Laserfiche WebLink
__tJ� ._l'ltJl..+ 1,:J_��.1.'1 7 I"'.VI'I I- Li J: 1'♦UI'.. +L,, ..._ _, _. __ _ .__.,_ <br /> /.,-J+i.tCklvtD I � CND LL14 NWI <br /> SARI JOAQUIN GOUNTYPUBLIC HEALTH SERVIGES <br /> ENVIRONMENTAL HEALTH DIVISION Ll.P <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> j STOCKTON CA 85292 <br /> l (249)46$.34z0 ' , <br /> Rt <br /> POSI-16 RECORDS RELEASE APPLICATION <br /> APPLICANT t c3 BUSIHESWAGENCr <br /> AC <br /> Ft tNE•L-[L`6� 73 635%a FACSLMILE 91V 00 `^ <br /> - • TENTATIVE`APPOIkTIuI£tvT UAT[ TIME <br /> 7 > <br /> (Please give 7 to 10 bU3L'oC*S Gaya f4-9m date of app11G3ti09 submittal) <br /> CAiECK BOX TO EXPEDITE R!QUE T'397.00 FEE-REQ ST PROCE.Sst D Qt 3 BUSINESS DRYS <br /> SIGNATURE OF APt LiGANTi /� • ���' DATE C <br /> 1 hll T <br /> j F1L�ADDR1=$S Ttits SIDE EHD STAFF US£ONLY <br /> f i <br /> PROGRAM ELEMENTS S>=AARCH <br /> U <br /> 7 <br /> ENVIRONMENTAL HEALTH t)IVISION FILES <br /> tIiUNDERGROUND TANK(UST)CI FANUP SITE(LOP) O HOUSING ABATEMENT 13 SOLID WASTE FACILITY <br /> TILER CLEANUP SITE(HOI�I-LOP) ❑ FOOD FACILITY C7 soL.ID WASTE VEHICLE <br /> UNDERGROUND TANK(IdONITORINGIREMOVAL) LI DOG KENNEL. o DAIRY <br /> gzAFWOUS WASTE GENERATOR Q CHICKEN RANCH C] PKG TREATMENT PLANT <br /> U TIERED PERMUTED�AuLtFY I MOTELIHOTCL ❑ PUMPER TRUCK/YAR=KEM TOILETS <br /> C TATTOQlBODY PEtKCING I d PO0t1SPA - - O LAND USE APPLICATION SITES <br /> G MEDICAL WASTE FACU-ITY D PUBLIC WATER SYSTEM D MER(PLEASE 5PECIFY ABOVE) <br /> 1 <br /> 9. USA up to ten addr4ses in the space above. Select the type(s)of files from the list above by Chocking <br /> the appropriate bo�c(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. E_l-ID will notify the4 pplicaht if any END files vxisL An appointment fOr review will be confirrncd <br /> approximately five!business days but no Later than ten(10)days after receipt of application. The files <br /> will be held for a miaximum of five business days for reYiew. Appointments should be scheduled <br /> a�cordia9iY- <br /> 3_ A file that is activew being worked on by EEO staff may not be immeCiaWly available for reriaw. A new <br /> application may bejsubr fWW when the file Is available. <br /> 4- Any file not returned in t"same Condition as released will be reorganized b7 EHD staff at the expense <br /> of the applicant. Future flie reviews by the same applicant may require a$87.00 deposit prior to reviCW, <br /> 5, "TENTATIVE appointment states must be confirmed with EHO staff_ <br /> s.- Applicaltians[eceixed after 3:04 pm will be processed the next business day. <br /> 1 i <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED - _ I PHONE FAX INITIALS <br /> REVIEWED YES t NO REVIEW DATE <br /> Eh 00 u D407100 _ i <br /> TOTAL P.01 <br />