Laserfiche WebLink
DATE RECI=1VE17`rte' SAN JOAQvrnt COUNTY <br /> EHU.LOG NUINBEFi :. <br /> 2 <br /> ° ErNIitoivNi NTAL UA.LTH'DEPARTMNT <br /> 3()4£:Weber Ave- .1ognStockto1i;CA 952fl5 <br /> (209}4b83420 Faa (209 ;464=.0138 Web:www.co:san=loagrsm ca.Uslehd <br /> JF ;PUBLIC RECORDS RELEASE AP. ,,.. AZ"I�1N1 . <br /> A_RPLtCIWT.- r11 s�h L+ 6USINI=$SIAGE�iCY' i _ <br /> z� use Qb�l✓S ,C r ;G3 LAO <br /> �i <br /> PHONE:.. <br /> ;,, <br /> 3j 3 EACSfMtLEc <br /> TEN"f i0.7(11E'"APPOINTMENT DATE: Time: <br /> .j; - (Pleasm�llow;'Itl Uusli�ess tlxys'irgtin date':oiapplicatl4n:eutirrilttei) , <br /> ra <br /> CHECK HOX Td,EXPEQITE FktdUE9 <br /> PROC SUSINE53'DAYS <br /> T=S9#'Ull-l"EE 5EL3 IN 3 <br /> U _ <br /> SIGNATURE"bPAPPLICANT _. . IDATE <br /> Oapartmeht L)k tjyl <br /> FILE ADDRESS <br /> . > <br /> �,Unit�1' <br /> a <br /> <. SURIA. <br /> s s, i1 j <br /> - <br /> t. suee� - 1.Init' <br /> a shaei.� <br /> .10. SOreedil�i .: ,< .. ._-_ .: i 1 <br /> i ENMOONMENTAL HEALTH DEPARTMENTFILES <br /> NOERGROUNL3 TANK;{LIST)CLEANUP SrrE ILOP) O HOUStNG�ARATEMENT �:SALID WASTE ACILfTY <br /> M OTHER CLEANUP SITE(NQN BP) 0 FOOD:FACILt7Y E7 :SOUD WASTE YE_MCLE <br /> C3 UN[SER[;♦1i011N10TANK(MOWfOAJNGfREMDVAL), M DOG KENNEL O''DMIRY ,. . <br /> l7 HAZARMUS W ' GENERATOR 0 CHICKEN RANCH O PKO TREATAIIEI T,PLANT::.. <br /> lD 1IEJtED,PFJ;►IITi D,`FACILlfY C] MOTUMTEL 17,.PUIY"R'TRUCWARWCHEM TOIMS <br /> d 7ATQVB;[N F4 6. L7,ROOUSPA. . A' LANI"1 LESS APPUCATION SITES <br /> C1 MEDICALWASTE�FACUM: Lds b HER,(PLEABESP,ECI <br /> 7:: List up:to:ten addresses In the space above $eft ct tqo types)of files from the list above'by checfiing <br /> - <br /> the abox[esj:';At least nne':t71e type'Mt15T:tie selected ,Fax to(209 484.0`138 or mall tti file <br /> abo4e <br /> 2� EHD Imate�fl a business dgyls b t no.l extst. An appointment for revlewrw[II be conflrineti <br /> ltd c <br /> attli <br /> PP <br /> ;than ten-(10)days after recelpt'at applicatlori`r The:file <br /> nlas; <br /> Will be held fdr a. xlinUtnsof..five:b"lness-days for:review: Appolntments!shoaid •biaichedu!ecf <br /> ,acpordingly - <br /> 3. Alile that Is actively bel ig wonted on by EHD sta0`rhay not'be ImlxiiedEate ►avallabEe for reyleW:.A reetilr' <br /> a blicitlon may be sutirrittted illrhan the filo iNvid able. <br /> 4. Any file'not;retumed In file same conditian as:released vVlII tie re1.organl1.z1 .by EHD staff at the expense <br /> vf:�the applicant. Future'file revlews by tiie:same appilcant may raquiii4.�$93.00:deposlt prior to reAw. <br /> 6, "TENT1VE appolntlrEerit dates Enust.he confirmed with EHU staff:' <br /> ApP# ations received afker.3.00 wfii be process <br /> business day.: <br /> � b4aP7LI. .. - <br /> y <br /> +t1 a � -!'I"�»► e,i rte. 'a <br /> , s <br /> e <br /> aIM200]- <br />