Laserfiche WebLink
04/10/03 THU 13:02 FAX 925 253 4985 TREADWELL & ROLLO 16 001 <br /> l <br /> ., SAN JOAiQUIN Cs,eo tioc nu►,u�EaOUNTYPUSLIC HEALTH SERVICES � <br /> APR 1 0 2003 v ENVIRONMENTAL HEALTH.DIVISION <br /> 304 FAST WEBER AVi~NUE,THIRD FLOO>t 12444 <br /> ENVIRONMENT HEALTH STOCKTON CA 95202 �y <br /> PERMIT/SERVICES (209)465-3420 FRIt" <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> popAPPLICANT 7-brir1 o, i m ; • arw <br /> - •»�•• <br /> ADDRESS <br /> PHONE. ' Mµ�E _ <br /> APO <br /> TENTATIVE' APPoU*rmVX DATE 1)3 TIME <br /> (Please give 7 to 10 business days from date of appltcatlon submittal) <br /> �-•� <br /> C <br /> u ILECK BOX TO CXPEDITE REQUEST 9.00 FEF- 1C;S7 PRA BED IN 3 BU iN S JAYS , `3 <br /> - SIGNATURE OF APPLICANT D1tJT l: r <br /> �e� -. - t9-= ' <br /> AUK AoDREs3 THIS SIDE EMO STAFF USE ONLY <br /> PROGRAM EL, MENT$$EAI VH <br /> W est <br /> V 4 Weg� — <br /> `'i-7 4 )Ne-' j Q r" <br /> �3"1ca T vac e` <br /> 1 Ca om J 1,11. ra4clt- <br /> ENVIRONMENTAL HEALTH iJMSiON FILES <br /> UNDERGROUNO YANK(UST)CLEANUP SITE(LOP) D HoU3ING ABATEMENT a sn(,,,IO WAS.Irz FACILITY <br /> OT14ER GL•IZANuP srTE(NON-LOP) ® FOOD FACILITY ❑*Sr Lln WAS7le VEHICLIE <br /> UNDERGROUND TANK(MON1MRiNG1REMOVAL). 13 000 KENNEL. Q DAIRY <br /> HAZARDOUS WASTE GENERATOR C CHiCKIE:N RANCH C1 PIi:G TREA114 F:RT PLANT - <br /> TIERED PERMiYTI:o FAcmrrY O MOTEtJHOTEL Q pl7Hit?ER TriUC:KNA1�Df MEM TCt3t_r:TS - <br /> O TATm0/QOPY PEtRCWG a POOLISPA Q LAND USE AAPiSLJCATIO14 SiTES <br /> ® MEDiCAL WASTE FACILITY ` 0 PUBLIC WATER SYSMM O OTHER(PLEAUE SPECIFY ABOVE) <br /> 1. List up to ton addresses In the space above. Select the► type(s) of files from the Post above by checking <br /> the appropriate box(es). At least one file type MUST bo selected. Fax t:d gOS 464-0138 or mail to tl�,e, <br /> address indicated above. , <br /> 2. END will notify the applicant It any•EHD files exist. An appointment far review Will be confirmed <br /> approximately Ivo business days but no later than tws('10)days after rrceipt of appliedtiori. The limes <br /> will be held for a maximum of fire business¢aye for review. Appolnim eats should be schadulad <br /> accordingly, y <br /> 3. A file that Jai actively baing worked on by Eno staff may not be immediately a", 11.1bte for review. Anew <br /> application may be submitted when the rile is available. <br /> 4, Any file not retdrned in the same condition as released will he re®rg7nixvd by E-HD staff at the expense <br /> Of the applicant. Future file reviews by tho same applicant may require a$89.00 deposit'prior(o review, <br /> 5. "TENTATIVE appointment dues mast be confirmed with EHD staff, <br /> .6. Applications received after 3:00 pit will be processed the next busines,day. <br /> CONFIRMED APPOINTMENT DATE. <br /> TIME ' <br /> DATE CONFIRMED PHONE FAX IXrrIA LS _ <br /> REVIEWED YES NO REVIEW DATE <br /> -- "''"""' '"""^�'^^'T"•^ oCTo1,10h Tb MT 7GIGi717 T I T T <br />