Laserfiche WebLink
10-02-2000 08:01AM Fi, TO � J+ 19256663039 P.01 <br /> D:.7tNECi:Iv,Q I V <br /> Liu LOG IIuialeli <br /> SIGN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> *EAST WEBER AVENUE,THIPW FLOOR <br /> RV- <br /> sTocicroN CA 195202 <br /> (209)468-3420 <br /> a lIiBLIC-RECORDS RELEASE APPLICATION ° <br /> APPLICANT kf Me 10L(T.Q0.OUSINESWAGIMCY <br /> QADD7ESS Ill ' <br /> PHONE i27 <br /> o0 <br /> IRQ O <br /> I 6 <br /> TENTATIVE-APPt4TMENTSATE P TIME Vj ESLTN <br /> �(piaa9a give7.ta'fObu9i epi ss��pllca2lan sulxn7t�a1) ` <br /> CHECK BOX TO EXPEDITE R]QUEST 487.04 FEE-REQUEST PROC IN 3 BUSRMSS DAYS <br /> SIGNATURE OF APPLICAN # ;HATE 16/3 Ino <br /> I <br /> FILE ADDRESS THIS SIDE EM STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH -- <br /> 77. <br /> E IC.}Or 6.1 <br /> W <br /> y a <br /> a7 S��Sc r rJ- �_ d <br /> iev <br /> PA <br /> 13oS a o �Civd: <br /> � -- <br /> l r gNVIgONMENTAL HEAL'7N DIVISION FILES ' <br /> 34 UNDERGROUND TANK(U53)Cl ANUP SITE(LOP) 0 HOUSING ASATEMENT SOLID WASTE FACILITY } <br /> •�',OTHER CLEAL'LUP SITE(LION^t0 ❑ FOOD FACILITY SOLID WASTE VEHICLE <br /> SL-UI�iL31wRC�ROUIID 7Ai+IK IHIONt r RINGIREMOVAL) ❑ DOG KENNEL tl DAIRY <br /> .HAZAROOUs WASTE GENERATOR a CHICKEN RANtK 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FAClLJTY I 0 MaMLJHOTEL r] FumpeRTRUGWYAR:DICHLNTO1LETS <br /> C3 TA"iTOO/aODY PEIRCING . i POOl1SPA lit LAND USE AAPLK'.AT7iDN SMS <br /> 19 mEvicAL WAs-MFACILITY }>tCIPUSUCWATERSYMMI O OTHER(PLEABESPECIFY AME) <br /> I � d <br /> 9. List up to tenadclrsses E��jj the space above. 5eleat the type(s)of files from the list above by Chocking <br /> the appropriate bailc(es). At least one file type MUST be selected. Fax to a=46"138 or mall to thR <br /> ad indicat <br /> z. EHD will notify the appliOnt if any EHD files'exist.An appointment for re <br /> uieary will be confirmed <br /> approximately five;busingi s days but no later than'ten(10)days after receipt of application.-The files <br /> Will be held for a M=i=mt of five business days for review- Appointments ahotrdd be scheduled <br /> accordingly- <br /> 3_ A file that is actively being worked on by EHD staff may not be immediately availab[e for review. A new <br /> application may bo submitted when the fixe is aVrailabie. <br /> 4. Any file not return d in the same candition as reloised will be reorganized by I-HO staff at fire expenra <br /> of the applicant l�t6re file reviews by the same appllcant MAY require a$87.00 deposit prior to review. <br /> 5. TENTATIVE appointmentidates must be Confirmed with EHD staff., <br /> 6. Applications receWed after'3:00 pm will be processed the next business day. <br /> { <br /> F <br /> ED APPOINTMENT DALE 'IME <br /> IRMED PHONE FAX INITIALS <br />