Laserfiche WebLink
TERRACON - RENO Fax:775-351-2423 Aug 12 2m3 10:31 P.Ol <br /> vAr6Rscesrveo. . <br /> SAN JOAQUIN COUNTY EM LOG MUNSM <br /> A:f. G .1. r; UJ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> . : .• �'; =i.';f' STOCKTON CA 95202 <br /> (208)468420 Iq 247 <br /> PUBLIC <br /> }.�l RECORDS RELEASE APPLICATION <br /> APPLICANT ::Loc � C..G'CL ._�8U31N58g/AGENCY CO� <br /> ADDRESS Ga_c G S -P14R_k$ N V a 9, yO <br /> PHONE FACSIMILE - 3.r I 22.V 2 i <br /> i <br /> TENTATIVE"APPOINTMENT DATE 2p I <br /> (Please give 7 to 10 hu nese d TIME <br /> 5 <br /> aYs from data of application aubmittal) <br /> f--j CHECK BOX To PJ(PEDrrE REQUEST-$93.00 FEE—REQUEST'PROCESfiED IN 3 BUSINESS DAYS <br /> a <br /> SIGNATURE OF APPLICANT tAI , <br /> BATE <br /> ti <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAiVt ELEMENTS 89ARCH <br /> V c Vnw r L <br /> I <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 7 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) I.1 HOUSING'ABATEMENT' SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOO) ❑ FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 173DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 13CHICKEN RANCH O PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELJHOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> © TATTQOBODY PEIRCINGr ❑ pOOL1SPA Q LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the apace above. Select the type(s) of files from the list above by checkino i <br /> the appropriate box(es). At least one file type MUST be selected. Fax t 4 r <br /> dre ted a e. I <br /> 2• EHD will notify the applicant If any•END files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days alter receipt of application. The tiles <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. Knew <br /> application may be submitted when the file is avallable. <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$93.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be 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 /> OATS CONFIRMED PHONE FAX INIT <br /> R1E111EWED YES NO REVIEW DATE <br /> EM U-1224" <br /> o7rJanaa <br />