Laserfiche WebLink
101'36/2000 12:20 2dtl4ba FIFT-i FLOOR � <br /> ,,.,` - o �J4 ) <br /> --CIATERECENED SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION OCT 3 0 ZO00 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> 5TOCKTON CA 95202 ENVIRONMENT HEALTH <br /> (209) 468-3420 PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> L-hw>Gj — BUSrAESSIAGENCY -� / Lam+ r IQd ra- ..� <br /> APPLICANT—J;'-h" <br /> ADDRESS/ 1 -V5-3` 3 Q&- ro'Wkc-4 /3 1 <� r 9/,C,) qyZT <br /> PHONE t /ALJ !Z a`�3d FAf:Slbtll_r ` / A <br /> TENTATIVE*APPOINTMtENT DATE (/ 16 /0z) TIAME qt'—'j `7 <br /> (Please give 7 to jDbusinehs days from date of application s%"nittg <br /> CHECK BOX TO EXPEDITE REQUEST-38T.03 FEE-REQUES cSED IN 3 8LISINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> LE ADTHIS <br /> FIDRESS SIDE EHD STAFF USE ONLY <br /> �- PROGRAM ELEMENTS SEARCH <br /> 5 +oc. <br /> .� <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> rUNDL] HOUSING HOUSING ADATEMEN t ❑ SOLWASTE FACILITY <br /> ER CLEANUP <br /> TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FAGILrTY El SOLID WASTE VEHICLE <br /> C OTHER CLEEANUP SITE(NON�Ot) ❑ DOG KENNEL C3DAIRY <br /> UNDERGROUND TANK(MIONRURINGlREI[OVAL} O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 3 HAZARDOUS wA.STE GENERATOR KE ❑ PUMIPER TRUCKIYARD/CHEM TOILETS <br /> Cl TIERED PERf�IITTED O PObiISPA FACILRY ❑ oWSI-A - Q LAND USE APPLICATION S[TfS <br /> Q TATTOO/HODy PEiRCING ❑ pUBUC WATER SYSYF 4 ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 0 h1EDICAL WASTE FACtL1TY <br /> . sses in the space above. Select the type(s)of tiles from the list above by checking <br /> 1List up to ten add <br /> the appropriate bQX(es). At least one file type MUST be selected. Fax to J��1464-0 I'i8 or mail to the <br /> address indlcRted above. y p ointment for review will be confirmed <br /> 2. EHD will notify the applicant if an EHD files exist. An a p da after receipt of application. The files <br /> approximately five business days but no later than ten (10) y$ <br /> will be held for a maximum of five business days for revievr. 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 /> R.- Any file not returned in the same condition as released will be reorganized by EHD staff at tho expense <br /> of the applicant. Future file reviews by the same applicant may require a $87.00 deposit prior to review. <br /> g- "TE=NTATIVE appointment datos must be confirmed with EHD staff. <br /> 6. Applications receivod after 3.04 pm vriii be processed the next business day- <br /> --- - --1 <br /> E <br /> ED <br /> ED APPOINTMENT DATE TIME _ <br /> IRiY ED <br /> PHONE FAX INITIALS <br /> NO REVIEW DATE <br /> -YES _ -- <br /> Di 001 DiP7)0 <br />