Laserfiche WebLink
- .• 711`07 / 2003 06 : 50 FAX 209 9480621 X1002 % UO2 <br /> �� aFLE1VF� EHu I.im kuY es <br /> it � � �� - j� �I'' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> MAY 0 7 2003 STOCKTON CA 95202 I <br /> (209) 468-3420 <br /> 1 I. ` SII'' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT k V L,-I S\{m� .F S t3USINESSIAGENCY � l.-� l lyl_ .�'. I1 - —_ <br /> ADDRESS b?ZC rp ILKRsiL.ES S710c_x�Uf.J C�- <br /> PHONE 7-09t `IE15 - 13KC' FACSIMILE Z Z1 <br /> TENTATIVE` APPOINTMCNTOATE �� ( �-( 03 TIME �Lz; ' •90 ._-__ _-- <br /> (Please plve 7 to 10�n Bern date of appumum 5ubmd}ao <br /> cHECK UOx TO EXPEDITE REQUEST - 400 REQUEST P SED IN 3 BUSWE:)S DAYS <br /> SIGNATURE OF APPLICANT _ DATZ _ 6 210 <br /> 111 W�✓ <br /> FILEADDRESS THISSIOIi El to Si'AFF W1E ONLY <br /> P,AtR�,OGRAM I_I.E61EppN75 SEARCH <br /> 6IZ C.�4iLlJi'07.! f4a/fn..LV�fs STD CX.}�iT I L1L0 <br /> 4 �. - <br /> - 1 5 _ <br /> a \ O <br /> ZD nt - 3 v, A•r.l r-v 6 . �-- <br /> dJ.�t , <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> M UNDERGROUND TANK (uST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT WI SOLID WASrE F'ACILUY <br /> [A OTHER CLEANUP SITE (NON-LOP) ❑ FOOD FACILITY ES 801-ID WAS rE VEHICLE <br /> I)% UNDERGROUND TANK ( ONITORINGIREMOVAL) ❑ 1300 KENNEL ES DAJRY r7 <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH GaPKI-; <br /> i T <br /> REATMElrPLANT <br /> TIERED PERMfTED FACILITY ❑ MOTELHOTEL CPUIlIPERTRUCIUY.4RD/CH <br /> EaATU1LETS <br /> ❑ TATTOOlBODY PEIRCING ❑ 'POOUSPA " - - SII LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY pL PUUUCWATERSYSTEM ❑ OVE11 (Pu:ASE &PECIFYAIIOVE) <br /> 1 . List up to ten addresses In the space above, uelet t the type(*) of riles from tha list above by checking <br /> the appropriate box(es), At least one file type MUST be selected. Eax tnj 9Ed464.0738 or mail to fhr., <br /> address Indicated above. <br /> 20 EHD will notify the applicant if any EHD files exist An appointment for review will bo confirnted . <br /> approximately five business days but no later than ten (10) days after rR .elpt of. application. The file:: <br /> will be held for a maximum of five business days for review. Appolntmt:nls should be scheduled <br /> accordingly. <br /> e - fl may not be immedialel aY•z1laUle for review. A new <br /> 3. A file that Is actively being worked on by CHD sta y y <br /> application may be submitted when the file is avallable. <br /> j 4. Any file not returned In the same condition as released will be reorganized by AHD staff attire expense <br /> of the applicanL Future file reviews by the same applicant may requirea 587.( 0 deposit prior to review. <br /> s. 'TENTATIVE appointment dates must he confirmed with EHO staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME • -_ <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> ocvEcurcn v QOGrIFIN nATC <br /> $ 1. 03 : teff MCstage, io Lea, a�7re a�c� Psscs I0 : 5 ;t4nq <br />