Laserfiche WebLink
M Geo-Phase Environmental FAX NO. 2095690295 . 'an. 15 2003 11:53AM P2 <br /> Lill, <br /> SAN JOAQU(N COUNTYPUBLIC HEALTH SERVICES <br /> JAN 1 5 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> EI1fV(RUf�(iti�[ (�7 HE;;i ��j STOC.KTON CA 05202 <br /> PERNI(�{/SER1,�tC�S � (20U?4G8-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION10 <br /> APPLICANT <br /> .�{- Y�Gf 1 8U5INL-551AGENCY �O �if! e 'N� .d r <br /> ADDRE5S 6?0*4 e <br /> PFIONlr� �L �Z FACSIMILE_ X03 <br /> -rF ATWE'APPOINTMENT DATI: — <br /> / TIME J <br /> (Please vivc'T to 10 buskless.days frons dale of aplslication submittal) IA <br /> • <br /> +- <br /> y�.tMECK 5,0X TO,kzXPEDLTE REQUCs7-$07.00 FEE-RL-QU.E57 PROCCSSCD IN 1 IjUSINI S5.DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT. <br /> -- KIt C ADDRESS TMIS SIDE eMn STAFF USI=ONLY ' <br /> plIOGRAM ELEMENTS SEARCH <br /> r <br /> 07r <br /> /. <br /> v Pia <br /> S. w -7 <br /> as w oA b <br /> •�N ENVIRONMENTAL HEALTS DIVISION FILES {s _ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) I . 0 FOOD FACILITY. 0 SOLID WASTE,VF141CLE <br /> UNDF-RGROUND,TAtiK(MONITORINGlRCMOVAL) 0 ,DOG KENNEL 0 DAIRY <br /> Cl CHiCKVN RAHCM O PKG TREATMENT PLANT <br /> HAZARDOUS VYA5 GENERATOR ❑ PdOTCLlFiOTEL f] PUMPER IIZUCKIYARD/CHEM TOILETS <br /> 'J TIERED P>=RMITrl; FACILITY 0 LAND USE APPLICATION$(TES <br /> ❑ YATTOOl80DY PIAIFtCING Q P <br /> 0 MEDICAL VYAS'rg FACILITY 0 PUBLIC <br /> A <br /> LYATCR SYSTEM fl OTHER(PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addrosses in the space above. Select the typc(S) of files from the List above by G clung <br /> the appropriate box(es). At least one file type MUST ba.seieetod- Eax to (209) 464-0138 or mail io the <br /> address Indicated above. ` <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business stays for review. Appointments should be scheduled i <br /> accordingly. . <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available 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 be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by tho Same applicant may require a$87.00 deposit prior to rcvicw. <br /> 5. `TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G.1 Applications received after 3:00 pm will be processed the next business day.. � <br /> V <br /> j <br /> CONFIRM( D APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE" FAX INITIALS <br /> -REVIF-WEA} i YES NO REVIEW OATF <br />