Laserfiche WebLink
' J$ ' SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES 66 <br /> vvv"` ENVIRONMENTAL HEALTH DIVISION <br /> �+' j <br /> C((.„1r�„�i \,d� )1 304 EAST WEBER AVENUE,THIRD FLOOR <br /> - STOCKTON CA 95202 <br /> (209)468-3420 <br /> AUG 1 2001 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Efv APPP:IJ i i i:� N' �If 7' FixwlkwM tt � <br /> PC���)APP.I)1QANT�jTr /fyr.�JCLA'+.K n ByU`Sl'NES[S�l,A�GENCY <br /> ADDRESS ISi7 �� GG//Ie6C�/ C!/Y /UJ <br /> PHONE 9ZS $3/- 1,29-1 _ _FACSIMILE <br /> TENTATIVE'APPOINTMENT DATE _ TIME- <br /> (Pteaso eivo 7 to 40 business da s from date of 1pplication sub nitlaq <br /> L-+ CHECK BOX TO�FUCPEDITE REQUESTM$0 [-:r-jaESTPRCCESSEDIN3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE B1-4 G <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> r( rI u <br /> tf rr r/ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> CeyN DERGROUND TANK(UST)CLEANUP SITE SLOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> 15 PTHER CLEANUP,SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> QQ��JJI1 NOERGROUND TANK(MONITORINGIREMOVAL) EI DOG KENNEL ❑ DAIRY <br /> Or <br /> WAITE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENTPLANT <br /> ❑ TIERED PERMITTED FACILITY MOTELIHOTEL [3PUMPERTRUCKIYARDIGHEM TOILETS <br /> [3TATTOOMODY PEIRCING ❑ POOUSPA '- CI LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ 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(east 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 than ton(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 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 END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$87.00 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 /> FOATECONFIRME5D <br /> RMED APPOINTMENT DATE TIME <br /> PHONE FAX INITIALS <br /> Fr) i YFS NO RFVIFW OATF <br />