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DATE RECEIVED <br /> S <br /> SAN JOAC& COUNTYPUBLIC HEALTH SEROE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST WEBER AVENUE,THIRO FLOOR Q 200 <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICA171ON <br /> APPLICANT PLIIA RIT15 BUSINESSIAGENCY Phfl'z'�. 00-_ Tnc- <br /> ADDRESS t4a�wL- 6vanue� , -S,)ite 3 , Id5tia - C-n COR&O <br /> PHONE KID1 Xd <br /> ZM- Za717� ) FACSIMILE .3--'7005 <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (PleaSe give 7 to 10 busin days from date of applicaticA submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST-$7��00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT !��a DATE <br /> FILE ADDRESS <br /> 0,4 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 14OUSING ABATEMENT E:I SOLID WASTE FACILITY <br /> 19 OTHER CLEANUP SITE(NON-LOP) 1:1 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 19 UNDERGROUND TANK(MONITORINGIREMOVAL) CI DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR [I CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 MOTELIHOTEL 0 PUMPER TRUCKrYARDICHEM T(11LETS <br /> M TIERED PERMITTED FACILITY C3 LAND USE APPLICATION SITE$ <br /> 13 TATTOCtOODY PEIRCING 0 POOLfSPA <br /> 13 MEDICAL WASTE FACILITY 0 PUBLIC WATER SYSTEM 0 OTHER(PLFASE SPECIFY ABON Q <br /> 1. List up to ten addresses in the space above. Select the type(S) Of files from the list above by ch�tcking <br /> the appropriate box(es). At least one file type MUST be selected. Fay (209) 46"138 or mail 12 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 liter than ten (10)days after receipt of,application. Th i f iles <br /> will be held*for a maximum of five business days for review. Appointmerits .shou.Idbesch6dule:I <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 EHn staff at the eXpense. <br /> of the applicant. Future file 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 -nrAE <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW..OATE <br /> EM 00 14 0IM3100 <br />