Laserfiche WebLink
a.,TE RE.CUvEa � � c kuieaDe <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> - ENVIRONMENTAL HEALTH.DIVISION �• �1 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> ST CKTON CA(2D 4 8-ad30202 APR D ( 2800 <br /> fs PUBLIC RECORDS RELEASE APPLICATIQ ,,, <br /> APPUCAN tlUSINESSIAGer+cY ,r�f1�l� G� wERf!lilT/�f f�1ICES <br /> AnI�REss � <br /> PHOKE �7 " FAcsImiLE <br /> TENTATIVE-APPOINTMENT DATE <br /> (Ptease give 7 to 10 business days hvm date of notmioation auomittat) <br /> 9 9 <br /> CHECK BOX TO EXP>=AtTE i4EQuE.5T-S78.00 FEE w REQUE57 NROr�E58EU to 3 eUISCVEss'oAYS <br /> SIGNATURE OF APPLICAM3!�� � �y DATE <br /> i! <br /> F!F c wnno�GR .. <br /> 357 H!L 1"E: <br /> S <br /> II <br /> .v Oe' <br /> ,. <br /> 't <br /> ,i <br /> ENVIRONMENTAL HEALTH DIVISION FILES- <br /> C AO <br /> NDROUNDTANK(UST)CLEANUP SITE(LDP) 0 HOUSING ASATYCMraNT SCLiD WASTE FACILITY <br /> ;a CL[;AKUP SITE(MON-LOP) b FOOD FACILI'T'Y © SOLID WASTE VELI ULE. <br /> �. ff! HDERGROUND TAPIK(MANITOFUNaA�EMOVAG) O DOCS KENNEL O DAIRY <br /> fjZ MAZARDCIiS WASTZ GENERATOR Il CHIGKLX RANCH O FKG TREATMENT PLANT <br /> O TIERED PERMMMD FACILITY Q PAOTELMOT'EI. CI PUMINER TRUCKlYARD(CH M TOILETS <br /> O 7ATTOO/BA1)Y PEIRCING d POQLISPA O LAND USE APPLICAMN STTEB <br /> 0 MEDiCRC WASTE FAC1LrTY b PUBLIC WAIER SYSTEM E3 OTHER 04.EAsE SPEICIFY ABOVE) <br /> 1. List up to ten addresses in tllo space above. Select the types}of fibs from the list above by checking <br /> the appropriate box(es). At*ast one file type MUST be selected. Fax.0 2 4§0&138 or nuoil to th <br /> adclre§s Indicated above, <br /> 2. EHD wit%notify the applhGunt if any EHD files exist. An appWnbnant for review Wahl be confirmed . <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> Will be heli{for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review- A new <br /> Application maybe submitted when the file is available. ; <br /> a. Any flit not returned in the same condition as released will be ireorganized by EMD staff at thie expense <br /> of the applicant. Future file reviews by the same applicant may require a 57$.00 deposit prior to review_ <br /> 5. ""TENTATIVE appointment Dates must be confirmed with EHD staff. 4 <br /> S. Applications rsceived after 3:00 pm will be processed the next businezo day, <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE.CONFIRMED PHONE FAX INITIALS <br /> Ri=V!1i=WED YIES NO REVIEW DATE <br /> U ao.. aeasroe <br /> TOTAL P.O2 <br />