Laserfiche WebLink
06/06/2007 WED 15:36 FAX 2094�R?999 SJC PUBLIC WORKS X0011002 <br /> ai.• %10001 <br /> DATE RECENED CHb LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> [� W <br /> E ETPJ ENVIRONMENTAL HEALTH DEPARTMENT <br /> u u 304 E Weber Ave 3`d Floor Stockton,CA 95205 <br /> JUN <br /> ©f 2b698-34201;ax: (209)464-0138 Web:www.co.san-joaquin.caus/eh i /eh <br /> nl nWrjPNj HEALWBLIC RECORDS RELEASE .A.PPLICATION <br /> ��1r��c���R���)) ���� <br /> gppq �tJlttdi GemberJ ing BUSINESSIAGENCY: Sari Joaquin County Public Works Department <br /> ADDRESS: 1810 E. Hazelton Avenue, Stockton, California 95205 <br /> PHONE: 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE`APPOINTMENT DATE: Tinto: <br /> (Please allow 10 business days from data of application submittal) <br /> y <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 0&t4tJ hR DATE �-` 6-41W <br /> Department Uso Only <br /> FILE ADDRESS UNI <br /> +. spa DOp S. bre- C• <br /> z smlet q& C ❑ Unit 1 <br /> Sero« yG y9 a <br /> a, so-eUnit 2 / <br /> Ste* SGS) ❑ c� <br /> S. st.a <br /> 6. s+m�r X07 ct Unit 3 <br /> 6 <br /> 7. $UW; 3 7 cb,. Unit 4 l Q. <br /> 8. SMw! <br /> CRY - - _ <br /> 9. su"t S! cI ❑ Unit 5 <br /> to, streetLida Pf.Y rn -AEC ©r/ a <br /> ty <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(U$T)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOuD WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL 0 PUMPER TRUGK/YARVICHEM TOILETS <br /> TATTOO/BODYPIERGNG C7 POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER(PLEASE SPECIFY) <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. F x to 209 464-0138 or mail to the <br /> address indicated above. <br /> 2. END will notify the applicant if any END 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 END staff may not be immediately available for review. Anew' <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 applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> 5. 'TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> X11:f�.DtQNFtR1V1ER... . . . <br /> ;FAX <br /> "(+1[fI4�5c <br /> EHO a6-02-006 r .... .".•....--.•.. . <br /> U6R00� <br />