Laserfiche WebLink
)K* J tNVINUNMtN i AL HtA PAGE 01 <br /> rn.,..6,Ly Giv CV <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVICES �4....e,. <br /> ENVIR <br /> NMENTAL HEALTH <br /> VISION <br /> If 11 <br /> FE L�1�J ER L��1� 04 EAST INS ER AVENUE,THIRDI F0OR <br /> STOCKTON CA 9$202 <br /> JAN 1 5 2003 (209)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �►1' G'� �� F{ D rU ji `- BUSINESSIAG€NCY— _ <br /> ADDRES13_L� dLN kt- �- —�_nak]Q nj A q Lk,0 01 .,..__ <br /> PHONE- J 1 D i �'1- 0 FACSIMILE �✓' �-'�`t L LC.D 1 lD ----��_ <br /> TENTATIVE*,a?Pa,NrMErrrt3ATE11FTrME �Y Yl f Yl <br /> I- u- <br /> (Plraya given 7 to 10 bu inetss ys from data of app11caGan subrnittal) <br /> U 311/ <br /> CHECK BOX TO EXPEDITE RE EST-$89.00 FEE EQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE;ADDRIwSS THIS SLOE EHD STAFF U5E ONLY <br /> PROGRAM ELEMENTS SEARCH 400 <br /> J <br /> �. s . <br /> aQ'7 _ Aj, M-rL�-n- LUST) <br /> ..... <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT C SOLID WASTE FACILITY <br /> yOTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITO RIN GIREM OVAL) d DOG KENNEL O DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PXG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FAGILM' 0 MOTEL1HOTr%L ' ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBDDY PEIRCING ❑ POOLFSPA ❑ LAND USE APPLICATION SITE5 <br /> 0 MEDSCAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY AaOVE <br /> 1, List up to ten addresses in the space above. Select the type(s)of tiles from the fist above by chocking <br /> the appropriate box(es). At)east one file type MUST be selected. Fax to (209)464-0138 or mail to the <br /> address indicated abOVQ- <br /> 2. EHD will notify the applicant if any EHE fifes 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 fora rnaxirnum of five business days for review. Appointments should be scheduled, <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immsdiataly 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 releasad will be reorganized by EHD staff at the expense <br /> of the applicant, f=uture file reviews by the salve applicant may require a$89.00 deposit prior to review. <br /> B. "TENTATIVE appointment dates must be confirmed with EHO staff. <br /> ti. Applications received after 3:00 prn wkll be processed the next business day. <br /> GONFIRMED-APPOINTMENT DATE TIME, <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> _REVIEWED YES NO ' REVIEW DATE <br /> �6A�-0rll <br /> Z0/ti0'd 8zT0b91z60zT 01 aJ 80:ET Z00z S1 t <br />