Laserfiche WebLink
FROM Geo-PF.ase Environmental I FAX NO. : 2095690295un. Pd 2UNb 02:53SPH P1 <br /> EMU w4 NUMUEN 71j <br /> SAN JO, j COUNTYPUBLIC HEALTH SERVI S <br /> ENVIRONMENTAL HEALTH DIVISION O <br /> 304 EAST WEBER AVENUE,THIRD FLOOR1 1j ����� <br /> STOCKTON CA 95202 <br /> 111 NO (209) 468-3420 -1UN - <br /> I <br /> PUBLIC RECORDS RELEASE APPLICATION 9 nnn <br /> APPLICANT F•o-x�t ArJ5or1 . allSINESSIAGEHCY �s w �.e. ^'V,air-�f'IEhlznaptERna� FRV/M <br /> ADDRESS 3? V"SV 1i3 kV <br /> PHONE x�'1' r�'r"9 - 021 FACSIMILE Z-oc� <br /> TENTATIVE*APPOINTMENT DATE TIME <br /> (Please give 7 to 1g business days from date Uf aPPlitati0n submiUal) <br /> © CHECK SOX TO EXPEDITE REQUEST-$79.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT "'w""6' L' o"t DATE (PI igtbb <br /> FILE ADDRESS <br /> -72'i 0 TRAcK CA S. $ TT S3b � <br /> tl tt N U O L <br /> AZ rt IL 1L u <br /> 11 61 It tt n 2� SJ aq0 0IOU <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> Im UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SODO WASTE FACILITY <br /> 0 OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> 0 UNDERGROUND TANK(MONITORINGMEMOVAL) 0 DOG KENNEL 0 DAIRY <br /> ® HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 PKG TREATMENT PLANT <br /> ❑ 7IERED PERMITTED FACILITY O MOTEUHOTEL 0 PUMPER YRUCKNARWCHEM TOILETS <br /> r3 TATTOOI1300Y PEIRCING ID POOUSPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTC FACII-rrY O PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List up to ten addresses In the space above. Select the typos) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0438 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files 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 for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3- A file that is actively being worked on by EHD staff may not be immediately 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. Future file reviews by the same applicant may require a $T8.00 deposit prior to review. <br /> s. 'TENTATIVE appointment dates must be confirmcd with EHD staff. <br /> 6. Applications 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 /> eN oe a olwswa <br />