Laserfiche WebLink
10/13/2003 12: 33 9252835121 AEI CONSULTANTS (-,F) PAGL . 01 <br /> DATE,RECEIVCD En+D LOG NUMBEF <br /> 11 SAN JOAQ'I IN COUNTY <br /> ENVMONINIENTAL HEALTH DEPARTMENT <br /> 0 G T 1 3 ?(}03 304 E Weber Ave 3rd Floor Stockton, CA 95205 <br /> (209) 468-3420 Fax: (209) 464-0138 W6: w,yw.co.san-joaq-um,ca.us/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: n sf BUSINESSIAGENCY: I iG l t�l � l (1jl t�5 <br /> ADDRESS: yOQ C.�l('Y1im Dt (y SA-e. 100 Wale,ut [C-�f ak �� 91 <br /> PHONE: � Y�J 4J' / �CJ� y FACSIMILE": 16 IBJ 11 <br /> TENTATIVE*APPOINTMENT DATE: a Time: <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEbtTE REQUEST-$93 0 FEE-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE IBJ t� <br /> Departrnant Use Only <br /> FILE ADDRESS UNIT <br /> ,. sweet ca Z fi a ckl C p Unit 1 <br /> Straet $ V V + c t 1 <br /> k. sueet sC< t E f'' <br /> S. Sued 2 \► Unit I r <br /> 9. Slrctt J <br /> T Shan cr Unit 4 I� <br /> 8. 9trPel G <br /> OCT 21 s. SRrest � c'• � ❑ Unit 5 <br /> Ow <br /> Z0. $Ircet <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENTKI SOLID WASTE FACILITY <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACiLrry 0 SOLID WASTE VEHICLE <br /> UNDERGROUND TANK(mow-roRINGIREMOVAL) ❑ DOG K>.NNr-L ® DAIRY <br /> HAZARDOUS WASTE GENERATOR a CHICKEN RANCH CI PKG TREATMENT PLANT <br /> fl TIERED pERMrrTl D FACILITY 0 MOTELIHOTEL IJ PUMPER TRUCKIYARDICHEHI TOILETS <br /> CI TATTOo180DY PIERCING ❑ POOLISPA M LAND USE APPLICATION SITES <br /> M MEDICAL WASTE FACIUTY OTHER(PLEASE SPECII=Y) -jjpQ fill%- � mli U120 <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 mill 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 (18)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 /> ly available far review. A neve <br /> 3_ A file that is actively being worked on by EHO staff may not be immediate <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$93.00 deposit prior to revie'A <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 APPOiNTMEEIT.DATE TIME .kr <br /> T <br /> DATE <br /> REVIEWED <br /> C.-CIN - `RHONE "FAX: INITIALS <br /> - . . - <br /> WED = .: .YES NO REVIEW DATE _{{ <br /> ERD 4802-QQC <br /> 818/2003 - . <br />