Laserfiche WebLink
4-12-02; 2:09AM; IT/EMCON '916 928 3341 # 1/ 1 <br /> 04/ 00 3: 464013 ENVIRONMENTAL W4 PAGE 01 <br /> u.o.w ryV��V• <br /> G MCt lL V <br /> •SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 <br /> 02 APR I I P11-1 3: 23 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C:A'r�fc�Yl+�r� hy�"p �i4� BUSINESSIAGENCY <br /> ADDRESS 32Al ' 'OAU <br /> PHONE 9(6- 56 s- d spa _ _FACSIMILE <br /> /o�� TIME <br /> TENTATIVE 4// <br /> APPOINTMENT DATE atn deMapplitailmsubmlital) <br /> (Please give 7Ul� ¢ <br /> 1 IS <br /> CHECK BOX TO EXPEDITE REQUEST-$e9.00 FEE-REQUEST PROCEq4N 3 B INESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE EHL STAFF USE ONLY O <br /> PROGRAM ELEMENTS SEARCH <br /> a N <br /> olQ <br /> N <br /> ,rh AIN W <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> In HOUSING ABATEMENT <br /> CI <br /> WASTE FACILITY <br /> IM UNDERGROUND TANK'(UST)CLEANUP SITE(LOP) 0 FOOD FACILITY O DAIRY WASTE VEHICLE <br /> a OTHER CLEANUP SITE(NON-LOP) ❑ DOO KENNEL 17 DAIRY <br /> CZ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ CHICKEN RANCH ❑ PKGTREATMFNT PLANT <br /> * HAZARDOUS WASTE GENERATOR ❑ MOTEUHOTEL- ❑ PUMPER TRUCKICATION SIT TOILETS <br /> ❑ TIERED PERMITTED FACILITY ❑ PAOUSPA ❑ LAND USE APPLICATION SITES <br /> ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> C3TATTOOI80DY PEIRCING ❑ PUBLIC WATER SYSTEM <br /> ❑ MEDICAL WASTE FACILITY ' s of files from the list above by checking <br /> 1 List up to ten addresses In the space above. Select the type( ) <br /> the appropriate box(es). At least one file type MUST be selected- Fax to(209)464-0138 or mail to the <br /> address indlcyted abpoP e- ointment for review will be confirmed <br /> 2. EHD Will notify thea applicant if any EHD files exist.an to appointment <br /> approximately five business days but no later the forereview. Appointments n(10)days af ter pshould pbe scheduled les <br /> will be held for a maximum of five business day <br /> flnew <br /> able <br /> )y being worked on by EHD staff may not he immediately ava <br /> 3. A file that is activeable for review• ansa <br /> application may submitted when the file)s available. EHD staff at the exp <br /> q, Any file n1.ot returned in the same condition as released will be reorganized by <br /> of the applicant Future file reviews by the same applroant may require a$89.00 deposit prior to review. <br /> th <br /> 6 'TENTATIVE appointment dates mm willle confirmed l be processed tthe not business day. <br /> 6 Applications receStaff- <br /> ived after 3:00.p <br /> TIME <br /> CONFIRMED APPOINTMENT DATE INITIALS '— <br /> DATE CONFIRMED <br /> PHONE FAX <br /> REVIEWED . <br /> YES NO REVIEW DATE <br />