Laserfiche WebLink
_ U <br /> SAN , .QUIN COUNTYPUBI.IC HEALTH .VICES <br /> ZNVIRONMENTAI.- HEALTH D1V€SION �7 / <br /> 304 F_f1ST WEREFZ AVE. NUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> MAR 1 9 Z 0 01 (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP61G�1T a USiNESS1Adr--NCr`Y �l� C 1_Q <br /> ADOI2ESS �t Ll u"J <br /> PHONE 1T�' r v FACSWII E �17�� � t <br /> TENTATIvE"Ap90LR-rN1F-NT DA-CP, l_Q Soen�r'� Tlhl� I� <br /> (please glvM 7 tc 18 bualhess Jaya from Gats of apgilcabon suDrmm l) <br /> 172 CIiEGK aOX TO 9XPEDMX R9Q - .Op FEE -fLf ST P6tOCESSF-D ITS 3 9USiNESS DAYS <br /> SiONATURE OF APPL14::ANT , Dl�TE I "J � <br /> FILL AODr %S iS SICtE fiD S f ONL <br /> Pr�GFtAld ELEM>~tsiS Sr:A1ZCH <br /> Lis <br /> . t <br /> ENVlkONM TAL HEALTti DIVISION FILES <br /> UN0ERGRQU?0 TANK(UST)CLEANUP SITP-(LOP) 0 t10t7$LAG ADATEMEN'[ ❑ '$OLID WASTE FACiLUY <br /> OTHZR�:�ANUP SrrF-(NON-LOP) 0 FOOD FAC;t.T1-Y a SOLID WASTE VRWiCLE <br /> Ut-IDEIWXQUND TANr`r,tMQH1-T-GTt1NQMEi b1QYAL) to (JOG KENNEL, 4 DA RY <br /> }Sq��RP�JIIS WAST€GENERATCR D CH;OXEN RANCH 1a PKG TRZATGIEKT PLANT <br /> 7 nERLD FRFMUTE FACiL1 ❑ rA0TFLJJ10TEL 0 pliaFER TRUCIVYARDIGHEM TOILETS <br /> D TAITOOrBOAYPF_1ftGl}�G rJ PiJJLlSPIi ❑ LAND'JSEAPYUGATIONSa" <br /> 0 tARDICAL WAST1=FACT J 1 Y PUBLIC WATER SYSTEM C2 cmtER;PL E SPECIFY ABOVk7J <br /> 1• LIS.6 up to tett AddTeZ"$in the space above. Select the type(S) of files from thO ilst abovo by Checking <br /> th•appropriaiic bbx(ea), At;cast ono fila type MUST be sa1C4;;#@d. FM 12 L2tt�464-09 313 or mail to t44 <br /> ad ry*s indicattd <br /> 2. EMD wlil notify the applicant if any EHD files exist An appointment for reviow will be Gvnfirmed <br /> approxim;Ately five business days but no later than tern (10) days after receipt of application. The mos <br /> w1il be held for a maximum of fiva bUbiaes8 days for rgview. Appointments should be scheduled <br /> accordingly. <br /> 3. A F1ie that IS actively being warkecl on i?y EHD etaff may not be irnmediatefy aVallable for review. A new <br /> application may be submitted wh2n the file is avallable. <br /> 4, Any fila not return©d in the suma Condlt[On w* released will be reorg"tzed by CHO staff at the expanse <br /> of the applicant- Futuro file revi8ws by the sanie applicant may require a $87.00 deposit prior to review. <br /> 5. "TENTATIVE appointment dates must be confirmed with FHD staff_ <br /> 6, Applicaticzns recelvad aftior 3:00 pm will be processed the next businssa day_ <br /> CONFIRMED AF+POwTMlwt1T DATE TIME <br /> DATE CONFIRMED PHONE FAX (N)VALS. <br /> REVtEwinD YES NO REV I.F-W DATA* <br /> PO u 0{yp7 <br /> TOTAL P.01 <br />