Laserfiche WebLink
O2/11/03 TUE 14:29 FAX 925 253 4985 TREADWELL & ROLLO <br /> N 001 <br /> SAN JOAQUIN COUNTYPUDLIC HEALTH SERVICEf-, slroyor."umaeu <br /> -g 4 03 ENVIRONMENTAL HEALTH,DIVISION r <br /> 304 EASE'WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 95202 ..// <br /> .(109)468-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT QA �S BUSINESSIAGENGY <br /> ADDRESS <br /> PHONE. FAd51MILE Z - - / Qj L. i <br /> TENTATIVE'APPOINTMENTDATE---.-Fe-b LOTI <br /> (� • �} ' <br /> ME <br /> (Please plus 7 to 10 businoss gays from data of applltallan wbmitiat) ? <br /> CHECK BOX TO EXPEDITE REQUEST 9.00 FEE- UEST PROCESSED IN <br /> 3 BUSINESS DAYS u r <br /> 1 <br /> SIGNATURE OF APPLICANT <br /> FILE ADDRESS THIS SIDE END STAFF USE ONLY <br /> PROGRAM Ei• PRENTS SEARC14 <br /> -- <br /> ` L"d C) Tto.c r <br /> 57 W c�} <br /> - C• <br /> ENVIRONl IENTAL HEALTH DIVISION FILES ' <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O.HOUSING ABATEMENT 0 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 17 SOLID WAS7V VEHICLE <br /> UNDERGROUND TANK(MONiYORINGIREMOVAL), d DOG KENNEL 0 DAIRY <br /> HA?ARDOUS WASTE GENERATOR a CtRCXRN RANCH . ❑ PKG TREA:rMENT PLANY <br /> TIERED PERMMED FACILITY M MOTEUHOTEL M PUMPER TRUCKIYARDIGHEM TOILETS j <br /> O TATTOO10ODY PEIRCING O POOUSPA C1 LAND USE:APPLICATION SIMS <br /> ❑ MEDICAL WASTE FACILITY ti 0 PUBLIC WATER SYSTEM G1 O ri4Fk(PLEASE SPECIFY ABOVE:'] <br /> 1. List up to ton addresses In the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST ba selected, Fax to 209 464-0138 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 fiVu business days but no later than ten (10)days after receipt or application. Tho fifes <br /> will be held for a maximum of five business days for review. Appointments should be schedulod <br /> accordingly. , <br /> 3. A file that,isl actively being worked on by EHO 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 retLirrlcd in the name condition as released will be reorganized by EMD stair at the expense <br /> of the applicant. Future file reviews by tho same applicant may require a $89.40 deposit prior to review, r <br /> 5. *TENTATIVE appointment dates must be conhmed with EMD staff. <br /> .6. Applications received after 3.00 pm will be processed the naxt business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE " <br /> Tn 7L1HJ LII`7F17L1 -IH11,171A11%1r1]ITAA17 PrTG1hgb Tb:AT 7.UGI7./T.T./T.T <br />