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VI i�'C11' _. ... _ .. I U <br /> 5AN ,�(� UIN COUNTYPUBLIC HEALTH SEAE Sr ,.,,,b, <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> r O 304 EAST WEBER AVENUE,THIRD FLOOR `1�'� � � 2Q�� <br /> STOCKTON CA 95202 ENViRONMEWFA.L ' <br /> (X9)468-a20 HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION faE�� °"t /FERVICSS <br /> APPLICANT -�1 BUSiNE$SlAGfiY Q�,1 7'[i �' / 'Syl�ll <br /> ADDRESS [(�����f���__�������� �r� <br /> P140NE 1.Y:1JC.__ t_: o Z. -FACSIMILE <br /> TENTATIVE'APPOINTMErn DATE TIME <br /> lPleaae give 7 to iD business days from deft of spplicetion submlAul) <br /> © CHECK 90X TO EXPEDITE REQUEST-f78AD FFE,REQUE Pk0CESSED IN 3 VS1NES3 DATS <br /> SIGNATURE OF APPLICANT ��"� �_ DATE O <br /> FILE ADDRESS <br /> L. vCa -.1 <br /> C <br /> CSD <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> , <br /> u' L ERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> 0 OTHER CLEAN tYP SITF(NON•LQP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> Vt+� NOERGROUNDTANK(MOMTORINWREKOVAL) 0 DOG KENNEL 0 DAIRY <br /> IiA7AR000S WAST£GENERATOR ❑ CHtCKE N FIANCES 0 PKG TREATIAENT PLAUT <br /> Cl TIERED PERNIr7T£D FACILITY 0 MOTELrHOTEL 0 PUMPER TIRUCKIYARDIM EM TOILETS <br /> ❑ TATTOCAWOY PEIRCING ❑ POOLISPA 0 LANs USE APPLICATION SITE$ <br /> 0 SAFMCAL WASTE FACILITY M PUBLIC WATER 3YSTEN1 O OTHER(FIL"SE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the typa(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. 49 4 or mai!tc the <br /> ad r U indicated above <br /> 2. END wilt notify the applicant if any ENO files exist. An appointment for review will be confirmed <br /> approximately five busines9 days but no Inter than ten(10) days after receipt of application. The files <br /> will be held fora maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A fife that is actively being worked an by END staff may not be Immediately available for review. A new <br /> application may be submitted when the Elis Is avallabte. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a ST$.DO deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 5. Applications recely W after 3.00 pm will be processed the next business day. , <br /> CONFIRMED APPQINYMENT PATE TIME , <br /> ) <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REr1IEWEo YES NO REVIEW DATE <br /> —awiw N "Mom <br /> TOTAL.. P.02 9 <br />