Laserfiche WebLink
08-14-2000 10%29RM OM <br />D ///yyyO,,,AiE � Ety„� <br />u u d <br />Au� 1 4 2000 <br />.. �,���r,GruT HEALTH <br />nJ.r <br />V. P -. <br />TO _. 1559$712% P.01 <br />SAN JOAQUIN COUNTYPUBElim NOG ■Uya(aLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, THIRD FLOOR <br />STOCKTON CA 95202 <br />(209) 4trt1.3420 <br />PUBLIC RECORDS RELEASE APPLICATION <br />DUSNC99ACENCY <br />'HONE :51S Lt$ x1021 FACSIMILE -551 208 'J12JR <br />TENTATIVE' APPOINTMENTDATE PU TIME Or, <br />(11x give ? to 7D uddp"Run sugi <br />CHECK BOXTO EXPEINTE REQUEST. $87.00 FEE -REQUEST PROCESSED IIT 3 BUSINESS DAYS <br />SIGNATURE OF APPLICAri-r - ,_�_ DATE `� JkA1 <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />1S UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLD WASTE FACILITY <br />OTHER CLEANUP SITE (NON"P) 4 FOOD FACUM fl 30LID WASTE VEHICLE <br />UNDERGROUND TANK(NONLTORINGIRl1MOVAL) ❑ DOG KENNM Cl DAIRY <br />HAZARDOUS WASTE GENERATOR 4 CHICKEN RANCH ❑ PKG TREATIAFNT PLANT <br />p TIEREDPERM17TEDFACIL.ITY - 0 MOTEUHOTEL O PUMPER TRUCaryANDICHEM TORXM <br />O TATTODVBODY PFwrjNG O POOLISPA O LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACXJYY O PUBLIC WATER SYSTEM Q OTHER(PLEAME SPECIFYABOVE) <br />;t. List up to ten addresses In the space above. Select the types) of files from the list above by checking <br />the appropriate box(es). At least one fila type MUST be selected. Fax -lo (DSI 4&40136 or mall to the <br />address Indicated above. <br />2. EHE) will notify the applicant if any EHD faas exist. An appointment for review will be confimred <br />j 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 husinaas 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 />d. Any file not returned In the same condl0an as released will be reorganized by EHD staff at the expense <br />1 of thu applicant. Futuro file reviews by the same applicant may require a $67.00 deposit prior to raviaw. <br />5. "TENTATIVE appointment dates must be confirmed with ENO stall. <br />Iii. Applications received afbor 3:00 pm will be processed the next business day. <br />APPOINTMENT DATE <br />CONFIRMED <br />YES <br />TIME <br />PHONE FAX <br />REVIEW <br />INITIALS <br />TOTfL. P.01 <br />FIE ADDRESS <br />ere. <br />THSS SIDE 5HD STAFF USE ONLY <br />PROGRAM ELEMENTS SEARCH <br />o S2,35j <br />�t y <br />ko 2 r0 S77 <br />12715 ) <br />Z" D , <br />Z <br />, <br />0 <br />i <br />ENVIRONMENTAL HEALTH DIVISION FILES <br />1S UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLD WASTE FACILITY <br />OTHER CLEANUP SITE (NON"P) 4 FOOD FACUM fl 30LID WASTE VEHICLE <br />UNDERGROUND TANK(NONLTORINGIRl1MOVAL) ❑ DOG KENNM Cl DAIRY <br />HAZARDOUS WASTE GENERATOR 4 CHICKEN RANCH ❑ PKG TREATIAFNT PLANT <br />p TIEREDPERM17TEDFACIL.ITY - 0 MOTEUHOTEL O PUMPER TRUCaryANDICHEM TORXM <br />O TATTODVBODY PFwrjNG O POOLISPA O LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACXJYY O PUBLIC WATER SYSTEM Q OTHER(PLEAME SPECIFYABOVE) <br />;t. List up to ten addresses In the space above. Select the types) of files from the list above by checking <br />the appropriate box(es). At least one fila type MUST be selected. Fax -lo (DSI 4&40136 or mall to the <br />address Indicated above. <br />2. EHE) will notify the applicant if any EHD faas exist. An appointment for review will be confimred <br />j 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 husinaas 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 />d. Any file not returned In the same condl0an as released will be reorganized by EHD staff at the expense <br />1 of thu applicant. Futuro file reviews by the same applicant may require a $67.00 deposit prior to raviaw. <br />5. "TENTATIVE appointment dates must be confirmed with ENO stall. <br />Iii. Applications received afbor 3:00 pm will be processed the next business day. <br />APPOINTMENT DATE <br />CONFIRMED <br />YES <br />TIME <br />PHONE FAX <br />REVIEW <br />INITIALS <br />TOTfL. P.01 <br />