Laserfiche WebLink
FROM L11 FAX NO. � � Apr. 07 2005 11:35M P1 <br /> HE, <br /> p,PR SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH'DMSION ' of <br /> ENV,1l,ONN-IEVIHEP,0' I 304 EAST Nft:BERAVENUE,THIRD FLOOR <br /> P p,NilT1S R lO S i STOCKTON CA 95202 <br /> (200)4W-3420 <br /> POBLIC RECORDS RELEASE APPLICATION <br /> APPUCAf T "-f 41' a BUS +tES9tA h{CY <br /> ADD;&" :�. W-26F3 <br /> PFiardB FAC$i# l.l: '' �' <br /> TENTATIVE"APAOIt ft!kt DAU TIME <br /> s�ON*7 to hp tutaims COW rrgm pate of•ppllawon Subrntano' <br /> CHE109 BOX TO LXPVMR8iRt7ixST■18r.110 FEE-REQUeS7 PROCESSED 1N 4 wul DAYS , <br /> rIET �7 <br /> SIGNATURE OF APIPLICANT DATE '� � -7/ <br /> h, <br /> !MWB THIS SIDE EHD SrAFF W <br /> FROORM CL 9CAIWH,i , <br /> r cp a,, + <br /> ENVIRONMENTAL HEALTH DIVISION.FILES <br /> eefuNDOWROUND YANK(tIS7?04FANUP BrM(Wn 0 HOYBWO ABATBMgW _ nm WAJtTE FACILRY <br /> rC�`o'rwk CLUMCP Wre(HONE O POFD FA�t`I.IM 0 SOW WAM VFRkU <br /> 411�)NOM WMNO TANK 11L} In DOG KA.MEL O DAIRY <br /> Ar HATAIt001Is WAM Q CSN RANCH Q PW TtliAn1EtI1'PLAW <br /> a TEMPLUMTO t:1LCRrr1r O =A ti PUMM 1RUw4APAWHW TOLETS <br /> G TATTOQVBODY PWaft G LAND USEAPPUCATMNSM <br /> © MEDICAL WASTE FACIL" O PUBLIC WAWR$"TL�7Yi Oi}1ER IPr.f*ABE 8s! CEFYAtOYq <br /> 4. List op to ten addresses in the space above. $elect the tyfre(s)of sties frown the list above by eheatdre <br /> thQ approprfat4 1i4*4). At least arse fila type MUST be selected. -0 <br /> ndlealed <br /> 2. fi rwtr � sbthe -mat if any EHC fif exist. An appofMmOnt for revtsw WUl be��C�flr�ned <br /> vproodmately five ess days but no Wbr than ton(40)days idW r*W*of 81004ftm. The flea <br /> will be held for a MhAmurn of five busimatr days for reviaw. Appointmerwix should be scheduled <br /> asx0a'dingly. 0 <br /> 3- A file that Is ac9vsIv being worked an by END staff may not be Immediately available for review. A new <br /> sipplication nasty b subrrsltted wtm the fila is wailablk 11 �i y. <br /> 4. Any foe not aturnad In tho same condition as released will be teoeSantred by END st�ff at the 4Xponse <br /> of the wpl)nnt F�fur*6W wi0W8 by the slime Irppliti M may requite it NIeNl7.00 de;=Ek prior to reviaw. <br /> rs 'TEWATIVE appo&trn"data mtmt bo wed with EHD stiff. <br /> (L Appllcahtorts vecelged after 9:00 pm will be processed the shod huslness.day. <br /> CONtFjRUIED APPOINTMPM I)ATE TIME <br /> i <br /> DATE CON19RMF-D PHONE FAX INITIALS <br /> l VI D YES f Na 1 1Ir 1Ar DATE <br /> TOTgL R.91 <br /> iti <br /> A <br />