Laserfiche WebLink
Se 15 II4 '02:_Ji .. : ;t:} ^w� :,Inc: 5'30, n42-7-1490 , t ice: <br /> r` u <br /> .t�... nil:► � , ,..�,1.� <br /> SERVICES <br /> a►ss scan " <br /> a SAN JOA4UlN COUNTYPUSLIC HEALTH <br /> t- 5 E? 1 5 11004 ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRMVIENT HEALTH EAST WE KTON CA 95 02�FLOOR <br /> "7 <br /> PERM T'S VI S 5TpC <br /> (209)4883420 <br /> USLtC RECORDS RELEASE ApPLICA`tION <br /> � E' oVn � Irt�i'1YY1C'a'V�' <br /> ai <br /> t 1 <br /> h� jQ SUSINESSIAGENCY Sq�'3 <br /> APP L iCANT `LO (�► �T <br /> ADDRESS �- �tratuder �"• r n.��G y2D t O <br /> • . FACSIMILE <br /> PHONE <br /> `� L3 j 0..., TIME '3 <br /> TEN'T'ATIVE'APPOWUrNQnmwe��to 10 business days frors�d�of app"Csuon Subtnllmi} UAI <br /> CHECK BOX TO EXPEDITE REQUEST-:8T•00 FEE RE( E3T PROCESSED IN 3 BUSIlt <br /> ESS DAYS <br /> DATE °I 1.5 n <br /> SIGNATURE OF APPLICANT <br /> THIS swe 4W3T F USE O!!LY <br /> FILE RESS PROGAM ELEMENTS SEARCH <br /> 8355 . i 1. K <br /> �a3QY <br /> . C <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> / O p�G ABATEMENT 0 SOLIO WASTE FACILITY <br /> a DAIRY <br /> 1Lr�J pE� OU10 TANK(UST)CLEANUP SrM¢•OPS ��p N0 ABY O SOLID WASTE VEHICLE <br /> d �R+a1 ID YANK(��MOVAL) D DOG KENNEL O PKG TREATP COII.ETs <br /> 4 CHICKEN RANCH <br /> gA=WOuS WNT <br /> ASTE GENERATOR C MOTELMO L O PUMPER TR <br /> C3 TMM POWITTED FACILITYG pppLfSPA ... O LAND USE APPLICATION SM <br /> b TATTOOWDY PEIRCING © PUBLIC WATER SYSTEM CJ OTHER(PLEASE SPECIFY ABOVE) <br /> O MEDICAL•WASTE FACILITY <br /> 1. !, List up to ten addresses In the space above. Select the types)of files from the list above by checking <br /> the approprlata box(es), At feast one file type MUST be selected. F <br /> jixto(209)49,0J 321`11111112 <br /> 2. P,Hi3 will notify the applicant if any EHD files exist. An appo <br /> Intmerit for review will be confirmed <br /> a6proximately five business days but no later than ten(10)days after r t eipt of Id IlGatiechoedThhdfilss <br /> wllkbe held for a maximum of five business days for review. Appointments <br /> accordingly. <br /> 3. A f lk,that Is actively being worked on by EHD staff may not be Immecliatoly available for review. A new <br /> appilcitlon may be submitted when the file is available. <br /> 4. Any fart not returned in the'same condition as <br /> released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> S. 'TENTH i,VE appointment dates must be confirmed with EHD staff. <br /> 8. Applicatit-%.-ts received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOIK MENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />