Laserfiche WebLink
.v-9-15-00 01 :01P APEX - - ----��--- <br /> pwrcaecnvrc EI`IVIROTECH, INC. � <br /> 9165350207 <br /> SAN JOA1t(fJ1N COUNTYPUBLIC HEALTH SERVIi- P °z <br /> r��pub��.�, <br /> ENVIRONMENTAL HEALTH DIVISION i <br /> '•i 304 EAST WEBER AVENUE,THIRD FLOOR �J <br /> '- STOCKTON CA 95202 <br /> {209) 465-3420 <br /> ✓ PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAN7_�tylril ( WD(5 <br /> ADDRESS 7,87 /fq J /A� 8U5lNESS/AGENCY h-1 DQiX <br /> sen �4uc- # row 09 <br /> CA <br /> PnaNef�1//ol S35 r�2Q/� `f"S CA RS(o2 <br /> FAC31MILE_ <br /> TENTATrvL-APMNUSENTZATE <br /> (Please 9tva Tto 1 LuaTDAE OLYY) <br /> Na lora lrO n date ofaVpliCation su0mi[tal) <br /> . CHECK BOX Tr)FXpEDITE REQuE3r,sg7m FEE_REQUEST PROCESSED NES <br /> W 3 BUSS RAYS <br /> SIGNATURE OF APPLICANT(/! �y <br /> DATE <br /> FILE ADDRESS <br /> THIS SIDE EHD STAFF USE ONLY <br /> N ch e ro k c. LYl Lod Z. PROGRAM EIEy[ENTS SEARCN <br /> i C 952 p <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ra UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> �t7( OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACU Y 13 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(WMTORMGIRLMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> O HAZARDOUS WASTE GENLRA70R C CHICKEN RANCH 13 PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY G MOTELMOTEL 0 PUMPGA TRUCKJYARDJCHEM TDILETS <br /> ❑ TATTOMODY Pfi1RCING ❑ P90LISPA ❑ LAND USE APPLICCATION SITES <br /> 0 MEDICAL WASTE FACILITY -❑ PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the Ilst above by ehecking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the <br /> addreso ed above, <br /> 2. EHD Will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> sPprOMMI1101y five business days but no later than ten(10)days allor receipt of application. The files <br /> will be held fora maximum of five business days for review_ Appointments should be scheduled <br /> accordingly. <br /> S. 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 /> 4- Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> I of the applicant. Future file reviews by the same applicant may require a$87.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. ApplLcations received after 3:00 Pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> !11 OY 14 aY 7= <br /> TOTAL P.02 <br />