Laserfiche WebLink
SAN JOJA N GUUNT`fPUBLIG tiF-ALTH SERI - S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 3b4 EAST VZEDER AVENUE,T141RD F.LOCIR N7AY <br /> STOCKTON CA 95202 3 0 2001 <br /> (209)468-3420 <br /> PUBLIC. RECORDS RELEASE APPLICATION ' r- ',,�i �'v� ';JJPS � =�tiLTH <br /> <cFRICANY eu 13 R13USINFSSIAGENCY <br /> AD MESS <br /> 5)u� l t aCsilalt 51v- l !,3- 401A <br /> Prs'r�N� 11 i`4 <br /> � _ <br /> TENTATIVV APPOM-MIENT d74' _ owe TIME tom -- <br /> (P1�aas Qtvft <br /> 7.7 <br /> o 16 kU$iness days(ram lite of agyiicsLot►sul7miRil) <br /> Q CHECK SOX TO rzXPEU'ITl REQUEST-$�FEti—it�4i3>;S7 FR4GESS{=D�N 3 BUSLNFSS tlIR1fS )3�! � <br /> SIGNATURE OF APPLICANT `�✓`"'--T DATE // _ <br /> 1 <br /> FiIE RDDRESS Ttu s StpE EHp STAFF USE dPIiY <br /> PROGRAM ELEMENTS 9E_ CA <br /> 'RiZw ' ` 5 5`1�v Jsad - - <br /> ENVIRONMENTAL tiEALTH DMSION FRES <br /> ; l uNCERGRUuNp TANK(US CLEANUP SFTE(LOP) C7 HOUSING ASATEMEATT n SOLID WASTE FACILITY <br /> ;tg WHf g CLF-4NUP SITE.tKON-LOA) GI t-OOt1 FACILITY UDAIRWAVE YEH]GI E <br /> L� )WMERGROUND TANK jmourrC3MNr,f ,�131OVAL1 a R4G KENNEL C3V <br /> DKG 7r <br /> fiAlAfiO0U5 111fA53E GENEIiR-rUlZ ' ❑ CHICKEN RANCH 13 PKG7REATAEErdi PLANT�O Q MOTELINOTEL C] PumPr=nTatUGVYARDlCHEuTOILETS <br /> TIERED PJ;RMITTED FACll.lx'i' <br /> ' <br /> ❑. A,717031BDDT Pt=ING ❑ FOOLISPA E3L-MD1J��E AFPt.1CAinaw SITES <br /> ❑ d{@ DkCAI_VYASTE FAGILn'Y 0 JaVaI.IC WATER SYSTEM ❑ O IltEft(PLEASE SPEC;FY ABOVE) <br /> f, List up to ten addresses in the space above. Select the typ6(s)of fifes from the list above by checking <br /> the appropriate box(es)..At least one file type MUST be selected- Eqx to 12gh 464-0138,or mail Eb the <br /> address iudicatad above. <br /> 2, ; EHD will notify the applicant if any EHL)files exist. An appointmerd for review will be confirmed <br /> apprOX41"nat.1y five ptssinesa says but na later than ten (10)day*after receipt of application. The files <br /> will be held for a maximum:cf fixe buwnv_ss days for revievr: Appointments should.be scheduled <br /> }� accordingly, <br /> 3. A fife that ix actively being workedon by Fmr)staff!tray not be immediately�tvai)atlttr!or rerriew. A rle�r <br /> applieation may be subrnitt6d when the file is available. <br /> 4. Any file not returned in the dame condition as!released will be reorganizer!by E,HD staff at the expense <br /> of the applicanL Future file]reviews by the same applicant may require a$37.00 deposit'prior to review. <br /> 5. 'TENTATIVE appointmentAAtes must be confirmed with EHD staff. <br /> 6. Application*received after 3:04 pm will tae processed the next busIness!Say. <br /> k <br /> CONFIRMED APPOINTMENT DATE TIME _ -- <br /> DATE CONFIRMED PHONE FAX INITIALS _. .. <br /> j <br /> ROvir-'I rn Vic r�r. <br /> i <br />