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Environme `al Health Department <br /> z- SAN:,,m10AQ _ N <br /> 1�' ! f�" ,' COUNTY Kasey Foley, REHS, Interim Director <br /> Greatness grows here. PROGRAM COORDINATORS <br /> - Robert McClellon,REHS <br /> Jeff Carruesco, REHS, RDI <br /> Willy Ng,REHS <br /> Muniappa Naidu,REHS <br /> Michael Kith,REHS <br /> Melissa Nissim, REHS <br /> November 13, 2019 <br /> TO: Employee Housing Facility/Owners/Operators <br /> FROM: Scott Sangalang, Lead Senior REHS, Employee Housing Program <br /> SUBJECT: ANNUAL PERMIT APPLICATION <br /> Permits to operate employee housing facilities with five or more employees are being processed <br /> for the 2020 season. Please complete the enclosed application and remit the appropriate fee <br /> at least 45 days prior to the planned date of occupancy of your facility. <br /> If there are any changes to the owner and/or operator information, a "Statement of Citizenship, <br /> Alienage and Immigration Status in Support of a Request for State Public Benefits" form must <br /> be completed and submitted to the Environmental Health Department prior to the issuance of a <br /> permit to operate. Please contact Lisa Vernengo at (209) 468-9674 to obtain this form. <br /> If you do not intend to use the facility this year, please complete and return the enclosed <br /> "Certificate of Non-Operation." <br /> For your reference, the laws and regulations covering employee-housing facilities are found in <br /> the California Health and Safety Code, Division 13, Part 1, and in the California Code of <br /> Regulations, Title 25, Chapter 1, Subchapter 3. Please be advised that all employee housing <br /> accommodations, including single family homes and mobile homes, are subject to the <br /> Employee Housing Act, and must be inspected as part of the permit process. <br /> Please return the completed application and the applicable permit fees, or the Certification of <br /> Non-Operation, in the enclosed envelope. If you have any questions, please contact Scott <br /> Sangalang, Lead Senior REHS, at (209) 468-3452. <br /> Enclosures <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />