Laserfiche WebLink
03/04/2003 10:58 46401E ENVIRONMENTAL HE 4 PAGE 01 <br /> •I.II IY IILi.I.-ll. <br /> moi, S ' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES 1 UI¢ jJL4ehbCb <br /> ENVIRONMENTAL HEALTH DIVISION ��// <br /> 504 EAST WEBER AVENUE;THIRD FLOOR I I 7 <br /> MAR. 0 4 LOOS STOCKTON CA 95262 <br /> nVp;itfvl F+EALI (7.09) 41;8-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION .; <br /> APPLICANT I� �L& `Sf�_1�f�aN BUSINESS AGENCY L1TL ¢rS�^,rA T�'i�qr <br /> ADDRESS 36000 A-f43I SON ,4 E , SU/TE Cod Na2�?� ff/I�af//'•�iyd CA `/S-6W <br /> PHoNE C9/G)33`f-0Y77 FAC'siPqJILLE (9103-3 <br /> TENTATIVE'APPOINTMENT-DATE TM1I <br /> Q•�M/r/.rH 71 TIME �Z.O� y3 l• <br /> (PI¢ua giv¢7 l0 7b bualrwss dal:trcrn tlaty or gppllwUvn submltlaQ� �/� � � � ' / / <br /> � QJ <br /> CKDOXTOPIEDITEREq T-$60.00FEE—/R�rQUESTPROCESSEOIN3BUSINESSDAYS� // '' �� � � Y <br /> *SIGNATURE OF APPLICANT( 1� DVAMTE <br /> FILE ADDRESS THIS SIDE ENO STN-F USE ONLY <br /> _ PROGRAM ELEMEDITS SEARCH_ <br /> 7oO .✓ � /3t.!// is qa I hJ � -�. �.-, i � r,_ <br /> ZO G B G» S7XX12,Y, n6 q,5--7e5/ 2 A- n <br /> 270 C N GLU BL-Y STOCK G4-9Sa0 <br /> GGU dCd S CtTGvY. �SLI <br /> 7.S 8Lr/r 6TZ7&RWz Gr9 <br /> ENVIRONMENTAL HEALTH DIVISION FILES r <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT O SOLID WAST2 FAGIDTY 491.7' <br /> X OTHER CLEANUP SITE(NON-LOP) -&FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> tk UNDERGROUND TANK(MONrroR(NG/REMOVAL) i] DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH O PKG TREATM;-NT PLANT <br /> Q TIERED PERMMED FACILITY 0 MOTEUHOTEL M PUMPER TRLK:K/YARO/CHEM TOILETS <br /> • TATTOOIBODY PCIRCMG O POOUSPA 1<1LAND USE AI'I'LIGATION BT FS <br /> D MEDICAL WASTE FACILrrY O OTHER(PLEAE SPECIFY A90VE) <br /> . _ 1. List up to ton addresses In the space above. Select the type(s) of filas from the list above by chocking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (20914 54-0138 or mail to the <br /> r address indicated above. <br /> 2 EHD will notify the applicant if any EHD files exist An appointment for review HiQ be confirmed <br /> approximately five business days but no later than ton(10)days after receipt of appllcatfon. The fill?& <br /> will be held for a maximum of five business days for raviow. Appointments should be scheduled <br /> accordingly. <br /> 3. A rite that Js actively being woritod on by EHD staff may not Immediately availab to for review. A naw <br /> application may be submitted when the file is available. <br /> 4. Any File not returned in the same condition as released will bo reorganized by EHD staff at the expense <br /> or the applicant. Future file reviews by the same applicant may require a $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHO staff. IE9 <br /> G. Applications 1'acClYea atter 3:00 pm will ba processed the next business day. .cr�"i { <br /> CONFIRME=D APPOINTMENT DATE.— TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> ?MEWED YES NO REVIEW DATE "' <br />