Laserfiche WebLink
11/14/2002 08:18 7074528413 JEAN HUGHESanson, G 01 <br /> it7m SAN JO•UIN COUNTYPUBLIC HEALTH $11041 E <br /> —lh��wF� ENVIRONMENTAL HEALTH DIVISION 101 � <br /> NOV 1 4 2002 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 83201 <br /> (209)4111111,11120 r-.fvVIRuNM1; HEALTH PRVICTSPUBLIC RECORDS RELEASE APPLICATION <br /> fC•16 <br /> APPLICANT rUaINESa) CY -• <br /> ADDRESS + _ <br /> PHONE - FACSIMILE - <br /> / , t If 1 p Tr,E <br /> TENTATIVE'APPOINTMENT DATE Taal application submlttal) • <br /> (PI•aa•alw T to 1 a bualft d"fro •h e}SPP 14 <br /> Ur1 � <br /> CHECK BOX TO EXPEDn t REQUEST-Sas.00 FEE—Ra t <br /> UEST► ESSED IN 3 8U6INESS DAYS O <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THI IDE ENDS F USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> II <br /> 0 <br /> r� -E — NMEN'TAL HEALTH DIVISION FILES <br /> ❑ SOLID WASTE FACILITY <br /> NDEROROUND TANK(USTI CLEANUP SRE(LOP) O HOUSING ABATEMENT <br /> ILS HENT ❑ SOLID WASTE VEHICLE <br /> ER CLEANUP SRE(NON-LOP) ❑ DOO KENNEL ❑ DAIRY <br /> No RGROUND TANK(MONITORINOlREMOVAL) ❑ CHICKEN RANCH O PKO TREATMENT PLANT - <br /> NAZARDOUS WASTE GENERATOR ❑ MOTELMOTLI. ❑ PUMPER TRUCKP/ARDICHEM TOILETS <br /> TIERED PERMITTED FACILfI'1' ❑ POOLJaPA ❑ LAND USE APPLICATION BITES <br /> ❑ TATTOOIBODY PEIRCING [3pUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1. List up to ten addresses in the space above. Seleet the type($) of flies from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)A64-0iaLRLMgLW the <br /> address Ind)4lSed ■Sous. <br /> 2, END well 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 aftshouler receipt Of d stcheduledion. The files <br /> will be hold for a maximum of five business days for review. Appointments <br /> accordingly. <br /> 3. A file that is actively being worked on by EMD staff may not be immediately available for review. A now <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 /> S. 'TENTATIVE appointment dates must be confirmed with END 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 /> REVIEWED _ YES NO REVIEW DATE <br /> 4P.JW. <br />