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LIIU LOU NUMULII <br /> N JOAQUIN COUNTY <br /> ENVIRO ENTAL HEALTH DEPARTMENT <br /> 304 EST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> MAY 1 6 2003 1 (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 3PLICANT 11//,'1' 4cBUSINESS/AGENCY <br /> )DRESS CC,( lJI ,,l5 .SL"I o -Z U 61 0 <br /> iONE �",� - `" - �. FACSIMILE <br /> _ • ' <br /> TENTATIVE`APPOINTMENT DATE TIME <br /> (Please give 7 to 10 business days from dale of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$89.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS a�" <br /> GNATURE OF APPLICANT /(/1// DATE S (/L <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY O <br /> PROGRAM ELEMENTS SEARCH <br /> C <br /> r IF <br /> N <br /> MAY JO IT,73--_ <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ji�SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOOIBODY PEIRCING ❑ POOLISPA ❑ LAND USE;APPLICATION SITES <br /> MEDICAL WASTE FACILITY .,OTHER(PLEASE SPECIFY) well �' Sf�+1tL f1'1 C� Ll'. <br /> 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 /> 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 /> 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 /> 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 /> "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> Applications received after 3:00 pm will be processed the next business day. <br /> )NFIRMED APPOINTMENT DATE TIME <br /> ATE CONFIRMED PHONE FAX INITIALS <br /> :VIEWED YES NO REVIEW DATE <br /> 4M2-006 <br /> 12003 <br />