Laserfiche WebLink
Mar 08 07 01:50p Paul Humphrey (559) 226-3408 p.1 <br /> DATE� V L�� END LOG NUMaER <br /> SAN JOAQUTN COUNT <br /> Y <br /> IWAR O 3 2007 EpmoNbmiTAL HEALTB[DEPARTMENT. <br /> 7,.t 304 East Wilber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> ENVIRONIs.EN�T}iEFII 0*hone:(209)'468-3420Fxr.(209)464-0138 Web:www4Sov.orpfehdl <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINEWAGENCY: <br /> ADoftEss: Z <br /> PHONE(il: `t S 9 — %77'j /3. PHOM(tI- FAcsIMILe JS�' Z -3 <br /> TMTATNPAPPIDOM NTDAI : Time: <br /> (please alow f0 Wstness days from date of appNCRUM sebmithtt-•renmtive only-must ba coefumatl) <br /> 13 CHECK BOX To F7cPE M RecL VEST-S95-W FFFE H OR ECK ONLY)•KEOUESY PROCESSED IN 3 BUSINESS DAYS. <br /> SIGNATURE OrAPPUCANT �Y (� / DATE 3Z -Q <br /> Eledron1cinfornWil0n: ❑I-Wt[DMap-Deseriptlon: ' <br /> FILE ADDRESS EF(D USE ONLY <br /> C <br /> Suitt SUaet Nana City <br /> O t>.at I <br /> l6 o m LIST <br /> .3. ON <br /> UrnsJ <br /> 4. n twt4 <br /> O <br /> - - - <br /> 7.6. <br /> n Und5 <br /> 8, N <br /> Specific Date Ronde of Ihformadoo R.equeslad:From ,t° <br /> C1 11OHNENTAL HEALTH DEPARTNENT FILES <br /> A-VWeu„ QVRo7AIerCU”CLEANUP SM!(LOPI 0HOUSHOAEATMAL10 0SOI.IDWASMFACaP17{j7M= <br /> . Cl OmEx,C1EAKUPBhEW0KAAm O row FAMM P WASTE nM <br /> Ja-UImEn;GA b TAwt(MOWWRIHWX.t MAt) 0 DOG VXNNEL 0 DAIRY <br /> AnIALn+DOUS WASTi GENERATOR t3 QUCt0:tl RAxclr O WAS"AM TREATYERT PLAW' <br /> .QrY1ERm Poan=FA=v - 12 dCTsxd M '-. O PUYPERTRUGOYANdC31CMT04Ers <br /> 93 TAXTOGID aYP,ERCN° O Poot15PA ❑Lme USe-APPt1CATION SrWS <br /> Q MEDICAL WA3IE FAMI Y Q CTWA(PLEASE - <br /> WaL&O SEPr1C PTmue RECORDS ARE AYARASLE roRREVEw• VAMAY-I'MAYS:N Ard:0ow • FxeWONC HWDAYS, <br /> t. ll;l up t°Len addresses In the space above, Seied Uta types)of 61es Prem die Ilst nbove by chaddcN9 the appmpdate <br /> box(es)- At least one file typo IAUST be seWcted. Fax to 2091 Abd-01JS or may to the address Mdlcat°d above._Addtess <br /> range,'+wiAnot beetRxpted^foiaddlUonalasslstaneew9tltfileaddrasac5,ewttacttheFJiD•AppBcaDonsreceMeda(ter <br /> 7:00 pm will be Processed Ute rrca4 bus:neu day. <br /> 2. The EIfD wpl notify the appOeant tt aeyEHD fllea etdsL M appointment for ravlew wtU be confirmed approximatelyten(1o) _ <br /> days after receipt of appbeadon. Tho flus wN bo hdd for a maldmum of Uve business days for rtwtew. Appointments <br /> andWd ba N chedul0d aceordlndly. <br /> 3. A1Ue tftal is acdvaly.heinq worked on by ENp stall may not bo Immedletolyavallabie for revfow. A <br /> now appliesUvn maybe <br /> subm(tled whonthe fUo is arailahle. . ,' <br /> d. Any file not ratumed In the same condlUon as released wig be reorganized by END staff at the expense of the applicant <br /> Ftdure file reviews by the same applicant may requlrg a$95.00 deposlt pder to fWdCw.._ <br /> EID USE ONLY <br /> TO/10 39Vd HI-IV3H IVIN3101NOJIAN3 BEI079C6ez 9E:EI noZ/80/E0 <br />