Laserfiche WebLink
©'d <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, TWRD FLOOR j l; <br /> STOCKTON GA 95202 <br /> (309)460-342CS <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 13U5INe=AGENCY <br /> ADDRESS I {v S. 7-�C J� AA f <br /> Li n C) FACSt6AILEr d - — I� t <br /> YFiONE L <br /> �� s._ -- ' 1 <br /> TENTATIVE'APMINTMENT DATE.ti)Lt nd__ <br /> (pl_a&0 4i„O t to in b"intza days irom date of eppliC;ntinn aubmitlai) <br /> 13 CMCK BOX TO EXPEDITE REQUEST-$78.00 FEE-RE LIEN P Essin I1 3 E303WFgS 4wY$ <br /> SIGNATURE OF APPLICANT `�� h �" - DAA r\, <br /> rnE ADOREJfis <br /> I. ti l l 30 &r 9 ,Z31c0, 3 .L3oy. W �4-1,i6o3 <br /> z ( ? c0• .23 / 227 -L 9 1 <br /> 'Z�� i J�. U..r,� ,f•- f ac v-5' /S •13rvc� <br /> -va ea S'(!, ± <br /> Lirrk �c �� ler _e_ �,� Oic 220 <br /> 12. <br /> N,2 <br /> l� c_� �ti wry L' zz2l. ;- 2 3/ <br /> ENViRONMENTAL HEALTH DIV13ION FILES <br /> .� UNDRGl <br /> Et1 NDTANK(UST)CLEANUP srrE(LAP) n Hou$JNG ASATENItNT td SOLID WASTE FACILITY DOI <br /> ® OTNER CLEANUP'SjTE(N0N-L0P) U FOOD rAGIUTT n sWD WASTE VEHICLE <br /> ' uNOERGROUNDTANK(MoNiTmNGMEMOVAL) Q DOG KENNK- M DALRY <br /> �'' ►l/ZARDOUS Wp$TE GENERATOR ❑ CHICKEN RANCH C1PKG TREATUFNT PLANT <br /> O TILRED PERMCrMD FACiUTT ❑ MOTEU"CrrEL t7 PUIu(PER TRtN,xrYAAD/G1ElA TOILt T8 <br /> 10 ThTT6oBODY YE1HCwG ❑ POOLJSPA O LARD USE APPLLCATLON Sms <br /> A IAIrDICAL WASTE FACILITY O PUBLIC WATER SYSTEM C1OTHETi(PL.eASC SPECIFY AB04Tcl <br /> 1. List up t4 ten addrc3345 in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least aro file type MUST be selected. Fax t 2095 464,0138 8r rtzsjl to <br /> address ind-iG above. <br /> 2. Ep(D will notify the applicant if any EHO files exi:&L An appaintmant for review will be confirmetl <br /> approximately five business days but no tater than ten(10)days atter roc¢ipt of aPPM360n, The files <br /> will be hard for a maximum of five business days for review. appointments should be sOedulcd <br /> accordingly. <br /> 3. A file that i34avely beim worked an by END staff may not be immediately available for review. A now <br /> application may be submitted when the file is available_ <br /> 4, Any fila not returned in the Sarna conaition as releasttd will be reporganlzed by EHb staff at the expeASO <br /> Df the applicant. Future file reviews by the carne applicant may r04uire a ST8A0 dap9S7A prior to revlew. <br /> S. 'TENTATIVE appaintmcrnt dates mm"he Confirmed with E140 staff_ <br /> 6_ Applications received after 3-00 pen will ba processed the next business Clay. <br /> IL <br /> r .pis m � r�',,�* w�ii�ji.- r .'i(�'p ' ��,, 'tiC';2.�•_t�.:• <br /> i, � a . fir• ,J ;``+y� ..i ''S',r �i.rt. <br /> .��. k, � 6.-"rr(I .•f} + 1�. t.� � ,x`:'..r; 1 _ <br /> � 7 N� .I .-t...d„n,. •�,.• <br /> R�vl�W�o=,� ` �'•' X�$ , ,�d ;ttlQ"%'� G 5�,�i.�;. ''r..f2�1,/iEW:p.�l�f£'.'.. •., . <br /> SOW" <br /> �v�'il �)2bt3bp O1 W021d _ Wd9C=z.Q 6667-L�-'I <br />