Laserfiche WebLink
M P2 <br /> FROM : NOA Environmental PHONE N0. : 209 369 4228 • Dec. 23 2002 12EHOioeuvuVk <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES <br /> ah (f r ENVIRONMENTAL HEALTH DIVISION I D <br /> i�304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> �C 2 3 2002 (los)46x-3420 <br /> ,PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �r^r 'L -I I BUSINES�SI^AGENCY <br /> ADDRESS <br /> PHONE 191 ,3�o�-�D( FACSIMILE(Zy"r) �cOy'��'$ <br /> TENTATIVE'APPOINTMENT DATE ZOO-3 TIME <br /> (Pleaso give 7 to 10 buslness days from date of apPllwdon submittal) ))) <br /> • <br /> CHECK BOX TO EXPEDITE REQUEST•$89.00 FEE- STP OCESSED IN 3 BUSINESS DA1�' <br /> SIGNATURE OF APPLICANT - RE DATE �Z tr Z <br /> r <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1 Ot 1 <br /> S <br /> r <br /> -- <br /> e _ <br /> GS 44 <br /> P Pu.w S <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> W OTHER CLEANUP SITE(MON-LOP) 13 FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> A UNDERGROUND TANK(MONTrORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> Id HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMFNY PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARD/CHEM TOIL.ETs <br /> ❑ YATTOOIBOOY PEIRCING ❑ POOU13 LAND ND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM OTHER(PLEASE SPECIFY ABO - <br /> from the <br /> I- <br /> thetappropriate p to ten boxses s IAtthe <br /> leastone fiace le to MUSTthe <br /> be elected f Fax to (20 1464-0938above <br /> orbmail t.theg <br /> ( ) YP <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 /> G. Applications received after 3:00 pm will be processed the next business day. <br /> r <br /> I CONFIRMED APPOINTMENT DATE, TIME <br /> GATE CONFIRMED <br /> PHONE FAX INITIALS <br /> I <br /> REVIEW DATE <br /> REVIEWED_ YES _ NO <br />