Laserfiche WebLink
05/28/2004 14:53 FAX 209 948062' Z 002/002 <br /> END Log NUMBER <br /> �Jl SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> MAY 2 8 2004 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> ENVIRONMENT HEALTH (209) 466-3420 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT l ti STP!i?t.r�- S BUSINESSIAGENCY rd.& af6A-A> <br /> ADDRESS 7-b?-S- 6 r-k l R+a - �%— S-ZzrxSV�-1 <br /> PHONE 201-41415-13K i- FACSIMILE -t-OFi-It `lb-C,6 -t <br /> TENTATIVE"APPOINTMENT DATE l-�-Jog TIME f Z&W <br /> (Please give 7 to 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$87.00 FEE-REQUEST-PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ZA 4) <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I <br /> nA <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 90 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0 SOLID WASTE FACII.TY <br /> P OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ra' -09 SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONTORING/REMOVAL) ❑ DOG KENNEL Is DAIRY <br /> Im HAZARDOUS WASTE GENERATOR O CHICKEN RANCH M PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY U MOTELMOTEL 0 PUMPER TRUCKlYARD/CHEM TOILETS <br /> ❑ TATTOOISODY PEIRCING E3 'P6OIJSPP. -" - E3*LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 14 PUBUCWATERSYSTEM ❑ 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 least one file type MUST be selected. Fax to (209)464-0138 or mall to th® <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 ten(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 an by END staff may not be immediately available for review. A neY <br /> appllcation 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 expenS( <br /> of the applicant. Future file reviews by the same applicant may require a$67.00 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 PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br />