Laserfiche WebLink
04-16-2001 08:51Fd'I ox <br /> TO• 14259409632 P.01 <br /> [kO IUB ru�wt,n <br /> �Ai V HtCYJY¢O <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ��D ENVIRONMENTAL HEALTH DtViS1ON <br /> �} 304 EAST WEBER AVENUE,THIRD FLOOR s // <br /> APR 1 7 2001 SfOCKTONCA95202 If <br /> (209)46U-3420 <br /> Eiti\'1= "'11-H <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> F' /d t 4p EdCaN ('aNsu r- HdiTS <br /> F t APPLICANT D !7 L�17 ]_ J C QNS T y/ ITI BUSINe33 AGENCY <br /> AD0RESS-jj7_s w. (-A9pAsiT45 $LVAS [e/ <br /> PHONE �2- I�^ I �7 �+- 96 �Z FAC3ING.E 9Z S �O- Jq6'� 2' <br /> I TENTATIVE'APPOINTMENT DATE Zb Q TIME <br /> (PNasa Diva 7 10 huei�naae a frorr drta of appi[cetion auLmiaal) <br /> CHECK BOX TO EXPEDITE REQUEST-W-00FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _q �K� ^iv�^`�.v` DATE <br /> Flif_ADDRESS THIS SIDE EHD STAFF 115E DNLY <br /> PROURAM ELEMENTS SEARCH <br /> Lu. 11107 4CY <br /> S o 7 <br /> 3-5 <br /> Oq C 0 3s.a8 <br /> Z S. kc'LLY 5j� LQ.D,! 9SZ �4 3s.aS' Y/l , <br /> L ' 35aG 144_ ' <br /> i40 C 0 - -�_ 3S-aro d.w <br /> ZZ 00 V CcroR2 S a9. 6o nGi I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> NDERUROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT � OLm WASTE PACILRY <br /> CLIL <br /> THER CLEANUP SITE(NON- OP) M FOOD FACITY - 9�SOL®WASTE VEHICLE <br /> Cg/UNDERGROUND TANK(MONITOMNOIRFMOVAL) P DOG KENNEL n OAIRY <br /> DOU9 WASTE GENERATOR ❑ CHICKEN RANCH M PKG TREATMENT PLANT <br /> TIERED PERItIT[;0 FACILITY ❑ MOTELMOTEL 0 PUMPERTRUCWYARDlCHEMTOd_ET3 <br /> ❑ TATTOOMOOY PEIRCING O POOU3PA Q LAND USE APPLICATION SITES <br /> ❑ LIEDICAL WASTE FACILITY ❑ PUBLIC WAVER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addressesin the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(as). At least one file type MUST be selected. F x toF x to(�13;or mall to the <br /> addref s; "nt dice eq� aoQve. <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confined <br /> approximately five business days but no later than ten (19) days after receipt of application. The files <br /> will he held for a maximum of five busines$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 expanse <br /> of the applicant. Future file revlews by the same applicant may require a $87.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD alaff. <br /> i <br /> 6. Applications racelvecl after 3:00 pm will be processed the noxi business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> i <br />