Laserfiche WebLink
03. :ji,:.5 TECHNICON <br /> PM P-OL/01 <br /> `SAN JOQ�,N-COUNTYPUBLIC HEALTH SECjZES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> MAR 1 9 2003 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> i HEALTH (209)4683420 0'5 <br /> P F f"Mll i I/ E s�V)C E PUBLIC RECORDS RELEASE APPLICATION <br /> "PLICANT_. b2aij PZ C suslNEWAGENCy Arazoa SpXving-0, <br /> DRESS <br /> U <br /> ONE FACSIMI <br /> TENTATIVE,APPOINTMENT DATE TrME3 <br /> (PIGazff grve Ito 10 business d2"*OM date of ApplieQtOn subMItbif) <br /> CHECK 8QX TO"PEOITE REQUES -S89.00 FF-;--REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 'SIGNATURE OF APPLICANT 1 DATE <br /> THIS SIDE rtmo sTAFF USE ONLY <br /> FILE ADDRESS PROGRAbA F_LEMEI'-tr,&SEARCH <br /> n <br /> ENVIRONMENTAL HEALTH ]DIVISION FILES <br /> xi UND`ERc;ROUNO TANK(UST)CLEANUP SITE(LOP) C3 HOUSING AIRATUMENT 13 504ID WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) C3 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> )5L UNDERGA00ND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL ❑ DAIRY <br /> 0 PX0 TREA-TVIENT PLANT <br /> OHAZAIWOUS WASTE GENERATOR 0 CHICKEN RANCH L 0 PUMPER TRt1j;prjyARWCHUM TOILETS <br /> TIERED PERMIMD FACILITYn MOTEL 0 LAND USE AP?LICATION SrrES <br /> 171 TATT0011100y PEIRCING M POOUSPA Cl OT11 ER tPLEASE.SPECIFY ABOVE) <br /> 0 MEDICAL WASTE FACILITY C1 <br /> List up to ten addresses in the sPaCG above. Select trio VPIR(s) of I'lleg from the list above by chocking <br /> ( ) --e <br /> the appropriate box(es). At least one file type MUST be selected. Fax to 209464..0138_or mail to <br /> address Indicated above. HD rjlqI;exist. An appointment for review will be confirmed <br /> 2. EHD will notify the applicant if any E - Thp files <br /> than ten (10)days after TeCSIPt OfqpplicatiOn <br /> approximately five business days but no later t <br /> will be held for a rnaximum of rive business days for review. Appointments should be scheduled <br /> accordingly. <br /> being Worked on by EHD staff may not be 1mrnedlaitely available for review. Anew <br /> A file that is actively 'Jable. <br /> r <br /> application may he submitted when the file is available. <br /> condition as r0102sed Will be reorganized by 0110 staff at tho expense <br /> 4. Any Ills not returned in the same 00 require a$89.00 deposit prior to rpvlew- <br /> of the applicant. Future file reviews by the same applicant may <br /> 6. *TENTATIVE appointment dates must be confirmed with WiDstaff- <br /> G. Applications received after 3.00 pmwill be processed the next busin(iss day. <br /> CONFIRMED <br /> -nme <br /> 0NIFIRMIED APPOINTMENT DATE <br /> FAX.,. INITIPIS <br /> DATE CONFIRMED <br /> RrZVIEW DATE YES NO <br /> TOTAL- P.01 <br />