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DATE RECEWSM - Elio LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> �lll(; N )p3 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> (209)468.3420 <br /> PUBLIC RECORDS RELEASE APPLICATION ` <br /> APPLICANT TD G._ !y �ilBUSINES$)AGENCY C A VAIR Q �y!rL�{�L/1R,1/� 1 <br /> ADORESS x.70 jeA- jN% ST. S w6AA cA <br /> PHONE fib?-gam ^ ;& FACSIMILE= '20 7 ^ 3.� ��q J' <br /> TENTATIVE*APPOINTMENT DATE gig C O. L-0 O 3 TIME _ 'i 3 0 4 <br /> (Pleas@ give 7 to 10 b6siness da from data of application Submittal) B 3 <br /> 10 CHECK[IOX TO.EXPEbETE REQUEST $89.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS vi , <br /> � ' <br /> 1 ` <br /> SIGNATURE OF APPLICANT All77DATE r�(� -0 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> /A-ti .-7Z0jE rr ri if/ <br /> ENVIRONMENTAL,HEALTH DIVISION FIDES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENT O SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) d FOOD FACILITY G SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL ❑ DAIRY <br /> 649 WAS O CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELIHOTF-L ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> C1 TATTOOIBODY PEIRCING a POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <br /> 1. 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. Fax to(209)464.0138 or mail to the <br /> address_indicated above. _ <br /> 2. EHD will notify the applicant if any EHb 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 for review. Appointments shoutd 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$89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 61 Applications received after 3:00 pm will be processed the next business day. <br /> CLVd,F19-MIED:APPOINTMENT DAT-E- _LIME' <br /> DA'CE'GQNFIRM�n: INH _ <br /> PHONE. M FAX lS <br /> Y•...• . <br /> REVIEW D = _.YES NO: REVIEliJ ,DATE., _- <br /> ENO-4-02-990 <br /> Fo/zo'd 6b99 S£6 LOLT ti I i'lHWti9 LS:O T zooe-E T-9(lti <br />