Laserfiche WebLink
09/02/2003 07: 32 5592687126 TWINING LABS PAGE 01/0 <br /> 10-17-2008 1� FF <br /> TO t 5592687126 P.02 <br /> 1� SAN JOAQUIN CQUNTYPUBLIC HEALTH SERVICESeHUL"NUMULk <br /> SEP 0 2 2003 ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,TNIRlr1 F1.00R <br /> STOCKTON CA 93202 <br /> ENVIRONiviENT HEALTH (209) 468-3420 Za5- L( C C( <br /> =- -pER 111/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> 4PPLICANT -- <br /> 13USINESWAGENCY <br /> ADDRESS 7CJ <br /> PHONE <br /> FACSIMtLLE {� <br /> Tl=NTATIVE'APPOINTMENT DATE S Gt Y TIME <br /> I 1A <br /> (Abase give 7 to 10 busPrle5s days(rpm date of applfcali0n submiltal) <br /> I G�' <br /> CHECK BOX TO EXP>rDITE REQUEST=,S87 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILL ADDRESS THIS SIDE END STAFF USE ONLY <br /> \ PROGRAM ELFiAENTS SEARCH <br /> i <br /> L­j, <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> '3�'UNDERGROUND TANK(U"CLEANUP 51TE(LOP) ❑ HOUSING ABATEMENT ❑ SCUD WASTE FACILrTY <br /> OTHER CLEANUP SITE(NON-LOP) D FOOD FACILITY ❑ SOLID WASTP VEHICLE <br /> %';:r�UNDFRGROUND TANK(Id ON1TORJNr>fREMOVAL) d DOG KENNEL ❑ DA►RY <br /> HAZARDOUS WASTE GENERATOR LJ CHICKEN RANCH G PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY 13 MOTEL1HOTEL ❑ PUMPER TRUCKfYARDICHEM TOILETS <br /> 17 TAT7001BODY PEIRCING Q POOUSPA O LAND USE APPLICATION SfTES <br /> C 41LOICAL WASTE FACILITY '❑ PU13UC WATER SYSTEM 11 OTHER(PLEASE SPECIFY ABOVE) <br /> 1, List up to ten addresses in the Space aboVe. Select the types) of files from the list above by checking <br /> the appropriate box(es), At feast one file type MUST I3e selected. Fa o 209)464-0138 o J� Jae <br /> �dXess ingicated above <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confinned <br /> approximately five business days but no later than ten (10) clays after receipt of application.-The riles <br /> will be held for a maximum of five business days for review. Appointmonts should be scheduled <br /> accordingly, <br /> 3. A file that iS actively being worked on by EHf) staff may not b• iMMediateiy 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. Futilre file reviews by the same applicant may require a $87.00 deposit prior to roview, <br /> 6. "TENTATIVE appointment dates MUst be confirnMed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next buslness day. <br /> l <br /> CONFIRMED APPOINTMENT DATE T1M5 <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> EVIEWED YES NO REVIEW DATE <br /> ae I's o+roroo <br /> r <br /> TOTF-L. F.02 <br />