Laserfiche WebLink
01/31/2 03 13:28 1,. 46401E ENVIRONMENTAL. I -TH P416E 01 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> Fc. 013 [003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOit ' <br /> STOCKTONCA9521)2 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> CAPVLICItNT SSi7.1a Yrtn9Dhe BUSINESSIAGENCY <br /> 91-6 <br /> ADORE$s �—I lIPHONE <br /> ,-FACSI'MILE L 1 v - 33-1 - �(q 9 <br /> TENTATIVE'AvvOINTMENT DATE (3103 <br /> (Please give 7 Io 10 6 WI sa da llom deco of a TIAtE <br /> Ya o /� PPllvllon.ubmllfaq/ ^ �J s <br /> CHECK DOx TO EX71!017E REQUEST-$89.60 FEE-REQUEEst-PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APFILfCANT (C.G / YWr�(lblr DATE <br /> FILE ADDRESS THIS SIDE END STAFF VSE'ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> u 5 r,o <br /> q o E <br /> -k, o� 3 1 o 031 o w <br /> o 0 Sy- ✓ <br /> —0,2�z <br /> r <br /> Ktu 'I Re t1%/ <br /> 1 7-- <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ASIUND-RGROVND TA?II((UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP Sm,(NON-LOP) 13 F0400 FACILITY O 50Lr0 WASTE VEHICLE <br /> jta UNDI�RGROUND TANIC(JACN;TG"G/REMOVAL) 0 DOG KENNEL ❑ DAIRT <br /> HALAROOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATMENT PLANT _ <br /> Q TIERED PERMITTED FACRjTY ❑ MOTEUHOTEL O' PUMPER TRUCK/YARMCNEM YOILM <br /> ❑ TATrOO/BOOY PEIR'CIHG EtPOOLISPA ❑ LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY AUOVE) <br /> 1. Gist up to Gln addresses In the space above- Select the typo(S) of files from the fist above by chocking <br /> the appropriate box(es). At least one file typo MUST be selected- Fax to (209) 464-0138 or mall to the <br /> address indicated above_ <br /> 2• EHD will notify the applicant if any EHD riles exist An appointment for review will be confirmed <br /> approximalaly fivo businoss days but no later than ton (10) days after receipt of application. The files <br /> will be held fora max)mum of five business days for review, Appointments should be scheduled <br /> accordingly- <br /> 3. A file that A actively being worked on by EHD,staff may not be Immcdlately available for review. A now <br /> appliwpon may be.sUbnlltted when the file Is available. <br /> 4. Any file not returned irk the same torte ition asrelcasod will ba reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$09.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> G. Applications received after 1:00 pLm will be processed the next business day. <br /> Post-it"Fax Note 7671 DW L. w�► <br /> CONFIRMED APPOINTMENT DATE, TO d4- F� <br /> I <br /> DATE rNFIRMED - cam• cr"° aM cZ jy <br /> REVIEWED YES u NO Baa 6fD Fns <br /> Z00/Z00-d 196T# U9NI9'de SEA 66TZL££0T9 L6:91 E00Z,90'9e3 <br />