Laserfiche WebLink
iB:52 FR1!1:TWININr-LABS INC 55-et'00740 Tr•916 391 9478 P.002/002 <br /> 10-2081 04:3tPM f " -- <br /> �� UM•ux..w..r.e p <br /> A. SAN J04QUIN COUNTYPU6LIC HEALTR SE-RVICES <br /> 1tyOROI�iMl�(�I`CALHE.ALTH DIVISION �O <br /> 304 OR <br /> WE AVENUE,MRD FLOOR <br /> STOCKTONi CA SS202 <br /> (2013)468-3120 <br /> PUBL.}Q RECORDS RELEASE APPLICATION <br /> APP'UCAt�7 U.I �`, P BUsl�1l:SSL0.GzftCY p <br /> AOORfSSI�/ JC' Ely-g-2r)n <br /> / cy <br /> f'ti4NE flt � 3 ru_l} �d ' ! FACStDAtI� c0 - <br /> 4 TENTATIVE`APPOINrML-MT QAYt:Wlt.k,Dt Idt-1'1.0 -- Yrmc --- <br /> (Plaxse give T to 10 busifress oAIR imam dale cl applicaUon rmbnr:l,W) <br /> Cli1: IC gpx TO,CXP QITE I�gQUGS7-'?TT,t+O F6>:-RERUI'S/7 PROCESSED <br /> INS iluSlN 5 DAYS <br /> startA RE ol=APPLICAXT - ---— <br /> FILE AODREW ,• Tlu SIDC lG�ID STAFF USC OI31f <br /> PROGRAkl M.9rieNTS SMRL14 <br /> • LD <br /> 4. <br /> t♦ _.r[1�-' r/f-atm-- OL <br /> .Z 35 <br /> s <br /> 77*4c <br /> ES <br /> ^ <br /> ENVIRONMENTAL HEALTH DIVISION FILE <br /> -, UNDe4r-ROUND TANK JUST)CLeANUP S61[LOP) 0 MOUSING MATEME NT •t�SOLIO WASTE IFACIL11Y <br /> O'1'MEI CLEANUP SITE INOM-LOP) 0 FOOD VACIUTY t3 SOLID WASTE VEI/IC�LG <br /> UiVOF GROUND TANK JDAONITORINGImra YioVALl © DOG K14%NJUL 0 DAIRY <br /> KAZ!A4nou;yVgs7EGtHanxrva 1 0 cmCKENRANGM 0 PK0TREATMENYPLPJ47 <br /> Tiefame PERMlwko FACILIT7 0 t4OTLUxoIrt1. a PUMPER rRUCKfYAW/CHEtATOILtrr$ <br /> a TATTOfpXJBODY FORUING O P OOUSPA -- ' 0 LAND USE APPLICATION S(=S <br /> O McDIc11L.WASTe,FACILITY CI PUDUG VVATER SYSTEiM D OTKEit{PLEASE 5MG02'r AUcry:j <br /> 1. 1 List up to ten addresses ir),tho space above. SCIeCt thO types)of fileskom the list above Oy chocking <br /> ttie apprgpriate box(es). At!cast one rite type MUST be selected. Fax to(209)4f§-(t138 or mail to thea <br /> address ingigatqd above.- <br /> r <br /> 2. EHO wht otify the applicant if any END files exist An 2ppointment for review will bo conf Med <br /> aWO-Ximataly five business days but no Iatgr than ten (10)days after receipt of application. Tile file$ <br /> i <br /> will bo held for a maximum iof five business days for review. Appointments should be sChaduled <br /> accordingly. <br /> 3. <br /> !Afilo that is actively boing worked an by EHO staff mhy not be immediately available for reyiasw. A naw <br /> application r tay be sudmitt�d when tho file Js available. <br /> 4• Any file nat ratumad In the,sarnc condition OA roleiascd will be reorrgarlizcd by E14r)start at the aupanse <br /> Of tllc applicant. Future fill rbvlews by the same applicant may require a.$37.00 deposit prior to revibw. <br /> 5. `TENTATIVE apgointmant dates must be Confirmedylrith EHD staff. <br /> 6. Applications rece1r1roU`aliter'3:00 ern will be processed the next business day. <br /> C0NFlRMZD APRQlXTr4ENT DA7 Z <br /> DATE CON JRMED TIME <br /> res "� lNITLq_S <br /> ' - � .. ._. M� )`kl+r•1r Erni„ — i <br />