Laserfiche WebLink
15/02 TUE 15:37 FAX 209 473487 MAYALL LAW OFFICE 0002 <br /> A i L NLuV cu EHU 4GG NUMaER <br /> u <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVIIRLS ���� ,- c- <br /> �' ENVIRONMENTAL HEALTH DIVISION �.I! <br /> 1 I 304 EAST WEBER AVENUE,THIRD FLOOR XV ' <br /> J STOCKTONCA95202OCT 1 6 ZOOZ <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENT HEALTH <br /> I ..] V -, -.. <br /> M' j 11�S 13USINESSIAGFNCY <br /> APPLICANT C , <br /> ADDRESS /' �C�!' S-t , Ii! � C h STC7� <br /> PHONE '(z0� - S 3, FACSIMILE / z01 '7 =.1: (f <br /> TENTATIVE*.APPOINTMENT DATE O2 1613 TIME r, so AM, � <br /> (Please give]to10 uslnes frd f1pIication submillal) <br /> DCI 16 <br /> © CHECK BOX TO EXPEDITE REQUEST•$09.00 FEE- EO TPR SEBUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> r/y DATE O <br /> THIS SIDE END STAFF USE ONLY <br /> 1 FILE ADDRESS / PROGRAM ELEMENTS SEARCH <br /> V 'Zs Jh I Wnye� 6 <br /> 00 <br /> J 236 IRrr G . 1 bod Li <br /> J 2! p rJl S� Ch <br /> 7 i 5 53 <br /> J ( q � S . 5 f. Co cx-�p4 5 <br /> rA o00 cf 6 <br /> CIIAI)� I�IENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> jd JINDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY 13 SOLID WASTE VEHICLE <br /> .PI OTHER CLEANUP SITE(NON-LOP) ❑ DOG KENNEL ❑ DAIRY <br /> 0'6NDERGROUNO TANK(MONITORINGIREMOVAL) ❑ CHICKEN RANCH ❑ PKC TREATMENT PLANT <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY ❑ POOVSPA ❑ LAND USE APPLICATION SITES <br /> ❑ TATTOO1eODY PEIRCING ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1. 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)cast 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 /> } A filet may be submitworked on by ted d when the file HsO staff available.may <br /> not be immediately available for review. new . <br /> applicationy <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 $89.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G, 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 /> .nnrnM <br />