Laserfiche WebLink
LHULU NUM6LK <br /> SAN JOAQUIN COUNTY <br /> EPIRONMENTAL HEALTH DEPAR - NT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 56) <br /> STOCKTON CA 95202I <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASEE APPL��Ir^CATION <br /> APPLICANT C BCUSINESSIAGENCY 1 b� 4PA#^ <br /> ADDRESS /_ ' •o ✓ 2- `-' -0 �(�! �5g) <br /> PHONE - 1 I p /T(6 S� FACSIMILE 9 1 <br /> TENTATIVE'APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of application submittal) Lo <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS ' ���/ <br /> SIGNATURE OF APPLICANT to i DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> O O rL71')' I N GLQ n2 �U <br /> M LC L N t^-t E2 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 9K NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT q SOLID WASTE FACILITY <br /> pTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY O SOLID WASTE VEHICLE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> TREATMENT PLANT <br /> �I REDDPERMITfED FACILITY WASTEOUS TOR ❑ MOEL/HO ELCl CHICKENCH ❑_PKMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ OUSPA ti' LAND USE APPLICAO SITES <br /> ❑ MEDICAL WASTE FACILITY IM OTHER(PLEASE SPECIFY) '1—! L S' TI <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 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 $89.00 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. r+' <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHD 4842-006 <br /> 3882003 <br />