Laserfiche WebLink
0 001 <br /> 10/19/2004 16:14 FAX 6439048 SAN JOAQUIN COUNTY <br /> DEPA�TM"T <br /> ENMONMENJ�'AL HEALTH <br /> 304 E Weber Ave P Floor Stockion,CA 95205 <br /> g 2 9}468-3420 Fax:(209)464-0138 Web:wWw.c0-sem 1 l <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BINESS <br /> USIAGENCY <br /> APp�ANf: � �. •c . �- �� 5 � <br /> ADDRESS: rr t G c{ ^C70 c f c <br /> PHONE: L1{ - �J 1� t� FACSIMILL:: �07 <br /> TEINTATNE`APPOINTMENT DATE: Q <br /> allow 10 bnalnms days frown dain of aplAkatIM aubnslttal) <br /> © CHECK BOXTO M(PEDITE REQUEST-$93.00 PEE—REQUEST PROCESSED IN 3 BUrANESS DAYS b <br /> DATE <br /> SIGNATURE OF APPLICANT I pePactnenl Use Only <br /> UNIT <br /> FILE ADDRESS <br /> G > p Unit 1 �5 <br /> ,. sE m <br /> D ar �n <br /> z Unit 2 <br /> a 31re� 3�1 T6L0�'yi�ti^ <br /> s� 1• Z V(0 EL�+�7-0 - '= : L Unit 3 <br /> I <br /> s <br /> Unit 4 <br /> y <br /> ►� 0 Unit 5 <br /> y <br /> i4 suee <br /> .,-;I-DEPARTMENT FILES <br /> . <br /> a <br /> j 4TEMENT O SOLE)WASTE FACILITY <br /> 0 THERCCL a 2 f --�/]��,�)l�//], �. Iy ❑ SOLIDWAS,-EVEMCLE <br /> SUN ✓! 'Lf �I ► . Il DAIRY <br /> �� <br /> BCH O PICG TREATMENT PLANT <br /> f a`�PF ` 0 PUMPER TRUCKIYARDICHEM TORmETS <br /> 0 TATTC3OM" SSE <br /> 0 LAND USE APPLICATION SITES <br /> 171MEDICAL V <br /> 1. Li ct the type($)of files from the list above by checking <br /> the 5T be selected. F 209 464-M 38 a mail to the <br /> 2. E . An appointment for review will be confirmed <br /> a n ten(90)days after receipt of application. The files <br /> For review. Appointments should be scheduled , <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense � <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. l <br /> S. "TENTATIVE appointment dates must be confirmed with.EHD staff. <br /> S. Applications received after 3:Q0 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIAL$ <br /> REVIEWED YES NO REVIEW DATE p <br /> eio aa.nxa= <br />