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07/15/2002 14:45 2094AIIIII&LB AGE STOCKTON µ PAGE 01/01 <br /> VA <br /> n ecce rrveu EHo WG NUMBER <br /> SAM MAQUiN COUNTYPUBLIC HEALTH PERVICE t.0 <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRDO R <br /> STOCKTON CA 95202 UL 16 2002 <br /> (209)46$•3420 s. <br /> j <br /> ` <br /> PUBLIC RECORDS RELEASE PPLI ATI N ONMENT HEALTH <br /> APPLICANT SINESS/AGENCY <br /> ADDRESS <br /> PHONEFA 7 "/ ' IOPPW <br /> TENTATIVE*APPOINTMENT DATE TIME IQ-LFA <br /> (Please give 7 to 0 ,gIns days fr dat &pplicallan submittal) <br /> Ilk CHECK BOX TO EXPEDITE REQU <br /> T $78.0 F E—lZl= VEST P ESSE 3 B NESS NAYS <br /> SIGNATURE OF APPLICANT PDATE Gi <br /> FILE ADDRESS <br /> Wit <br /> I <br /> a <br /> V -14 ® e 1111 2 <br /> nl <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL. C7 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACFLrrY ❑ MOTELJHOTEL ❑ PUMPER TRUCKIYARD/CHEM•TOIL.ETS'. <br /> ❑ TATTOO/BODY PEIRCING ❑ POOLJSPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY t:] PUBLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFY ABOVrQ <br /> i. 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 (209)464-0138 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 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. 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 END staff at the expense <br /> of the appilcant. Future file reviews by the same applicant may require a$78.00 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 /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EN 00 14 0im"a <br />