Laserfiche WebLink
€ o100 NUNUEµ <br /> SAN J..tQUIN COUNTYPUBLIC HEALTH .RVICES[10.: — <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR "•"tea L 6` <br /> STOCKTON CA 95202 Nf�fR`2 7 2001. <br /> (los)468-3420 NVRi ^ r <br /> PUBLIC RECORDS RELEASE APPLICATIO(� iV vlEiN F; gLTH <br /> APPLICANT M F_'1� BUSINEISS-IA'GENCY C ��C� C��Ot7112S <br /> ADDRESS 1�� fltiZ Q S� i�Gf�+ CiAll <br /> PHONE 7242 FACSIMILE -012�4 <br /> TENTATIVE`APPOINTMENT DATE--- T1ME <br /> (Ploase give-Ito 1 u business days from date of application submittal) <br /> © CHECK BOX TO EXPEDITE REQUEST-U7,00 FEE-RREOUEST PROCESSED itt 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Oht� Lii n 4 DATE 3 0! <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> KIIE <br /> s�m <br /> 3S.zP ML <br /> Mob E% <br /> -J� 9Q 1�lAin 3s.2L <br /> 33.a9 oZ1.G0 m <br /> • , 1 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ra, <br /> +'UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY <br /> IOTHE-R CLEANUP SITE(NON-LOP) 13FOOD FACILITY EI SOUR WASTE VEHICLE <br /> UNUERGROUNC TANK(MUNITONINOIREMUVAL) ❑ 000 KENNEL ❑ DAIRY <br /> *HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TiERED PERMITTED FACILITY ❑ I.IOTEVHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOG/RODY PEIRCING ❑ POOL ISPA .eZILAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY yll8t1GWATEfjSY$TEM;: p OTHER(PLEASE SPECIFY ABOVE) <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 mailto the <br /> address Indicated ap4ve. <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 fur review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not he 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 $81.00 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 /> RF•VIFWFn yFS Nr] GFVIGW nAYC <br />