Laserfiche WebLink
02/27/2003 13:47 209r).118 AGE 3TOCKTON('l PAGE a1/01 <br /> rHD LOG Mmu ER <br /> Sk9-JHEALTH COUNTYPUBLIC AI_ik_SERVICES <br /> ENVIRONMENTAL HEA-TH DIVISION f <br /> FEB 2 7 2003 304 EAST WEBER AVENUE,THIRD FLOOR <br /> STOCKTON CA 96202 <br /> k. <br /> (209) 468-3420 <br /> IN"V1 cq,',�j.v; <br /> PUPLIC RECORDS RELEASE APPLICATION <br /> PF <br /> APPLICANt, Wajl USINESS/AGENCY <br /> IYV-A - V1 d <br /> ADDRESS rye} rs_- -sh,20 &640 S 9.5;Z15- <br /> PHONE 7- IiJCJ FACSIMILE Y15 17-160 b <br /> TENTATIVE APPOINTMENT DATE TIME ITTI CG�LG <br /> (Please give 7 to 10 bur-inasr.days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUE T-$91.U0FEE-REQUZ.5T CES D IN 3 SU51NESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1 - &14 <br /> FILE ADDRESS <br /> Y <br /> .0 r <br /> em <br /> -LL)CI IL CID s4ed, aPD&rT__ TWMROA <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT r- SOLID WASTE:FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY M SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORtNGIREMOVAL) 0 QOG KENNEL_ 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH M PKQ TREAT7414PIT PLANT <br /> TIEIkED PERMITTED FACILITY 0 MOTF.IJHQTEL 0 PUMPER TRUCVJYARD/CHEM TOILETS <br /> C3 TATTOOIBODY FEIRCING ID POOUSPA 0 LAND USE APPLICATION SITES, <br /> 0 MEDICAL WASTE FACILITY 13 PUBLIC WATER SYSTEM 0 OTHER(PLEASE SPECIFY ABOVE) <br /> 1 List up to ten 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 be selootod. Fax to(209) 464-0138 or all to the <br /> address indicated 4§qvp <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 to (10) days after receipt of application. The files <br /> will be hold 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 r=HD staff m iy not be immediately available for review. A now <br /> application may be submitted when the file is avallab e. <br /> 4. Any file not returned in the same condition as released will be reorganized b EHU staff at the expense <br /> of the applicant. Future file reviews by the same app iCant may require0 doiosit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed%%ith END 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 R EVI5W DATE <br /> &Add 14 0140aft <br />