Laserfiche WebLink
113i6a�iZJI'r2 P'U- <br /> a�.. <br /> ...,..:•uM�+-��' "SCJ <br /> 'SAN .30JgQUlfrl COU ' <br /> NTYPUEI,IG HEALTH SERVICES <br /> Vl AUG 2 0 2001 ENVIRRONMENTAI-HP-AI.Ttj oIY1S10P1 <br /> 304 FAST WEBER AVUHUE,THII,'D FLOOR$TOCKTON CA=OZ <br /> PUS UL -, RECORDS RELEASE APPLICATION � <br /> 1 .� <br />+ <br /> APPLICANT_ gUS11NESSfA6F�tGY <br /> AQnR��s• 3 1 �t���f'- �'}tom] P4CI11t*.l�ia dJ�[ _ � ��„ <br /> PHONE! ct <br /> E ,TgNTATJVF-'APPOWTA CHT DATE T)MZ <br /> tPlcasc:lyrvo 7 to ifi>SUSir+aaa days f►an data of sppRlcalior+satDmll;alJ <br /> CI EeK BOX TO,EXPIWITE RE4(11=Sr•- 1.0a P QUESTP SI:VM I D SME5S QAYS f <br /> S1G1.1AL16I5 OF APPLICANT [SATE <br /> + ; <br /> RL L°AQaL ss TIAs SME EHO STAFF Use ONLY <br /> 3:522PRgGlLAlA AL7sL{&HTS$HARCH <br /> .1 L <br /> • P—c� <br /> a <br /> i aZ5 z c, <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDgGROUNA TANK LUST)GLEANUP,S�r@{WP) 0 J40USU S ARATIIWNT �'SOUD VW a 3TE FACUJTr <br /> OTM i~L,F vp slu(NON•LOP) 0 FOOD FACdM 13 SCUD WASTE VEHICLE <br /> UNC) ROUND TANX(MONrTOM NGlF&MQVAL) 0 DOG KENNEL a QA Y <br /> 4US YYASTrz GENERATOR a CHIt:I W PLANCH 0 PKG TREATlMENTPLANT 1ti <br /> In PQ <br /> ERM OACILrTY Q MQTEUHC'ML d PUMPER YR1JC1 AR 6UM TQlLETS. <br /> 0 19/1 GSODY P F36 • G US <br /> RGIb POOLJSPA ❑ LANE APPLICAYM SRMS <br /> Q MEidAiL WASTt FACILISY Q PUWG WATER~4Y&TEb1 G7 OTHER(PLEA3Z SPECIFYAL3GYE) { <br /> 1. List up to ton addresses tat the spear abode, Select the type(s)of flies from the Ilst above by cheching <br /> ttie appropriate box(et). At Icast one file type MUST be sofacted. Fax to(Zb91 464-aj3a3 or malt t 9thr, <br /> + : cod ind al ve. <br /> 2, I EMD will notify the applicant if any END files exist A(I appointment for review will be confirmed t <br /> .approximately five hiAsiness days but no later than tffn(10)days after receipt of appkcation.-The Tilos <br /> i 'will s held for a rn;Vjrnulri of five busi;ioss days for review. Appointments should be scheduled <br /> a.c6ardinolyj. <br /> - <br /> 3. ! A file that l,s actively boing worked an by EMO staff may not he b1nmadiately available for ruview. A now <br /> 4. ipppiiaation may ba submitted when Via File is available. <br /> Any filo not returned in the name condition as rolaased will be ragrj)anizad by EMD sial[at the expense <br /> of the apptlranL Future file reviews by the same applicant may require a$87,00 depurit prior to review. <br /> S. ! 'TENTATIVE appointment dates roust be confirmed with EMD stiff. <br /> (L Applications received after 3.00 pro will be processed the noxt business day, <br /> CONPIRMED APPOINTMENT DATE 11ME <br /> DATE CONFIRMED PHONE FAX UTIALS <br /> REVIEWED YES No REVIEW DA'Z'E <br />