Laserfiche WebLink
08/11/2003 14:11 2094671118' <br /> AGE STOCKTON PAGE= 01/01 <br /> END LOG NUMBER <br /> DATERECENEO <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WEBER AVENUE,THIRD FLOOR 14 . <br /> �? <br /> STOCKTON CA 96202 <br /> (209)468-3420 'Lo <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT IN ESSIAGEN CY �.+Fhijirim <br /> ADDRESS J <br /> P1tONE 00 FACSIMILE r • <br /> TENTATIVE"APPOINTMENT DATE s6a Lt.0 TIME <br /> (Please glvv 7 to ID business d from ata at applloatlon subVP <br /> Cr,1,K�s. � dv� <br /> CHECK BOX TO EXPEDITE REQU ST 459.00 FEE-REQUE OCE <br /> ED IN s BUSINESS DAYS WAD r�virs- <br /> SIGNATURE OF APPLICANT DATE <br /> THIS SIDE EHD STAFF USE ONLY <br /> FILE ADDRESS PROGRAM ELEMENTS SEARCH <br /> .HWy qq FronTdia# - <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE FACILITY <br /> ❑ OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONrro RtNGIREM OVAL) f7 DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C! PKG TREATIA5N7 PLANT <br /> ❑ TIERED PFRMITTE13 FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> O POO�PA Q LAND U5£APPLICATION SITES <br /> O TATfOO180DY PEIRCIND � <br /> Cl MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) , . <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.fuo type MUST be selected. Fax to 209 4r>4-0138 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 bustness 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. i <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$89.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next bu'si'ness day. <br /> CONFIRMED APPOINTMENT DATE " TIME k <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EMC 4"ZC 46 <br /> Sf2CJ2001 <br />