Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRO&MZNTAL HEALTH DEPARTMENT <br /> V 304 B Weber Ave 3`d Floor Stockton,CA 95205 twq4lo <br /> tsv.;468-3420 Fax: (209)464-0138 Web:www.co.san-joaquin.ca.us/ehd <br /> - . ... ._.__. PUBLIC RECORDS RELEASE APPLICATION w <br /> APPLICANT:_ ?�A vX BUSINESSfAGENCY: 6 - <br /> ADDRESS' <br /> PHONE: .209- `335.12VO FACSIMILE: 7ol- !635-6 6'75 <br /> TENTATIVF",APPOINYMENT DATE: A SiI R Time: <br /> L <br /> a , <br /> 1Mease allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> FILEADDRESS UNIT <br /> / Unit <br /> N z. sin <br /> � Usr"rI I a. Unt 2 <br /> &. &,�. 21950 Loo PIX <br /> 7 0 <br /> s. Sc o _jpqlpDl1>C o toe[f0l1 � Unit3 <br /> r. s,Ki Unit 4 <br /> a. Sve.q r" <br /> UPn <br /> 10. 3vM UMU 21) Gr / �. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 6� <br /> ONDERGROUND TANK NS-1j CLEANUP SRE(LOP) Z14OUSING ABATEMENT .112�OLID WASTE..-........ . <br /> THER CLEANUP SITE(NON-LOP) FOOD FACILITY OLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGlREMOVAL) �sOG KENNEL �OAIRY <br /> ,XrjHHAZARDOUS WASTE GENERATOR CHICKEN RANCH �KG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY TZVHOT9L UMPER TRUGK/YARDlCHEM TOILETS <br /> 13 TATrOOIBODYP18RCING �GOUSPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <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 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 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 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$93.00 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 /> EHp AB-02-006 ' <br /> a/bya01 ' <br />