Laserfiche WebLink
SAA[ JO QUIN I:OUNTYPUBLIC HEALTH SF4ViC>=S �Hu�a�N�N�� <br /> VIRONMENf'AL HEALTH DIVYSf�j <br /> 344 EAST WEBER AVENUE,THIRD FLOOR � GILL <br /> STOCK-TON CA 95202 <br /> (209)465.3420 <br /> PUBLIC RECORDS RELEASE APPLICAMN <br /> APPN.lCRKT fvta�ri A. <br /> ADDRESS l fl ��o� Lc - -� <br /> PHONE FACSWILE <br /> �Q r <br /> TENTATIVE*APPOINTMFENT DATE_ _ TIME; <br /> (PFease give 7 to 10 bushw4=days from data Of appficatfon s�tFttal) 4 <br /> CHECK sax TO ExPEDn M REQUEST-U7.00 FEE-REQUEST ROCE8SI=D IN 3 HUSINE3S DAYS i <br /> SIGNATURE CI"APPI„ICANT DATE 2& Z t k <br /> i <br /> FII EADDIiSS TH{S SITE EfiD STAFF IiSC OHL.Y <br /> PROGRAM ELEMEWS SEARcH <br /> d- <br /> c.a i 1Q. <br /> cam!z ��►+�.�•- �-. <br /> .Toes µ�,t <br /> ^'f� �•. �0.Yr .7CQ µ�i K • <br /> t i <br /> -� ENVIRONMENTAL HEALTH DIVISION FILES <br /> �i�VDERGROUND TANK(usT)CLEANUP SI i�(LOP) Q HOUSING AUATEMENT C�5O134 WASTE FACIU Y r <br /> ,OTKER CLEAIdi1PSiTE(NQI+2-1.OFI C1 FOOD FACf4TfY IeSQLID WASTE YETBCt.E i <br /> IJNOERGROUND TANK(MO!'1EMRING(rtEMOVAL) 0 DOG KENNEL d DAIRY <br /> .HAZARDOUS WASTE GEHFi3AT'OR ❑ CHrAMN RANCH 11 PKG TREATNAW PLANT <br /> 4 TTERED PERAIMrEit FACILITY Q NIOTELlHOTEL 13 PUMPER TRIJ(=YARWCNEM T0&ETS <br /> ❑ TATT001a00Y PF-1RCtNG f7 POQLISPA — 0 LANX)UmE APPLICATION SrrFs � <br /> 01MMICAL WASTE FAciLrry 0 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVL) l <br /> 1. Llst up to tan addresses in the space above. SeIOCt the types)Of l-rles from the list alcove by checking <br /> the appropdate;�box(es). At least one file type MUST be selected, Fax to L2fl91 4 mail tothe <br /> address_indiMtbd above, <br /> 2. EHO will potify the applicant if-any EHD tiles exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(90)days,after reCeipt of application. The files <br /> will be held for a ITIaXIMUM Of five business days for review. Appointments should be scheduled <br /> accordinSly, , <br /> 3. A file that is actively being worked on by EHO staff may not be immediately avadaMa for review. A new <br /> application rnay!be_submitted when the file IIs avallatlle. � <br /> 4, Any file not returned in the same condition as released will be reorganUad by EHU staff at the expense ` <br /> of the appllcant_i� Future file;reviews by the sante applicant may require a$87.00 deposit prior fa review. <br /> 5. wTENTATR(E appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3:00 pan will be processed the next business day. <br /> CONFIRMED APPOINT" e4T DATE TIME <br /> DATE CONI+iI MF-D PHONE FAX II' IT[ALS i <br />