Laserfiche WebLink
SAN JO JUIN CO UNTYPUBLIC HEALTH SERVICES ULUV NUhIeLk <br /> OVIRONMENTAL HEALTH DIVISIj��t� !( U <br /> X04 EAST WEBER AVENUE, THIRD FLO <br /> STOCKTON CA 95202 <br /> (209) 468-3420 AfAy 0 9X000 <br /> PUBLIC RECORDS RELEASE APPLICATION 1"ON,biEN- <br /> r <br /> APPLICANT_ LIA/ J/// SfRV10ES <br /> ,. BUSINESSIAGENCY � ,A� S./ f <br /> ADDRESS /7/41 <br /> PHONE. &j -PlWe <br /> FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE <br /> (Please give 7 to 1-1b— <br /> days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-y78.0 E_ <br /> /!" QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> FILE ADDRESS <br /> THIS SIDE EHD STAFF USE ONLY <br /> _ PROG M ELEMENTS SEARCH <br /> 3 a—1 <br /> a� 3 <br /> — I K <br /> -L-YG <br /> y' eASC -V�►i <br /> L HEALTH DIVISI 5 2000 <br /> SNI 130 S,' MAY <br /> ❑ OTh Im n�� sem. ! SING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 0 HA[ D FACILITY ❑ <br /> (�� I ' _ SOLID WASTE VEHICLE <br /> ❑ HA< �II�[Jfl I� CL U'OJ�Lt.f�/..°..'� KENNEL ❑ DAIRY <br /> ❑ TIEF KEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TATn / EL/HOTEL 13PUMPER TRUCK/YARD/CHEM TOILETS <br /> Cl ME[ �S - bo UVI .�. LISPA ❑ LAND USE APPLICATION SITES <br /> (f ,t LIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1 YP e. Select the t e(s) Of files from the list above by checkin <br /> ;u <br /> ype MUST be selected. Fax to (209) 464-0138 or mail to the <br /> 2. <br /> es exist. An appointment for review will be confirmed <br /> ter than ten (10) days after receipt of application. The files <br /> s days for review. Appointments should be scheduled <br /> 3. <br /> u HD staff may not be immediately available for review. A new <br /> 4. ,,: f• is available. <br /> fi as released will be reorganized by EHD staff at the expense <br /> v <br /> 5. p yh i i��`tt;"p same applicant may require a $78.00 deposit prior to review. <br /> 6. I nfirmed with EHD staff. <br /> I <br /> processed the next business day. <br /> CON <br /> TIME <br /> DATE <br /> PHONE FAX INITIALS <br /> REVIE <br /> EH 00 14 REVIEW DATE <br />