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. ef,aLoosuMeA E 01/.01 <br /> \ 05/09/2002 15:11 209467110AGE STOCKTON <br /> V y°"X` �1Veu SAN JOAQUIN COUNTYPUBLIC HEALTH SERVO <br /> tIRONMENTAL HEALTH DIVISION ( _1( l) c, ;))_ <br /> EAST WEBER AVENUE,THIRD FLOOR <br /> I STOCKTON CA 95202 <br /> (209) 468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> of i' <br /> APPLICANT U BUSINESSIAGENCY <br /> a II <br /> ADDRESS <br /> dog) �//,o iDo6 FACSIMILE <br /> PHONE / 196 <br /> TENTATIVE'APPOINTMENT DATE / <br /> Q � [►ri0i^ ME �r . <br /> (Please give I a b s s om d of appll tion submitta <br /> IN SINESS DAYS <br /> CHECK BOX TO EXPEDITE REQUE -$".00 FEE—REQUEST RO DATE <br /> IIISIGNATURE OF APPLICANT <br /> FILE ADDRESS <br /> tl <br /> d r 7D CIL7-6 A <br /> A <br /> ^J <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> C3 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑ DAIRY <br /> ❑ DOG KENNEL <br /> UNDERGROUND TANK(MONrroRINGIREMOVAL) 0 CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR ❑ MOTEUHOTEL C3 PUMPER TRUCK/YARD/CHEMTOILETS <br /> TIERED PERMITTED FACILITY ❑ pooUSPA ❑ LAND USE APPLICATION SITES <br /> In TATTOOIBODY PEIRCING 0 PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> ❑ MEDICAL WASTE FACILITY <br /> 1, ce above. Select the type(S) . files from the list above by checking <br /> List up to ten addresses In We spa <br /> the appropriate box(es). At least one file type MUST be selected. Fax to !2091484 0138 or mail to the <br /> address indicated above. y ointment for review will be confirmed <br /> 2. EHD will notify the applicant if an EHD files exist. An app <br /> pt of <br /> w 1proximately fie business ays but no laer than tn (10)11 be held for avmaximum ofdfive bus nesst days fore <br /> rereview•Appointmentays after reCCIs should pbe scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A now <br /> application may be submitted when the file is available. <br /> vill be reorganized by EHD staff at the expense <br /> 4 Any file <br /> applicantr Future file reviews bythe same apPl cation as released v nt may require a$7a deposit Prior to review. <br /> oft e <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 /> ED)ATE <br /> RMED APPOINTMENT DATE <br /> TIME <br /> ONFIRMED <br /> PHONE FAX INITIALS <br /> WED <br /> YES NO REVIEW DATE <br /> en <br /> 00 14 ovovoa <br />