Laserfiche WebLink
ICL • <br /> DATL ulCpvtD et11 <br /> w SAN' )AQUIN COUNTYPUSLIC HEALTH _ RV 1) <br /> ENVIRONMENTAL HEALTH D1V1510N [p,q�� y 304 EAST WEDSR AVENUE,THIRD FLOOR AUG 0 2 2002 <br /> STOCKTON CA 95202 <br /> (209) 469.3420 <br /> ( rr nPUBLIC RECORDS RELEASE APPLICATI <br /> ANT VIR E T <br /> T� J: 1 �t _ SUB1N688i40t NCY <br /> 1 �/ <br /> ti AOORKS3f C�C-O�'(1� � . <br /> PHONP 4' �� ( O� �T CAdSTILE I <br /> 2— <br /> TENTATrvE'APPOINTMENT DAT6 V/—�! 0 In E ' <br /> XcmECK <br /> (FlsssaelvfletobusMl•ea d rrnr�•l• ppllntt ■u 111W <br /> BOX TO EXPEOiTE REQUEST-Sf 4U PR EEE E �B NESS DAYS a ' <br /> SIGNATURE OF APPLICANT DATE <br /> FILE AODRESS THta SIDE SHO STAFF USE ONLY <br /> PROORAM 11169"NTe SEARCH <br /> 00 E Loal e 1 <br /> � p 2 a I u'(- �'- • <br /> � ZO Lod Geo � 1 <br /> E Lo 0vC <br /> ZED tjS acl- <br /> Z <br /> 0 <br /> ENVIM%MENTAL HEALTH DMSION FILES <br /> NOE RG ROUND TANK(USn CLEANUP etTY(LOP / <br /> ) O HOUSING ABATEMENT ff SOLID WASTE FACILITY <br /> �Q OTHER CLEANUP SRS(NON10P) ❑ FOOD FACRITY ❑ S011n WASTE VEHICLE <br /> PNDERGROUND TANK(MONrTORlNnntEMOVALI O DOG KENNEL 0 DAIRY <br /> AbARDOQS WASTE OENERATOR Q CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACtLiTT O MOTELIMOTEL O PUMPER TRUCK/YARDICHEM TON).!!" <br /> \' 0 TATTOOMODY PSIRCING CI POOLMPA O (,ANO USE APPLICATION SITES <br /> Vo O MEDICAL WASTE FACILITY 0 PUBLIC WATIIR SYSTEM [I OTHER(PLEASE SPECIFY ABOVE) <br /> 1. Lint up to ten addresses In the space 00vo- 6elect the typa(s) of tiles from the list above by checking <br /> the appropriate IsOx(ea). At least bM file type MUST be Saleoted. Fax to (209 4e4-01a9 Or nseil t0 the <br /> w address Indicated above. <br /> 2. EHD will notify the applicant If dnjEHD fees exist. An appointment for review will be confirmed <br /> �( approximately five business days but no later than ten (10)days after rceelpt of applieatloh. The files <br /> will be hold for a maximum of five businese days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fila that Is actively truing worked On by&HD staff may not be Immsdistoly available for review. A new <br /> application may be submitted when the file Is available. <br /> 6, Any file not returned In the lama conditlon as released will be reorgantzad by EHD staff at the expense <br /> of the applicant Future file reviews by the some applicant may require a $89.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with END Starr. <br /> 8. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. Time <br /> I <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YHS No, REVIEWCATE <br />