Laserfiche WebLink
BATE RECEIVED EHD lOt;NUMBER. <br /> i SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> i STOCKTON CA 95202 <br /> (209) 468-3426 <br /> PUBLIC RECORDS RELEA�E APPL1CAMN. <br /> APPLICANT_ L C-4L- !SUS[NESSI-AGENCY <br /> ADDRFS <br /> PHONE ' - f � FACSIMILE — � <br /> TENTATIVE`APPOINTMENT DATE Eno, I TIME <br /> (Please give 7 to 90 business okays from date of application submittal) <br /> -- CHECK BOX TO EXPEDITE RE=QUEST-$T8.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SrGNATURE OF APPLICANT �� � C�+�-�1 "� -_ _ DATE <br /> ---- <br /> T— { <br /> FILE ADDRESS THIS SIDE EHO STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> I I 4 - <br /> I <br /> = ENVIRONMENTAL HEALTH �IVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE (LOP) 0 ROUSING ABATEMENT SOLID WASTE FACILITY <br /> fOTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MON17ORINGIRCMOVAL) 0 DOG KENNEL © DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTF-LJHOTEL PUMPER TRUCK1YARD1CHEM TOILETS <br /> TATT001BODY PEIRCING 0 POOLISPA LAND USE APPLICATION SITES <br /> ill M DICAL WASTE FACILITY ❑ PURLIC WATER SYSTEM 0 OTHER(PLEASE SPECtI=Y ABOVE) <br /> 1. List up to ten addresses in the space above. Select 01e type(s) of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST I?e selected. Fax to (209) 464-0338 or mail to the <br /> i address in iC ted above. <br /> EHD will notify the applicant if any EHD files exist. Ar[ appointment for review wiii be confirmed <br /> approximately five business days but no tater than to� (10) days after receipt of application. Tho files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> :. A file that is actively being worked on by EHO staff may not be immediately available for review. A neve <br /> I <br /> application may be submitted when the file is avaiiable. <br /> 4. An file riot returned in the sarne condition as released will be reorganized b EHD staff at the expense <br /> Any r $ Y p se <br /> of the applicant. Future file reviews by the same applicant may require a $78.00 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 business day. <br /> [IONFIRMED APPOINTMENTDATE TIME <br /> i I -- - - <br /> ;I PATE CONFIRMED — PHONE FAX INITIALS <br /> 1 <br /> REVIEWED YES NO F2 VIEW DATE <br /> t <br />