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L NLL;LIVLU LAW LU(,NUMULH <br /> v SAN J QUIN COUNTYPUBLIC HEALTFMRVICES <br /> MWENVIRONIVIENTAL HEALTH DIVI 00 .- l C) , <br /> 304 EAST WEBER AVENUE,THIRD FLOOR �1 <br /> STOCKTON CA 95202 i n /} , .)I` <br /> (209) 468-3420 (L� l <br /> ` PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT BUSINESS/AGENCY _e o>ybosc Earc , T¢i ahtND�.oGV>££�, n►G, <br /> ADDRESS 1F�"r'� F—�e rsk 1t9s-r CtD� 4 - Sri--rs�vs C�i q�Irp� <br /> PHONE L20-1) 239^oSlB FACSIMILE <br /> TENTATIVE*APPOINTMENT DATE ad TIME <br /> (Please give 7 to 10 bus ness days from date of application submittal) <br /> r7 CHECK BOX TO EXPEDITE REQUEST-$78.00 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> FILE ADDRESS THIS SIDE EHD STAFF USE ONLY <br /> PROGRAM ELEMENTS ARCH <br /> APAI <br /> 0 <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> 2 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> V6THER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> � NDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> 0'HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TI ED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑ ATTOO/BODY PEIRCING ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM O OTHER(PLEASE SPECIFY ABOVE) <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 (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 EHD staff at the expense <br /> of the applicant. 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 /> EH 00 14 02124100 <br />