Laserfiche WebLink
r, <br /> Nuri, ie <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES �iiN tui, <br /> MAR 2 12001 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ENVIRONMElv'i' LTN STOCKrON CA 95202 <br /> PERMIT// (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> / ) (J I <br /> qSS <br /> — .�L Q BUSINESWAGENCY W,4 1! (amu� _U o b't <br /> 0 V: r.1f S A— 'V-P?/ <br /> �, D? <br /> ' Kye <br /> PHONE FACSIMILE ? /•�-- q v 6.S <br /> T1:.tiTATIVE•APPOINTMENT DATE 3—d-7-01 Z1J1AE <br /> (Please Hive 7 to 10 business days from date of application submittal) <br /> CHECK Wt X TO EXPEDITE REQUEST- 0 FEE? QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 4k�Jl, DATE 3—d-)_'DI <br /> FILE ADDRESS THUS SIDE EHD STAFF USE ONLY <br /> PROGRAM El EMENTS SEARCH <br /> a�O o r7�Z7o -- t 7-44109 Liammeq t?o*J — Tral 113 O •C o. if pkR <br /> ^ A <br /> 113 D o r -t,.► o,, — T P Co <br /> ENVIRONMEN'T'AL HEALTH DIVISION FILES <br /> )i UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ IiOUSING ABATEMENT pZ soul}WASTE FACILITY <br /> OTHER CLEANUP SITE 0(0146LOP) 13 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> IFI HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACIU•tY 0 MOTELIHOTEL ❑ PUMPER TRUCKIYAMCHEUTOILETS <br /> ❑ TATTOOf130DY PEIRCING 0 PdOLISPA 0 LAND US E APPLICATION Sr= <br /> ❑ mr:DtCAL WASTE FACILITY C7 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the fist above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (2021494--Q138 or mail to the <br /> address Indicated above. <br /> 2.1 EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but-no later than ten(90)days after receipt of application.-The files <br /> Will be field for a maxilpum of five business days for review. Appointments should be schecluted <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew <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 th6 applicant. Future file reviews by the same applicant may require a$87.ao deposit prior to review*. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX WIALS <br /> REVIEWED YES NO REVIEW DATE <br /> on W$4 .04WA00 - <br /> ,nnmih 9906 ZL£ 9T6 XVVd, T£�LO TO/TZ/£0 <br />