Laserfiche WebLink
--- <br /> ,x"12/06/04 MON 15:28 FAX 4153 5480 - TETRA TECH EM INC SFS: 0 <br /> DATE RECEIVEDEHo LOG NUM3ER <br /> SAN JOAQMN COUN'W <br /> 1['NVM0 MENTA +HEA LTja DE+PARTWNT <br /> --7ff 304 F,Weber Ave 3T4 Floor Stockton, CA 95205 <br /> DEC 15swrc <br /> 6 Z0f209)468-3420 Fax:(209)464-0138 Web:wWw.c-o.san joaqutn.ca,us/chd <br /> pUlDLIC RECORDS RELEASE APPLICATIONUL <br /> / <br /> RT E a'. L9 � ! V�•W"5"'U.- <br /> yUS¢IESSIA[iI:NCY; <br /> AiIDRESS: <br /> PiiGNE: l J - MICE:FACSL <br /> TENTATW APPOINT'MSNT DATE: ' <br /> (please allow 10 bVZ1FW.S days f M data of applicatron submltt4 <br /> I Q CNt rK BOX TO EXPEDITE REQUEST-S9 E RdGES [)tti'3 nL151NESS DA�f3 <br /> I 4 <br /> I SIGNATURE OF'APPLICANT DATE <br /> veparrrrent Use Only <br /> FILE ADORESS ` UNIT <br /> Uf N!a ff e ws 2 crrlr C � 7 3 <br /> w.-,m .+ <br /> i. sued w kp i? P vL <br /> a. saga l.(/ C� ii a o G `I Sl <br /> O Yo vC] Unit 2 <br /> sari Unit 3 <br /> .1' <br /> kr- <br /> c'. - Z v CjJr <br /> 5. s c..f1` Yo <br /> s. sweet Al J <br /> Unit 4 <br /> -r— D <br /> -4 nit 5 <br /> I�'n}fir a4mvONMENTAI.Ii -ALTH DEPARTMENT FILES <br /> �`� V0 IEIytEN3 0 SOLID WASTE FP1c <br /> 1%E�,1tMOEROROUNO TANK NST]CL EAIVUP Sfl E(f.dP} L] FOOD r VT ❑ SOLID WASTE YEHI <br /> QTMER GLFPNUP SITE(NON-LOP) � FOOD FACILITY a DAIRY <br /> I� Nf7ErtGriOUhiD TAMS(IIAONIr LINGlR1=M4vAL} a DOG KENNEL 0 PKG TREATMENT PLANT <br /> t�iIA7J4FtU0US WASTE:GENERA-MR O CfilCfCl=N RANCH ra PumpEit TRU['.IU1tARDlCHE1J!TOILETS <br /> f3 TIEREDAR pE S VY EE77 FACILrrY ❑ mOTr .VHQTEL a LAND USE APPLtCA-noN srrES <br /> PA <br /> f3 TA7TOOMODY PIERCING 0 aMERpoCR (pL <br /> Cl MEDICAL WASTE FACIL.RY O OTHER{p�EASE:&P�!CIF�f} <br /> 1. List up to ten aQdrosses to the space above. Se(flat tl�e.tyEse(s}of files from the list aboye.by check"irlg <br /> the appropriate box(es). At least one filo type MUST be seleoWd. Fax to 209)X464.0135 or m 11ohe <br /> address indicated above. <br /> 2. EHD will notify the applicant if any Et1D files exist. An appointment for review will bappe confirmed n The files <br /> approxlmatelyfive business days but no laterthan ten (10)days�etrre:010 Oould be sGhedulecl <br /> will be field fora maximum of fiva'buslness days for review. Appo <br /> accordingly- <br /> 3. A file that is actively being worked on by END staff may riot be immediately available Sor reYieNv. A raew <br /> application may be submitted where the file is available. <br /> 4. Any file not returned In the same condition,as released will be reorganized <br /> a X93 DOHdeDos p i0r tothe xr view <br /> of the applicant. Future fee reviews by the IFame applicant may req <br /> ulre,, *TENTATIVE <br /> lcatio s received after 3olntment t0o pm wller,njust bl be proessede confirmed lthe n act usiner, Bay. <br /> 6. App <br /> Y!•.., -.f..,. �.. ��10�,'r"+.F.I.r Afi�yliir�,. :^31171.• <br /> �1ME <br /> `:�3i47E GY3NF1RlIA�D', '�:`: ;:.; .. .- . •,r,° .. - . <br /> �t't�YiilNEi� • ';�' +1YE5 NO ','• . . REVIEW DATE. - <br /> �" <br />