Laserfiche WebLink
-- 10-02-20Q1 02.39PM FROM - lu <br /> SAN JQOAUIN COUNTYPUBLIC HEALTH SEiCL-5 <br /> 1= 1YIENTAL HEALTH DIVISION <br /> :304 EAST EAST WEBER i4VENUE,'fH1ftD FLOOR <br /> STOCKTON CA 95-402 ` <br /> (209)468-3420 <br /> RECORDS RELEASE APPLICATION i4 <br /> A?PUCAN7 C� .� _ EUSWES$/AGENCY ��n c+ �o <br /> ADDRESS fr-�•� <br /> PHONE FACSIMILE <br /> TENTATIVE"AYP0INTM$NTi DATE ` 5 ret RaYr <br /> �f (Pleaao neve 7 tall)byslnitsa Qays Iran data of APPHi UM submillar) <br /> CHECK BOX TO,EXF ITE REOU -$87 o F - EAU T PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APl5LICANT U� DATE <br /> FILE AOURF, s THIS SIDE EHD STAFF USE ONLY <br /> PfL9G1%Alu F1EML= T55EARCH <br /> �9-5o a9.iso <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> NOERCROUN❑-rANTC(UST)CLEANUP SITE CLAP) HOUSING AI)ATEMENT 301.10 WASTE FACIIIIY <br /> OTHER CLEANUP STIP[NON-LOP) ' 13 FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TmkJMONLT•ORING1RFIaOvAL) M DOU KEMEL ,DAIRY <br /> {AZARDOUS WASTEiGENERATDR 0 CHICKEN RANCH 17 PKG TKMATMENT PLANT <br /> TIERED PERMiTTFD FACILrrY 17 Mg-reuHDYEL E3 PUMPERTRUCKITARDICHR i TOILETS <br /> 0 TAT.O0/BODY PQRCING O POOLISPA 0 LAND USE APPLICATION sRES <br /> MEniCAL WASrd FAGLiTY L PUBLIC wATEKSY5TEm 13 OTHER(PLEASE SPECIFY ABOVE) <br /> 7. List up to W addresses in the space above. Select the type(s)of files from the list above by checking <br /> tfie appropirlate box(es), At least one file type PhUST be selected. Fax to(202),464-M38 or BU—0 the <br /> ad dress_ir>dicated above.'. <br /> 2_ EHD will notify the applicant 1f any EHD files exist. An appointment for review will be confirmed <br /> approximately frve business days but no later than ten(10)days after receipt of application.-The files <br /> will be held for a maxitauri1 of five business days for review. Appointments Should be scheduled <br /> ' accardingiy. <br /> 3. A fife that is actively,bainSj workad on'by El-ID staff may not be tnlmed)ataly available for review. A new <br /> appOcationl may be submitted when the file is avallabie. <br /> 4. Any Tile not rctumed in thla same condition as released Will ba reerganixed by EHV staff at the expanse <br /> of the applgcanL Future filo reviews by the Same applicant May require a 487-00 deposit prior to reviaw. <br /> 5. 1TENTAT(V.F_appointment dates must be wnfirmed with EHD staff. <br /> 6. ApplfcatiQris fecelVed after 3.00 pm will be processed the 0axt business day. <br /> i <br /> =CONFIRMED <br /> TMENT DATE TiM> <br /> , <br /> FP.Y ]4tT"IALS <br /> —ES NOREVlF1�Y BATE-- TOTAL P-01 <br />