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o r <br /> LIAlk:MLLIAU <br /> S4..)JOAQUIN COUNTYPUBLIC HEA d SERVICES ' 1 EHD t,ocNUMBER I <br /> ENVIRONMENTAL HEALTH DIVISION W&ED <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 AUG 13 2002 <br /> PUBLIC RECORDS RELEASE APPLICATIONT_ <br /> , <br /> _.APPLICANT BUSINESSIAGENCY <br /> LE <br /> Sts`agoo FACSIMILE <br /> C <br /> ENAPPOINTMENT� DATE45-wj : TIME <br /> (Please give 7 to 10 business s frate of cation submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.NOF P C ED 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE' <br /> y _ ` <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY +`f <br /> q PROGRAM ELEMENTS SEARCH <br /> 2k on 3 G t Amt ejA CM( <br /> f4o(k4oA lr LA))t5 <br /> r' A ';S55 enom-I LPAA4& " <br /> ONDENVIRONMENTAL HEALTH DIVISION FILES <br /> ROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> ER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 13SOLID WASTE VEHICLE <br /> ERGROUNDTANK(MONITORINGIREMOVAL) ❑ DOGKENNEL ❑ DAIRY <br /> ARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOOIBODY PEIRCING ❑ POOLlSPA ❑ LAND USE APPLICATION SITES • <br /> ❑ MEDICAL WASTE FACILITY - 0 PUBLIC WATER SYSTEM 10 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 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 thali 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 bt:ing 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 ih the same conditiori'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 /> S. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> .6. Applications received after 3:00 pm will beprocessed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED _ PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />