Laserfiche WebLink
,1 ;916 9283341 7 " <br /> 4-12-02; 2:09AM; IT/EMC0N <br /> n� <br /> 0 00 3: c164013f ENVYRflNMENTAL NEA {� FACS sl <br /> i <br /> u•u_,n rrU���• <br /> r KtC �L <br /> ,SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 344 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 93202 '; { <br /> 02 APPI I PM 3: 23 (209)468-3420 r;~ r, <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT��' y"�� „r � 1�tUP.��BUSINESSIAGENCY <br /> ADDRESS i57_e, �''� <br /> FACSIMILE <br /> PMONE116-4E46- 4 3�m <br /> 1` <br /> ,r <br /> TENTATIVE`APPOIMMENT DATE "`f TIME i <br /> tlaq <br /> (Please give 7 o t <br /> � d applio on sunml <br /> AV <br /> CHECK BOX TO EXPEDITE REQUEST-/S89.00 FEE-REQUEST PROCE �N 313 .� 1NESS!DAYS <br /> SIGNATURE OF APPLICANT / a DATE <br /> i THIS SIDE E T 53AFF US>=ONLY <br /> FILE ADDRESS PROGRAM ELEMENT$SEARCH <br /> r2 Pl_ <br /> 3sz is <br /> _ Is <br /> li <br /> ii <br /> LI'F s <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> CLEANUP SITE(LOP) In HOUSING ABATEMENT ! C I:.SOLID WASTE FACLiTY <br /> DT UNDERGROUND TANK'NST) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 1% OTHER CLEANUP SrrE(NON-LOP) IQ! DAIRY <br /> ONITORINGIREM�YAL) 000 <br /> CZ UNDERGROUND TANK(MM CFI CHICKEN <br /> I. ❑ PKG TREATMENT PLANT <br /> sr HAZARbOUS WASTE GENERATOR a IyIOTELIHOTEL' M P PUMPER TRUCKIYARDICHEM TOILETS <br /> E3 TIERED PERMITTED FACILrrY ❑I,.LAND USE APPLICATION SCIES <br /> ❑ TATTOOIBODY PEIRCING 0 POOUSPAPUBLIC WATER SYSTEM !i C7, OTHER(PLEASE SPECIFY ASOYE) <br /> i C7 MEDICAL WASTE FACILITY � char-king <br /> 1. List up to ton addresses <br /> box es In the space <br /> least one filbove. Select e type MUSTthe be selected FaxSto 09 from a 64.0list 13oVarbyMail tv the <br /> the approp box(es). I1 <br /> address indicated above_ o)ntment�far review will be canfirrned <br /> 2. END will notify the:applicant if any E14D fries exist An app s atter recei t of application. The files <br /> approximately five business days but no later than ten(10)day oln�en should be scheduled <br /> .will be held for a maximum of five business days for review.�lApp <br /> aaeordingly. net be immediately available for review. Anew <br /> 3. A file that is actively being worked on by EHD staff may <br /> . applicatign:may be supmitted when the file is available. il 4 EHD staff at the expense <br /> 4. Any file not returned in the same condition as released will be rearganited by <br /> of the applicant Future file reviews by the same applicant niay require a$89.00 deposit prior to review. <br /> 6, *TENTATIVE appointment dates must be confirmed with EHD staff-I <br /> 6, 00 pm will be processed the next business day. <br /> Applications received after 3: <br /> CONFIRMED APPOINTMENT DATE T1ME <br /> L !! <br /> PHONE FAX INITIALS <br /> DATE CONFIRMED <br /> RMEWED YES NO REVIEW DATE <br /> i; <br />