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03/29/2002 16:01 209467117 AGE STOCKTON enu wunu.n PAGE <br /> DATE nECE1YE0 <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERviCES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> fcorMT WEBER AVENUE, THIRD FLOOR <br /> g STOCKTON CA 95202 <br /> (209) 468-3420 <br /> PYBLIP RECORDS RELEASE A T�hJ <br /> APPLICANT �1wo <br /> USINESS/AGENCY O/ <br /> ADDRESS p1 [� to n 4)0? ^� <br /> PHONE FACSIMILE Ti,/ <br /> Q _ ord <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> ,y/ <br /> Please e 7 <br /> olob6sinassda om d f apPIlca on submittal) <br /> CHECK BOX TO EXPEDITE REQU T-$7 .00�'EQU C B INESS DAYS <br /> SIGNATURE OF APPLICANT DATE 4 <br /> FILE ADDRESS � <br /> II it <br /> N <br /> � I1 II 1 <br /> ✓l n IA IAu 1 t <br /> amillb <br /> Gomm <br /> ENVIRONMENTAL HEALTH DIVISION FILES APR -3 2002 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEOHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCINO ❑ POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUHLIC 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 appilcation. 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 /> S. '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 otryyoa <br />