADDRESS I21 CSrn'laa <br /> St <br /> PHONE 77-'g �o� FACSIMILE 8315 <br /> TENTATIVE'APP00VT11,11ENY GATE TIME (Ot O '- • <br /> (Pleas glva7to10 Ineaed � t�tacaUon submittal <br /> ICS. <br /> V4 - i!� <br /> CHECK WX To EXPEDITE RPQUe3r-389.00 FEED-REQUEST P,,OC S IN USINESS DAYS <br /> SIGNATURE OF APPLICANT 'P "�` DATE <br /> Sj- <br /> --ails Tirr OAn <br /> PROGRAM ISLEMENTS SE <br /> ENVIRONMENTAL HEALTH DIVISION FILES , <br /> XUNDERGROUND TANK(U CLEANUP SITE(LOP) IJ HOUMTNO A9ATEMENT t7 SOLID WASTE VFHICLf�i' <br /> A. on cLwlun erre INQN I nol ILLI F1111111FAC ITY, . U OwRT <br /> �y ,., <br /> y�.,NDERGROUNO TANK QdONITORiNGrREMDYAL) Cl' e mine Llnu n QVn TYrrAYMFETPI <br /> rw�... .......�......... DYPL O PUMPER 7VUCK/YARdfH <br /> EM TOILETStnEREo PM ,. <br /> ❑ POOLfSPA C1 LAND UOE APVLICATIOU srrES <br /> E3 TATTOOMOOY PEIRCING t0 PUDLLC WATER SYSYEM X 07HER(PL9ASE S t;d(eV ABOVE <br /> Q MEDICALWASTEFACILITY neat✓ (19011` ASO <br /> List up to ten addresses In the space above. Select the types)of files from the list abt 16 by Aeckln0 <br /> the appropriate bex(os). At least one file type MUST be selected. Fax to(209)464.0138'§mail to the <br /> address Indicated nbove, "vI <br /> apprwulnatuly t�.e wvsl�ia�d ffayv,�:lIJI-•-. ••-�.• An,tu�LL�aant fur fmf1pul 0I ha ffi.0'fifrtiP(1 <br /> will he held for a maximum of five business days for review. Appointments should be a10aduled <br /> i• <br /> accordingly. <br /> 3. Afile that,Is actively being worked Pn by EHO staff may not he immediately available Qrevtew. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not ratumed in the same condition as released will be reorganized by EHD sllalf at the expense <br /> of tho applicant. Future file reviews by the same applicant may require a 1189.00 depo311 prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> g. Applications received after 3:00 pm will be processed the next business day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED <br /> PHONE FAX INITIALS <br /> REYIEWEO YES NO REVIEW PATE <br /> numr <br /> w <br /> w <br />