Laserfiche WebLink
v �IIJ Luc;NUM <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH -.=RVICES <br /> &VIRONMENTAL HEALTH DIVIS116 6&kt`t& <br /> '"IM04 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Vi4NA17-b LAWS O- J BUSINESSIAGENCY &CO %It'5E L_ I <br /> ADDRESS Z°l -7 \&vttv\Aa.vt i iS Zit 0 1�111a� <br /> PHONE 209 5&P1 FACSIMILE c'109 6109 ejl. � <br /> TENTATIVE*APPOINTMENT DATE MA'(4_)A lo, 10C)C) TIME 00/065 <br /> (Please give 7 to 10 business days from date of application submittal) recetv <br /> uAN <br /> `� <br /> CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS MAR —7 - ea <br /> SIGNATURE OF APPLICANT DATE ©± 7 a0 <br /> FILE ADDRESS Mau <br /> I n1 ��4I�TUt� <br /> v sVJ kFT ArJS.POA-C- q�l 54,1�,rr -+ .2_r rf?jl p,_++0. L-jr\ 4G /t 2000 <br /> r L5 lw� 2.c� Lu C�4tiVdU4� W <br /> lTU: CAPJA ti1tL� S,k,1,l4-1Pl.0 w>N� --Q <br /> -.7-+1c- FAe-s-k 5 1111 rI`A\j Y De-1 <br /> r.! VIE POL_-T-ZVC.4CSTOP idol or 10-1�j �A�tr� V <br /> 93'_9 W, C41 ' ,R'i-E1P-_ <br /> 02.S NAV V Rives <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ® UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> IP OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> di UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> M HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD Will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EH 00 14 01105100 <br />