Laserfiche WebLink
( . kali IAK:autRulx <br /> SAN J0 1N COUNTYPUBLIC HEALTH SER.VT S ° <br /> i f NVTRONME=NTAL HEALTH DIVISION <br /> 3tf4 FAST WZBER AVENUE,THIRD FLOOR2- <br /> STOQKTON CA 95202 <br /> i (209)40.3+424 <br /> ' BIRECORDS RELEASE <br /> [^}APPLICATION <br /> .Mp PLhATlfl <br /> p <br /> APPLICAN /� Fn <br /> yyz/ / <br /> PHONE 6 t4�. � FACSIMILE o/&. -73q. 6&z& /� <br /> TENTATIVE*APPOikTUENT i7ATE 1 y y TIME � v� <br /> (Please g5ae 7 to busis�tis eF�Ys Troeri Aatc oSapp& tica�sUbm ittal) <br /> CHECK BOX TO EXPEDITE REQUEST 87.90 FE -.RF_QUi=,ST PRQCE3,5EV ill 3 BUSINESS DAYS �t <br /> SIGNATURE OF APPUCANTi DATE 1 <br /> ° <br /> Fill ADORES$ THIS SIDE F90 STAFF USE ONLY <br /> PROGRAM F.t.EMI; T•SEARCH <br /> i <br /> i <br /> ! 64YIRONMENNTAL HEALTH DIVISION FILM <br /> i <br /> KDERGROUND TANK tUSTy•t LEANuP srrF(LOP) O 140%MRG ABATEMENT WASTE FACILITY <br /> OTHER CR EAAIl1P a(r$(NOW-1.9P) <br /> FoOr3 FACKM f5OL!0 WASTE VEHICLE <br /> UtiRER+CR0V"0TANK(NMT1WUN JFtEMOVAL) CI DOG KENNFL © D)URY <br /> KAZARDOUS WASTE GENERAtOR 12 cmir'MN RANG41 © PKG TREATMENT PLANT <br /> C.1 -nEEmv PERMrrrev FAGIi nYI QTEtJH0TEL O Pitm+KR TRL'CWYARD1CHW TOn�T8 <br /> Q TA°TT=8WY PjrlRCWr' n PQCLfSPX U LAND USEAPPLICATI NNSnES <br /> biEAIGAL WASTE,FAC(UTY 13 PUBLIC WATER SYSTEM O OTHER(PUA: 5E SPECIFY A 0VE) <br /> 't. List up to teal addresses In the space above. Select the type(s)of files from the list above by Checking <br /> the appropriate bo�(es). 4t least one file type MUST be selected. Fax to 12091 464.01311 or mail to the <br /> adgress indicated above. <br /> 2. EHD will notify the japplicaWt if any EHD files exist. An appointment f0t review will be confinned <br /> approximately five lbusiness days but no later than ten(10)days after receipt of appliwtion. The files <br /> will be held for a rn4Mmum of five business days for review. Appointments should De scheduled <br /> accordingly. <br /> 3. A file that 1�activeV being worked on by EHD staff may not be immediately available for review. A new <br /> application may bel submitteC when the file is available. <br /> A. Any file not returned in thea same condition as released will bo reorganized by EHD Staff,at the expense <br /> of tate applicant. F�%t re file reviews by the same applicant may require a$67.00 deposit prior to review. <br /> 5. 'TENTATIVE Appointment states must be confirmed with 5HD staff. <br /> 0. Appficattons receixed aftet 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DA l TIME <br /> DAT$C()NFLRMED I PHONE FAX INITIALS <br /> PEVIEWED YAWS i No REMEW DATE , <br /> 4h6 44 s6 SdAT709 � a <br /> TOTAL. P.D 1 <br /> 16 200 UNIT <br />