Laserfiche WebLink
MAR-19-2003 ,.11:58. TECHNICON ' <br /> DATE RZt:9jvr;1;_ P.011101 <br /> tMD Lou RUPRIPOK <br /> j7 <br /> i�`N JOPUiN COUNTYPUBLIC HEALTH SE CES <br /> MAR 1 9 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> N i HALTH :STOCKTON CA 95202 <br /> E <br /> (209)468-3420 0'5 <br /> `PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT SUSINESS(AGENCY :&AA-� <br /> 4AIDORESS <br /> JONF <br /> mLLm:a , -- FACSIMILE <br /> TENTATIVE*AppoiNTmENT DATE T(ME <br /> (Pioaso give y to ic business days from date of app(iCaftn&Ubmftf) <br /> CHECK BOX TO"PEDITEREQUIES 189,00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAY$ <br /> j <br /> tSIGNATURE OF APPLICANT C DATV <br /> THIS SIDE EHO STAFF USE ONLY <br /> FILE ADDRESS pROGPM F_LEMERT1c-SEARCH <br /> Rx F-a I jj? L <br /> "ENVIRONMENTAL HEALTH t)TVLSION FILES <br /> )K UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ,0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> 0 SOLID WASTE VEHICLE <br /> CO OTHER CLEANUP SITIE(NON-LOP) C3 FOOD FACIL" <br /> IL UNDERGROOND TANK(MONITORINGMEMOvAL) 0 DOG KENNEL El DAIRY ATMENT pLANT <br /> 0 pl<G TRE <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH <br /> CI MOTELIHOTIEL 0 PUMPER TRUCKJYARDICHEM TOILE75 <br /> 0 TIERED PERMITTED FACIUTT C) LAND USE APPLICATION SITES <br /> C3 TATroo/800Y PEIRCING E3 POOLISPA <br /> 0 MEDICAL WASTETACILITY 0 OT11 ER(PL9ASE SPECIFY ABOVE) <br /> 1 List up to ten addresses in the space above, Select the type(s)Of file!'f"orn the ItSt above 6y checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 2D91464-0138 or Mall to the <br /> address Indicated above. <br /> 2. EHD Will notify the applicant if any.EHD riles exist. An appointment for review will be c <br /> approximately five business days but no later than ten (10)days after r8ICSIPt Of qpplication. The files <br /> will be held for a maXIMUM of rive business days for review. Appointments Should be schedU I led <br /> accordingly. <br /> 3. A file that Is actively being Worked on by EHDStaff may not be immediately available for review. A 119+k <br /> application may be submitted when the file is available, reorgani2:ed by Bit)Staff at the expense <br /> 4. Any file not returned in the same condition as released will be y require a S59.00 deposit prlor to rPvlew- <br /> of the applicant. Future file reviews by the SaMe app licant m.a <br /> st be confirmed with P-14D staff. <br /> s. 'TENTATIVE appointment dates mu.will be processed the neXt business day. <br /> s. Applications received after 3,00 pm <br /> CONFIRMED APPOINTMENT DATE nmrz <br /> FAX., INITIALS <br /> DATE CONFIRME.0 <br /> v=vn;wFn YES NO REVIEW DATE <br /> TOTAL- P.01 <br />