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lC>G Nur.aen <br /> SAN JC' UIN COUNTYPUMIC HEALTH S ICES" _EHu r <br /> IRONMENTAL HEALTH DIVISIO� A <br /> 304 EAST'WEBER AVENUE, THIRD FLOOR � 1 <br /> STOCKTON CA 95202 hfaR 2y7 2001 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATiOP "��'i ���'�✓��=1ti`� r;� 1 TH <br /> APPLICANT ea'- BUSINESSlAGENCV [�^ <br /> ADDRESS 1�1 Vlb _ ;n w_�.t a.P.S� G 1 <br /> PHONE '24',' � FACSIMILE �^t' � <br /> TENTATIVE"APPOINTMENT DATE TIME sq kF> <br /> (Please give 71410 business days from Gate of application submlital) 200 `1 <br /> © CHECK BOX TO EXPEDITE REQUEST-$$7.00 FEE--REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE- <br /> FILE <br /> ATEFILE ADDRESS PROGRAM E EM NTs <br /> 30,!, ( CA <br /> Q <br /> vet S zan <br /> Z-17T1 <br /> 1 <br /> L A r ' +4" ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILM <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MUNITORINGIRENOVAL) ❑ DOG KENNEL 1] DAIRY <br /> *HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑ MOTEVHOTEL <br /> C] PUMPER TRUCtSlYARDlCHEM TOILETS <br /> TATTOOASTI EIRCWG ❑ POOLISPA .Ot'LAND USE APPLICATION S ITS <br /> MEDICALL WWASTE FACILITY --;; U!W0jWATERSYSTEWL . p OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking <br /> the appropriate box(es). At least one file typo MUST be selected. Fax to 1209)464-0138 or mailto 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 $81.00 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 /> RFV[rbv>=n YrR Ivn wFtncw nnT9 <br />