Laserfiche WebLink
Jun 25 02 08: 46a <br /> p. <br /> 06!25/2002 88:26 3138 2 <br /> N IRONMENTAI ALTH PAGE 01 <br /> SAN JOA COUNTYPUBLIC HEALTH SERVICES1, � <br /> ENVIRONMENTAL HEALTH DIVISION A /y//t� <br /> 304 EAST WEBER AVENUE,THIRD FLOOR �O <br /> STOCKTON CA 95202 <br /> (209)468-3420 <br /> PUBLIC RECORDS RELEASEAPPLICATION <br /> APPLICANT_,&k lCHT -- S/AGENCY TA.P yl<ejd_� 11 BUSINES� .Pintt�t . <br /> ADDRESS L2 Cf' V-e- - t- <br /> 7l) �JI 3 <br /> PHONE ��� —601-2-333 V1 FACSIMILE_ X17-5 - <br /> TENTATIVE'APPOINTMENT DATE .. 1. � '� - - <br /> ` TIME �/7 �i�iti <br /> (Please IINUU__o f0 Bust s eaya f dale Pppikal submittal) <br /> CNECK BO%TOE%PEDRE REgU 89.00F1 -REQUEST EASt BUSI SS DAYS <br /> SIGNATURE OF APPLICANT ` " Cn . , �..,��.n.4,.�t'1 DATE (a b-Y(O Z <br /> FILE AODRE55 - THIS SIDE END STAFF USC ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 11-912 Luc ock{-�.1 CA <br /> )-47 O 1-0 r,- <br /> L2- ° Ed rk <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> ■ UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) O HOUSING ABATEMENT M SOLID WASTE FACILITY <br /> Q OTHER CLEANUP SITE(NDN{OP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> d UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> m HAZARDOUS WASTE GENERATOR O CHICKEN RANCH . 0 PKG TREATMENT PLANT , <br /> O TIERED PERMITTED FACILITY 0 MOTELAIOTEL 0 PUMPER TRUCKrYARDICHEM TOILETS <br /> ❑ TATTOO/BODY PEIRCING 0 POOUSPA m LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 PUnLIC 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 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 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 buslness 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 $69.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must he confirmed 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 />