Laserfiche WebLink
05-01-2eoO 10:22HM FRO�Y TO i7�J74S2ca,.: �.u� <br /> pF.l Nkk FIVEU y�� COL•W FJMticN <br /> SAN JO•UIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIONNEC <br /> i`��+ J V <br /> 304 EAST WEBER AVENUE,THIRD FLO ���yyy I 1 p <br /> STOCKTON CA 66202 ' , ti' / <br /> (206)4683420 . ' MAY 042000 <br /> PUBVC RECORDS RELEASE APPLICATION <br /> cl`VlHuNMEN I AL HEALTH <br /> APPLICANT BUSI AGENCY 7 U CCS <br /> ADDRESS r� t �- /�' A- <br /> Lf LlAC31MILE <br /> TENTATIVE'APPOINTMENT DATE J1, L ..- TIME <br /> (Pi~SNV 7 to 10 bUelMa■deya r m date of application ev mitul) <br /> 2000 <br /> HECK BOX TO EXPEDITE REQUEST-S OG FEE-REQUEST PR GESSEO Il 3 BUSINESS DAYS rr =62' <br /> SIGNATURE OF APPLICANT C DATE J <br /> PILE ADDRESS YNIS SIDE END STAFF USE ONLY <br /> PROGnAN ELEMENTSS CN <br /> o I Q5 . 0-?)r\- S <br /> ti. I p e <br /> yU <br /> I ( O <br /> ILL, if 11,11179 1 05 <br /> ENVIRONMENTAL HEALTH DIVISION FILES MAY -9 2000 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOW IND ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> �-UI1OERGROU11O TANK(MONITORINWREMOVAL) CODOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PK6 TREATMENT PLANT <br /> TIERBD PERMITTED FACILITY O MOTE"OTEL ❑ PUMPER TRUCK/YAR=MEM TOILETS <br /> O MFWCALTATTOCWWASTCDY EIRCING O POOL/SPA ❑ LAND USE APPLICATION SITES <br /> O Mc DECAL WASTE FACILITY O PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten adtlressesin the space above, Select the typs(s)Of files from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to f206)464.0138 or mail to the <br /> M711Indlcatad above <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be Confirmed <br /> approximately live business days but no later than ten (10) days after receipt of application. The riles <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 EHD staff may not be immediately available for review. A new <br /> application may be submitted when 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 some applicant may require a $78.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> s. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED VIPHONE FAX <br /> INITIALS <br /> [.REVIEWED <br /> Try . t YES NO REVIEW DATE <br /> S <br /> TOTAL P.01 <br />