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LHU LUb IVUMULH <br /> UHI L hl1.L .�V <br /> SAN JOAQUIN COUNTY <br /> EPIRONMENTAL HEALTH DEPAR M ENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 rv, <br /> (209) 468-3420 1 <br /> PUBLIC RECORDS RELEASEE APPLICATION �L <br /> APPLICANT BUUSINESSIAGENCY 1 b7/'r'� `� c��'( � <br /> ADDRESS - ' 2 `� TO �r /Sg/ Z .17 <br /> �j <br /> PHONE ' 1 Iy /T(6 T� S� FACSIMILE 9 f 6 7/ 0 TO yvd xJ I°" <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from date of application submittal) <br /> OrCHECK BOX TO EXPEDITE REQUEST-$89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS ' <br /> SIGNATURE OF APPLICANT to_ DATE /} 3 <br /> Y <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> ,L�� PROGRAM ELEMENTS SEARCH <br /> p OR-r INa Awe UuIE <br /> M L N WEA <br /> / ENVIRONMENTAL HEALTH DIVISION FILES <br /> OP7 NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> O>NDERGROUND TANK <br /> G TREATMENT PLANT <br /> rd TIERED 0 DOG KENNEL 0 DAIRY <br /> Er_PAZARDOUS WASTE PERMITTED FACILITY <br /> GENERATOR G/REMOVAL) O MOTEUHO CHICKEN RANCH �❑ PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ OUSPA Ei LAND USE APPLICATIO SITES <br /> ❑ MEDICAL WASTE FACILITY m OTHER(PLEASE SPECIFY)�i��TI e_ fir'4j S � S <br /> I <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. <br /> Ir <br /> Ij <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHD 4"2.ON <br /> MV2002 <br />