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5AN JUIN COUNTYPU13LIC HEALTH I ICES <br /> WJ i /0/�� <br /> �►VVIRONMENTAL HEALTH DIVISl01� 1 <br /> 304 EAST WEBER AVENUE,THIRD FLOOR r. (� cr�f , I - f 1}I <br /> STOCKTON CA 95202 1� 19 "• V � Iy <br /> (209)466-3420 111 r j. <br /> PUBLIC RECORDS RELEASEA11 <br /> I�IN <br /> APPLICANT � ESSlAGENCY nn 1 <br /> ADDRESS ��� - W7/S� Q / //9 <br /> PHONE ao FACSIMILE <br /> TENTATIVE"APPOINTMENT DATE (cation <br /> TIME �— <br /> (Pieasa 91ve 7 to to business days tram date of applsu6mlttalj <br /> *CHECK BOX TO EXPEDITE KLQUT•$78.00 FEE–REQUFSJ PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF OF APPLtCAN T <br /> FILE ADDRESS <br /> e � e r <br /> s <br /> Cir <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> UNDERGROUND TANK(US7j CLEANUP SITE(LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON•LOP) ❑ DOG KENNEL ID DAIRY <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ CHICKEN RANCIi C] PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ MOTEUN RAN ❑ PUMPER TRUCKfYARDICHEM TOILETS <br /> ❑ TIERED PERMITTED FACILITY ❑ POTEQH0 6 LAND USE APPLICATION SITES <br /> ❑ TATTOOMODY PEIRGING ❑ PUBLjSPALIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY <br /> T. List up to ten addresses In the space above. Select the type(s) of Tiles from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fa to 20 9-464.0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the appilcant if any EHD files exist. to appointment for receipt <br /> will be colon. T <br /> approximately five business days but no later than ten (10) days after receipt of application. The tiles <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$78.00 deposit prior to review. <br /> 5, "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pri will be processed the next business daY• <br /> r <br /> FIRMED APPOINTMENT DATE <br /> TIME <br /> CONFIRMED <br /> PHONE FAX INITIALS <br /> WED YES NO REVIEW DATE <br /> 01105/40 <br /> 5�r�t `A/2I q : 00 cLm <br />