Laserfiche WebLink
08-30-20W 02109PM FFq 1 TO 1707452E413 P.01 .I <br /> oAfGllrCgo� 4.j ` ,1� 4q W6nYn�Y <br /> ����fl�/ ISI SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> IJ �1 L�L�J ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOC"CA 96402 �I <br /> AUG 3 0 2000 (2M 4tta-3azo <br /> ENVIRMAPNT HFAI PUBLIC RECORDS RELEASE APPLICATION i <br /> PERmifabVAE eus+NEssrAc cY <br /> i ADDREse <br /> V <br /> i PHONE FACQE� <br /> TENTATtYE'ArPMTTTtENr DATE 1 pg" Twp b•'�O <br /> (Ptoses Flee T to 19 6 rrem"M of aW*CXCk n'"6M ) <br /> CHECK BOX TO EXFEDRE REQUEST 7.00 FEE,IOW PROLE .D IN 5 6UaatEaa DAYS <br /> 00 <br /> tilONATURE OF APPLICANT 1►�11 DATE <br /> &1161 NO STAFF USE ONLY y <br /> (Q C,1[ e.C'iY1 FILL PROGRAM ELEMENTS SEARCN <br /> a 2 <br /> i <br /> err i <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> XVHDRROROUND TAKX(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> ��/IOTHER CLEANUP 6ITL(NON{OP) O FOOD FACILITY 0 SWI)WASTE YEI0OL1c �� II <br /> c6-UNDEROROUND TANK(MOMIT01UNOIRPMOVAL) C3 DOO K ENNIL a DASCY it <br /> RDOUS WASTE GENERATOR 0 MUCK01 RANCH 17 F"TREATMEN►PLANT <br /> ]BIED PERUME0 FAMUTY o NDTXLMUML 0 FVtiERTRUCIWARD/CMMT0F.ET3 <br /> 0 TAT7001100Y PEIRCING M P6041SPA O LAND USE APPLICATION gnES II <br /> 0 MEDICAL WASTE FACILITY 0 PUSUC WATER avaTEM Q OTHER(PI.EASE SP6Ca:Y A80Ve) 'I <br /> I T. List up to ten addresses In the space above. Select the type(S)of files horn the list above by checkIng <br /> The appropriate box("). At lasat one file"a MUST be"acted. Fax to(fi)W&133 or Mag to the . <br /> address indicates .. +,+ <br /> 2. EHD will notify the applicant M any EHD files exist. An appointmentrevl <br /> for aw will be confirmed <br /> approximately five business days but no[star than ten(10I days after receipt of application. The files <br /> will be hold for a maximum of five business days for review. ADPOintments Should be scheduled ? <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately aVS11019 for review. A,now !i <br /> application may be submitted when the file is available. <br /> 4. Any nle not returned in the$ams conoliflon ss released will be reorganized by EHD staff at the e)*mse i! <br /> of the applicant. Future file ravlaWe by the gams applicant may require a$87.00 deposit prior to review. <br /> 6. -TENTATIVE appointment dates must be confirmed with EHE)stslf. <br />�. 6. Applications raeeived after 3:00 pm will be processed the next business day. <br /> f CONFIRMED APPOINTMENT DATE TIME u <br /> GATE CONFIRMED PHONE FAX INITIAL$ <br /> ;I <br /> 4. REVIEWED YES NO REVIEW DATE -i 1 <br /> 1 Toner <br /> TOTRL P.01 II <br /> i <br /> i <br /> 1 <br /> 'J I <br /> ! I <br /> I I <br /> it <br /> I <br />