Laserfiche WebLink
07/10/00 MON 16:10 FAX 209 9,�R 062.1 i-- ++ 6ACIANAE'NTO q:JUUC <br /> cl nri rrav TL] 1'eO?4234162 P-02 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> AUG 2 9 2000 304 EAST WFBEFt AVENUE,THIRD R-OOR f <br /> STOCKTON CA 96202 • - - <br /> ENVIRONMENT HI&LTH )4WM20 <br /> PUBLIC RECORDS 9RELEASE APPLICATION <br /> r.., Ylefn OA - <br /> AP iC t3tJSlNESSJAGat?NCY� . <br /> • TM <br /> ADIIRESS Sacoa me <br /> FACSIMILE ! 37LL3 <br /> TENTATIVE'APPO1NTMENr DATE TIME <br /> (Plcasv give T to 10 buZ as dors from date of epoiaadoo submittal) <br /> OKCHECK BOX TO EXPEDITE RE QU -STom -RE EST PRACESBED IN 3 BUSINESS'12AY9 <br /> SIGNATURE OF APPLICANT DATE <br /> FILE AVOMSS <br /> 711�- A167 777,1 2 <br /> 77 <br /> _ CC <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ hoUSINO ABATEMENT W sauDwABTe FAcu.JTY <br /> VEHICLE <br /> OTHFsR CLEANUP Srrfi(NONE OP} O FOOD FACILITY O sOLID WA£•TE <br /> ]4 UNDERGROUND TANK(MONITORING[I EMOVAL) O pQQ ONKEL PKG Y <br /> ❑ CMCKEN RANCH 1sC PKG TR>=I►IME�IT PLANT <br /> TIERIFHAZARDOUS WASTE GENERATOR O #AOTELn4GTEL PUMPER TItUCK/YARD/CHEY TOILETS <br /> �l TIERED .eRuITTED FACILITY p PO0Lt3PA LAND USE APPLICATION SrrES <br /> ❑ TATTOOIBODY PEIRCING O PUBLIC WATER SYSTEM fl oTNER(PLI!A !SPECIFY ABOVE) <br /> 0 MEDICAL_WASTE FACRJTY <br /> 1_ List up to ten addresses in the space above. Select the types)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected• <br /> fix me"to th <br /> mddrgss lndiggted above. y appointment for roviaw will be confirmed <br /> 2. EHD will not the applicant if an EHO filar exist. An <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A rile that is actively being worked on by EHE) staff may not be immediately available for review, A new <br /> application may be submitted when the file is available. <br /> as released will be reorganized by EHD Staff at the expense <br /> 4. Any file not returned in the same condition <br /> of the applicant. Future file reviews by the soma applicant may require a 578.04 deposit prior to review. <br /> 5. "TENTATIVE appoints Tit dates must be confirmed with EMD staff. <br /> 6. Applications received after 3:ea prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT MATE <br /> TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> RI=VIEWED YES NO REVIEW DATE <br /> TOTAL P.82 <br />