Laserfiche WebLink
i T�!0 02/ <br /> FAX <br /> 161/ SAIN JOAQUIN COUNTY Nano F-HD:-OG NUMBER <br /> E NVIRONMENTAL HEALTH DEPARTMENT <br /> , d 1,1<10r. StoCklon. CA 95202-2709 <br /> 9 i:,ast -�V-ber Avcnue. 3' <br /> xi <br /> -ijoile•, (200)41,58-3,420 Fax: 009)464-0138 Web: <br /> jNMENT HEALT <br /> C MITISERVICES PUBUC RECORDS RELEASE APPLICATION <br /> V BUStNESSIAG&NCY: <br /> V <br /> Tlm <br /> PHONE1121: 9 1- 35-L 3 5',Y <br /> /'-,",y-_'.,ITENTATIVE*APPOIN7741.ENIT IDATE: 'Terptatwe only-must be cc--.1firmed), <br /> {Pt�-a&-3?Vow'In bu's;r"OSS CIF"is from date of application submittal <br /> lqrYI?REQUEST PROCESSED IN 3 BUSINES5 DAYS <br /> $95.00 FE�JCASH OR <br /> ECK SOIX TO E/XPF7DIT5 REQUES' <br /> DATE <br /> List[i Map-Description: <br /> -Cirorlic Information: F" <br /> [E.i <br /> EHD USEONLY <br /> FM-: ADDRESS <br /> ctmet Name city <br /> V, <br /> Unit 2 <br /> _'-t 00 <br /> n <br /> alc�f —_ze —Ij <br /> 3, <br /> 4. <br /> a <br /> 'q pl <br /> TI- <br /> unit 5 <br /> !S <br /> PQ 7 r'e"'C.. <br /> unit-5 <br /> z- <br /> C'. <br /> y <br /> 4W <br /> 1p47�c,.F,',;Daio Range of information Requested', From X"'tL')r')j to <br /> EINI'VIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHicLE <br /> TANK(USTJ CLEANUP SITE%LOP) 0 FOOD FACILITY 0 WjsTE TIRE <br /> ar 9THEr CLEANUP$ITE INION-LOP! 0 DAIRY <br /> UJI Dor,KENNEL <br /> E3 <br /> F-'CVICKFN RANCH WAsr EWATER TREATMF_I-'T PLANT-1 <br /> 0 tVlQTFLfHOTEL C3 PUMPER TRucK;'(ARQ,'CHFM T MEY S <br /> LAND USE APPLICATION D 0 POOLJSPA IJ CATION <br /> 0-JATT001130DY RERCINC 0 QT HER(PLEASE SPECIFY) <br /> 0 145DICAL V6%STZ FACM-- Mo"oAY-FP*Ay 8:00 Am-5--GOPM - 'EXCLUDINC HOLIDAYI3. <br /> VVELLAMDSrpTi� 'T ARE AVAILABLE FOR REVIEW <br /> u n,".0 e n a e space above. Select the type($)of files from the list above by checking the appropriate <br /> selected. Fax to(209)464-0138 or mail to a: es! above. Address <br /> oc� <br /> jeas, Le FvjtjST ba <br /> ,io',� ac apted-fo.addifonal assistance with file addresses.contact the t=htj. 'APPM;aMk'tis racer ed a"Tel <br /> W�,�be processed the 1.�XtPL!13'wss day. <br /> � <br /> 2. The F_HD wi.H notify the applicant if any Epm files exist.. An appointment for review will be confirmed approximately tern 00'� <br /> days after receipt Of aWication. The files will be held for a maximum of five business days for review. Appointments <br /> should be accordingly, available tol,review. A new application may be <br /> 3. A filo that ea actively being warked on by EHD staff may not be immediately a a <br /> 4't Tr i.i2L3 When ti-10 site is avaiia h"e- pHr2nt. <br /> 4- '*1v f a -KA retunied in the same ;�oil s released will be reorganized by EH1)staff at the expense of the a P <br /> Fuul-e file reliews;by the same,applicant May require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br />