Laserfiche WebLink
�A11 41.0AWIL)IN cuUNTYPUBLIC HEALTH SERVICES <br /> n �� NVIRONMENTAL HEALTH DIVISI <br /> VPItI04 EAST WEBER AVENUE,THIRD FLOTW <br /> �.� STOCKTON CA 95202 <br /> JUL 2 5 2000 (209)466-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ' <br /> AP� ' ` ' , 1 / BUStNESS1AGENCY L dL1arl�(;`PO <br /> ADDRESS L O S Wl(SD CA ScZQ(S�~ <br /> PHONE o?D - OO -FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE 71,21p/oft, TIME(Please give give 7 to 10 businacs days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQU - 70.00 FEE-REOU PROqFSSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS <br /> 1Fes) <br /> 5- 22 0 2 ' �" <br /> 11D Y LJr ?� b 0 <br /> S <br /> D � <br /> ENVIRONMENTAL HEALTH DIVISION FILES A, <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY JUL 26 <br /> 2D0•�v` <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE L N <br /> UNDERGROUND TANK(MONIfORINWREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> RDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKlYARD/CHEM TOILETS <br /> TATTOO/aODY PEIRCING ��"" I ` ❑ POOLlSPA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY- y/ I (W'' �0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addressesfn e spacd 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 /> adoress indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be Confirmed <br /> approximately rive 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 tile 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 /> EN 00 u etq' O <br />