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•d _10101 <br /> DATE RE6T_IVSn EJIo ltlC MUNBEa <br /> SAN JOAQUIN COUNTY <br /> AUG 1 u 2_'=C03 ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 304 FAST WEBER AVENUE,THIRD FLOOR <br /> j.� STOCKTON CA 95202 <br /> (209)489-3420 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C N e BUSINESSfAGEHCY f 4 't'A� <br /> ADDRESSIN I <br /> PHONE —q A 11 FACSIMiLE��7 <br /> TENTATIVE'APPOINTMENTDATE Awe_jLO L-%DG 3 TIME 4 <br /> (Pleas@ give 7 to 10 b6rflness da s from dato of application submittal) E <br /> CHECK BOX TO.EXPEDITE REQUEST $419.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS 1A <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELFoAENTS SEARCH <br /> / Al rr rie <br /> ML. kik/,(� !� �� so <br /> j <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION FILES, � <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT 4 SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) I7 FOOD FACILITY C3 SOLIb WASTE VEHICLE <br /> UNL]ERGAOUND TANK(MONITORINGIREMOVAL) 1:3 DOG KENNEL. ❑ DAIRY <br /> a CHICKEN RANcH ❑ PKG 7REgTMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL ❑ PUMPER TRUCKIYARAICHEM TOILETS <br /> !7 TATTOOIBODY PEIRGING O POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILrFY O OTHER(PLEASEspEUFY) <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 (2091464.0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant it any EHD files oxist. 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 hold for a maximum of five business days for review, Appointments should be scheduled <br /> accorclingly, <br /> 3. A file that is actively tieing 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$89.00 deposit prior to review. <br /> 5. *TENTATIVE appointment dates must be confirmed with EHD staff, <br /> 6. Applications received after 3.00 pm will he processed the neXt business day. <br /> CQNfI MED-APPOINTMENT QATE' .-IIME_� <br /> DA <br /> TE ; -- - -- - p1SONE uFS' _ <br /> _.YES- NO .:REVlE1!l�iF._DA1E; <br /> elw.aa: a - <br /> sQsraeoi <br /> 201EO'd 61799 S£6 LOLi 0169WU0 L5:0� £002-2S�JIlti <br />