Laserfiche WebLink
SAN JO)-WIN COUNTYPUBWC HEALTH SEOVICES IM11&AIL. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, THIRD FLOOR <br /> STOCKTON CA 95202 A. 5 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT, g:2n,-",1. t�E1C�e3 USINES-51AGENCY <br /> AODIIESS,3,113 <br /> L G`,. -( 2a.,/ -flue— _(J" 40,0 6"q <br /> P J-(ON C- S,J I:ACSIMILE 14�6 -6623 L==Q1 J <br /> TENTATIVE*APPOIN'rML:NT DATE nmL- <br /> (PIC"C [I've 7 LO 10 I)U:;i11C5:; days from date of applicatiot-1 <br /> submittal) <br /> CHECK 130X TO.CXP�;ITE REQUEST FLI: REQUEST <br /> 4CCSS D IN 3 BUSINESS DAYS <br /> 71 SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS <br /> 13110GIIAM ELE - <br /> MENTS SEARCH <br /> ONLY <br /> 0. <br /> 0 4CIPA, 14-e— 4 kio,,v C�l <br /> —arn- RlInn <br /> HEALTH DIVISION FILES <br /> ENVIRONMENTAL HEA1 <br /> UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE (NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(PAONITORINGIREMOVA4) 0 DOG KENNEL 0 DAIRY I <br /> EI HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTLLIHOTEL 11 PUMPER TRUCIQYARD/CHEM TOILETS <br /> 0 TATT(:)OIBQDY PdIRCING 0 POOLISPA ­­ " 0 LAND USE APPLICATION SITES <br /> 0 MLDICAL VVAs-rL! I:ACILITY 0 PUULIC WATER SYSTEM 0 OTHER(PLE=ASE'- SPECIFY ABOVE) <br /> 8. List up to trn addresses in the space above. Select the type(s) of files from the list above by checiiing <br /> the appropriate box(cs). At least one file type MUST be selected. Fax to (209) 464-01383 or mail to the <br /> address Indicated above. <br /> 2. EHD will,41otify 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. .-rllc files <br /> will be held for a maXilllunj of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively'b 0 J',110 workcd on by EFID staff may not be it-nillediatcly available 1`01'review. Anew <br /> application may be zulimiLLed when the file is available. . <br /> 4. Any file not returned i 11ti-Ic same condition as released will be reorganized by EFID staff at 1.11c expense <br /> Of the applicant. Future file reviews by the same applicantI <br /> may require a $37.00 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 /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED <br /> PHON.E FAX INITIALS <br />