Laserfiche WebLink
0.7/11/2003 16:34 925263612 AEI CONSULTANTS (` l PAGE 02 <br /> 01JP3f,2003 <br /> 15:IS 4640138 ENVIRONMENTAL HEALTH`' RAGE 02 <br /> 61 SAN JOAQUIN CaUNTYPUBLIC HEALTH SERVICESG'T�4�cuvuoen <br /> ENVIRONMENTAL HEALTH DIVISION � <br /> f L _ Z�� 304 EAST WEBER•AVENUE-,THIRD FLOOR <br /> i <br /> STOCKTON CA 9 i:j . �' ''-ii_f•,i1 ���i_'i..E 502 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN fTItSIH[SsfAGENCY ' <br /> ADDRESS <br /> � <br /> PHONE ��r. FAG?SiN{I4>r <br /> TENTATIVE*APPQwN rmcNT GATE TIME � �) <br /> (PlaSso vivo 7In 70 I7uslnnss daYS rrom dela aT aPpnssllon sutH,lltiAl� <br /> i <br /> CNI;CK aOR TQ EXPEDITE REQUEST 309.0DFEE '7 UEST PROCESS ED IN T BifSINESS DAYS <br /> *SIGNATURE-OF APPLICANT <br /> DATE <br /> FILO Al7bfi>v55 THIS SIDE CHD'9TAFF USE ONLY <br /> PROGRAM ELEMENTS SeARC14 <br /> S L- <br /> G T <br /> f <br /> s <br /> I' <br /> ENVIPONMENTAL HEALTH DIVISION FILES <br /> UNDERGROOiND TANK(U5T)CLEANUP sire(LORI IJ HOUSING ADAT>=MENT 0 5OLM WASTE FACR.ITY <br /> JOTHER CLEANUP SITE(NON-LOP) o FOOD FACILITY 0 SQUO WASTE VEHICLE <br /> UNOERr,RQt*0-?ANK(MONrrORING(REMIOVAL) V 00G KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH G PKG TREATMENT PLANT - I <br /> C1.TIERED PERMn*TEO FACILITY rl PA01CLIHOTrzL 0 PUMPER TRUGWYARDrCHEM TOILL-rS <br /> 0 TA1rTQQmooy Pr-mc a 0 POOL OUPA ';:FLAND USE APPLICATION SITES <br /> MMOIUL WASTC FACILITY % C] OTHER(PLEASE SPCCIFTASOVE) E <br /> 1. Ust up t0 ton addresses fn the space above. Select ttte,type(s)of files from the fist above by checking <br /> the apprbpriale box(es). At feast ono fila type MUST be selected. f ax�a 20 464.0138-or mail to.the <br /> address indiCRted above_ — - <br /> 2• j EHO will notify the applicant if uny'EHD fries exiSL An apppintment for rcviow will be Conlimied jl <br /> approximataiy live business days bur no later than tam(10) d;lys after receipt•of application. The,fileS <br /> will be held fora maxirntlm orfive business days furseviaw. AppoWments shourd be scheduled <br /> accordingly, <br /> 3. A file that js�actively blsin.0 worked an by 1"110. staff may not be irnmedlately available for review. A new <br /> application may be,submittud when the filer Is:available. `' <br /> 4• Anyflle not returned in U10 Same condition as released will be reorganized by 121-10 staff at the axp'Qnse.; <br /> of the applicant• Future file rovfvws by the Sarna applicant may require a 989.00 deposit prior to review. <br /> S• 'TENTATIVE appairillticrlt dates must be confirmed wily EHD staff, <br /> �• AppfiCativns received after 3:00 pert will be processed thtd next business day. <br /> CONFIRMED APpowMENT DATE. TIME <br /> DATE CONFIRMED PRONE FAX INITIALS <br /> REVIEWED + . YES NO REVIEW DATE ' � ' <br />