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DATERECEIVED <br />APPLICANT <br />ADDRESS <br />SAN JOAC N COUNTYPUBLIC HE <br />EN`4TRONMENTAL HEALTf <br />304 EAST WEBER AVENUE, Tit <br />STOCKTON CA 9520 <br />(209)468.3420 <br />PUBLIC RECORDS RELEASE <br />!/)je J()I 18USWESS/AGENCY—L <br />'//)/)/9 FACSIMILE <br />TENTATIVE- APPOINTMENT DATE <br />(Pleese give 7 to 10 business days from date c <br />lECK BOX TO EXPEDITE REQUE • 37W00 FEE — REQUEST <br />7 SIGNATURE OF APPLICANT <br />.LTH SER` <br />1VISION <br />)FLOOR <br />E$ 7 <br />AI -R 112000 <br />ENVIRONNI-7tJ EALfH <br />.PPLICATION aE_irPri' ` 51-r(vlcES <br />)nA he?), U Y m� Q% <br />TIME <br />ulleatlon aulmltlal) <br />ENVIRONMENTAL HEALTH D' <br />UNDERGROUND TANK (UST) CLEANUP SI FE (LOP) <br />OTHER CLEANUP SITE (NON -LOP) <br />UNDERGROUND TANK (MONITORING/REMOVAL) <br />HAZARDOUS WASTE OENOI ATOR <br />❑ TIERED PERMn7EO FACILITY <br />❑ TATCOOIBODY PEIRCING <br />❑ MEDICAL WASTE FACILITY <br />.ON FILES APR 13 2000 <br />❑ HOUSING ADATEME <br />❑ SOLID WASTE FACILITY <br />❑ FOOD FACILITY <br />❑ SOLID WASTE VEHICLE <br />❑ DOG KENNEL <br />❑ DAIRY <br />❑ PKG TREATMENT PLANT <br />❑ CHICKEN RANCH <br />❑ PUMPER TRUCKIYARDICHEM TOILETS <br />❑ MOTEUNOTEL <br />❑ LAND USE APPLICATION SITES <br />❑ POOLISPA <br />❑ PUBLIC WATER SY <br />❑ OTHER (PLEASE SPECIFY ABOVE) <br />1. List up to ten addresses In the space above. Select th <br />the appropriate box(es). At toast one file type MUST b. <br />aLddress indicated above, <br />2_ EHD will notify the applicant if any EHD files exist. An <br />approximately five business days but no later than ten <br />will be held for a maximum of five business days for rf- <br />aCCordingly, <br />3. A file that is actively being worked on by EHD staff ma <br />application may be submitted when the file Is available <br />4. Any file net returned in the some condition as releasee: <br />of the applicant. Future file reviews by the same appli <br />g. 'TENTATIVE appointment dates must be confirmed WI <br />6. Applications received atter 3:00 pm will be processed <br />CONFIRMED APPOINTMENT DATE <br />DATE CONFIRMED <br />e(s) of flies from the list above by Checking <br />--acted. Fax to (209) 464-0138 or mail to the <br />ointment for review will be confirmed <br />days after receipt of application. The files <br />Appointments should be scheduled <br />W <br />Psi <br />t be immediately available for review. A new <br />be reorganized by EHD staff at the expense <br />may require a $78.00 deposit prior to review. <br />iD staff. <br />,ext business day. <br />TIME <br />PHONE FAX <br />NO RE N <br />INITIALS <br />