Laserfiche WebLink
uIt, <br /> °~^v"^v <br /> ���NJO^�[`' /|N �C)���T�PUBL\� �E��LT� �E9`'\�E5 <br /> z-�- <br /> -- ' El' �{]0N4ENTAL HEALTH D0(S(01' <br /> JUL A .,O01 204 EAST VVEBERAVENUE, THIRD FLOOR <br /> ~~� ~ �~~ ` STOCKTONCAD52U2 <br /> i2O0> 46D`342O <br /> �@Y! )jir/t�LT� ` ' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> *ppucAwr aumwsaomGEmcY <br /> ADDRESS <br /> pnows Fxcs/m/Ls <br /> TENTATIVE*APPOINTMENT DATE - 200) TIME <br /> (Pleare giva 7 to 10 business days from date of application zubmiLtal) <br /> CHECK BOX TO E�P`EL)ITE REQUEST-nM 7y RE UEz^PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT V) DATE 7 <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 1 -7100 5. <br /> ENVIRONMENTAL HEALTH DIVISION FILES ' <br /> UNDERGROUND TANK(UST) CLEANUP SITE(LOP) o HOUSING ABATEMENT o SOLID WASTE FACILITY <br /> OTHER CLEANUP,SITE(NON-LOP) o FOOD FACILITY o SOLID WASTE VEHICLE <br /> UNDERGROUND TAUK G/REmOVAL) O DOG KENNEL O DAIRY <br /> >e—HAZARDOUS WASTE oa o CHICKEN RANCH o pKsTREATMENT PLANT <br /> TIERED PERMITTED FACILITY o moTsuxnTc� o <br /> PUMPER Tnoonno\noxCxsmTOILETS <br /> C3 TxTToov000,pE-|nmwo o poounPA ' o LAND USE APPLICATION SITES <br /> o MEDICAL WASTE FACILITY o PUBLIC WATER SYSTEM o OTHER(PLEASE SPECIFY ABOVE) <br /> 1. List uptuten addresses inthe space above. Select the typo(o) offiles from tile list above bychecking <br /> the appropriate box/osL A1least one file type MUST boselected. Fax to (209) 464-0138 or mail to the <br /> address, indicated above. <br /> 2. EHD will notify the applicant ifany EHD files exist. Anappointment for review will buconfirmed <br /> approx,-I.Mately five business days but no later than ten (10) days after receipt of application. The files <br /> will buheld for amaximum o[five business days for review. Appointments should boscheduled <br /> accordingly. <br /> �. Ah/o that is actively being worked on by EHD staff may not be immediately available for review. Anoxv <br /> application may busubmitted when the file isavailable. <br /> 4. Any file not returned_in the same condition as released will be reorganized by EHD staff atthe expense <br /> ofthe applicant. Futurofile reviews bythe same applicant may require a $D7.0Odeposit prior toreview. <br /> 5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> G. Applications received after 3:00 prnwill be processed the next business day. <br />