Laserfiche WebLink
i}i,iL 1l;LGYCU •�) t <br /> � " SAV JO \IN CouNTYPUBI_}C HEALTH SERXf S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Baa l WEBER AWNUE,STOCKTON CA 952 I2 FLOOR <br /> X�i;� (W9)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> IDUSINES5]AGENCY <br /> APPf ICANT' <br /> FA3:SIVUL. fMkE <br /> -TENTATIVE-APPOINT MENToar� T� Ja�� 2to �ntat: Mrxn�' <br /> �' tease glue r xo Yo 1?1+5� 1�igt*from�'ee of ariVlk suwnn�t#,at1 <br /> I WAT:CK f30X Ta EXnb1YE REQUEST-*]17.09 FEE- pzr, T PROCESSED lid 3 QUSMESS GAYS <br /> SIGNATURE uf;�APPUGANT r <br /> DATE <br /> Rl!? SM+{ TFlfg 9 STAFF t�ONLY t PROGRAM UMMENTS SEARCH <br /> Sr�'.t� �• TL <br /> Sacr 4 er\ C3 - - <br /> `pr aC C, o 7 <br /> So <br /> 0 ro. 9 <br /> LOZrt <br /> L2.! Sou rJc2Crc�YnF!+l�u <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Cl HOUSING ASA'MWE d'T 0 SOUR WASTE FACUM-Y <br /> GV <br /> Uj40ER .0UNA TANK(USI)CLEAM]kP Si7E(Lop) I7 FOOD EAC]UTY O SOUD WpSTR VSE <br /> CrrMH CLEANUP SSE(NON-Loin E] DOG KENNEL O DAW <br /> �Q WMEiiE'+R1d�T40 TAA]K(i�OM'FQFt1MG4REM0VALI i j CKiCl�li RAtitil d pKG TMATNt>-NT PLAKT <br /> �Q IaY 51' <br /> Vu15%EHERATOft G3 NGTEVwJTEL Cf PUmpek%TRU0 lARLlfCfMN TOILETS <br /> 0 TipREDpEMArtTEDFACILITY t 0 POOL-SPA C3 LANdLIS�cApPllCATIOFiff�7iF.5 <br /> O TATrOU000Y PVRC1AG g(pUaLrC KIATER STSM M C7 OTHER Qv&.FASF-5PCCWY AUCNE) <br /> Q MFUfGAL]PVlA57iE FACIE]iY <br /> i, is9t up to ter] addcQJ"S in the Space above, the tYPO(s)of file$from the list above by chcddn <br /> the appropriate box(es). At least ane file type MUST be selacfgd. x fro 4SA.tl1 or rtrail trs <br /> dream iffc t aboy <br /> E1i17 riill notify the jjppfiCant if any ESD files SOclst. Ast appairgrtrent Tor rerileW viii!be Canll <br /> rmed <br /> approximct ly,fixe basiness days but no later than tern(10)dM(s after receipt of alipficad*n, -flue files <br /> will be hZid fpr a rne6innurn of five business days for review. AppointmeAts 15hauld be*ChOduled <br /> accnrOinglY. <br /> 3. A file that is actively.being rrarkea on by EHO stall'may not be immtrd'►ately availaple for rellievv. Anew <br /> apfaiioaUon may be submitted whet,tl'i81500 is avaifabfe. <br /> 4. Any{Iia not returned in Arte samco <br /> e ndition as released will be reacBarlizad by EMD$wit St the expense <br /> of tb't applicant. FutU ft file rNviews DY M*SOMI <br /> applicant rnar require a W-00deposit prior to reytCw, <br /> 5- "TENTA171VE appaiameat dates must he Go0r"Wd with MiD staff- <br /> & AppliicaUom recesved after 3:99 pm will be processed the next bu5lness daY_ <br /> =C09NFIRMEDUT DATE Time <br /> PHONE FAXit+liT1AI.S NO REYk>=Y1f DATE <br /> qp u uwa�o� TOTFL P.Til <br /> TOTRL P.01 <br />