Laserfiche WebLink
OCT -23-2006 10:56 TF^RRCON - ROSEVILLE <br />916 784 3487 P.01 <br />DAn, _ ll q7/ E0 — SAN JOAQUIN COUNTY Nwq ENO LOG NUMBER <br />D C T 'g 3 2006 1 NviRONwNTAL HEALTH IDFPARTMFNT <br />304 East Weber Avenue, 3r° Floor, Stockton, CA 95202-2708 <br />ENVIRONMENT HEAL Phone: (209) 468-3420 Fars: (209) 464-0138 Web: www.sj8ov.orgjehd <br />FERMIT(SFRVICES ✓ <br />PUBLIC RECORDS RELEASE APPLICATION <br />80INESWAGENCY: <br />ADDRESS: <br />PHONE(1): `-J(&^ Ivy --"I- :! PHONE (2): FACSIMILE: 1 <br />TENTATIVE* APPOINTMENT DATE: WU :r r r �O Tirna: <br />(Please allow 10 business days from data of 801callon sPOMMal-'TenfoUve Only <br />- I <br />+, CHECK BOX TO €XPEMT R : .. + E (CASH OR CHECK ONLtl). RrQUEST' F Pc. , ��' - AYE <br />SIGNATURE OF APPLICANT I (fy (� y � DATE ` <br />e n <br />Electronic Information: <br />❑ Li^at L --j Nap - Description: <br />j <br />FILE At?L�RFP:� <br />EHD USE ONLY <br />51nig <br />.... <br />city <br />© Unit I <br />CCStreatF ` ` __ lft(mye <br />2. <br />) <br />el 0x&4,0 <br />C�4*11 <br />UST- ElUnit2 <br />f t <br />8• 8 ! W 444 <br />. <br />1 7 III) <br />. <br />S4�oc*vhh <br />UST ' upP.s <br />S4pal4al-IUnite <br />6 �r <br />7, <br />- - <br />❑ Una s <br />8. <br />_ <br />—. <br />D Jll❑ Unas <br />-- <br />- <br />Specific Date Range of Information Requested: From j'�3Z7S CUlIUJWI IITt L� <br />ENVIRONMENTAL HE=ALTH DEPARTMENT FILEsNOV — 1 2006 <br />UNOERGRWND TANK (UST) CLEANUP SITE {LOP) C HOUSaIGABATEMENT 11 SOLID WASTE FACWYNEHICLE <br />,XOTNEn CLEANUP SITE (NON LOPA) 113 FOOD FTrf 13 WA&TE TIRE <br />/y'; UNDE McvND TANK {&lO..nOR4NCi":REAi,NA.) C DOG KENNEL M DAIIry <br />r HAZAR=DS IYAETE @ENF.PATOR MCHICKEN RANCH C7 WARTEWAWR TREATMENT PLANT <br />© TIERED PERMITTED FACILITY ❑ MOTEIMOTEL ❑ PUMPER TRDCHNARr CHEM TOILETS <br />O TATTUOMIODY PIERCING M POOUSPA ❑ LAND USE APPI.ICATxxi SITEa <br />MEDICAL WASTE FACILITY ❑ OMER (PLEASE SPECIFY)_ <br />WELL AND SEPTIC PFFNIT REanaoa ARE AVNLAaLa FOR REVIEW - MONDAY.FtADAY 8:00 AM-a:OOPM EXCUIDING HDLIDAYS, <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(RE). At least one file_ type MUST be selected. Fax to (2091464-0138 or mail tC the tddye, Indicated ablye. Address <br />ranges will not be aocepted - for additional assistance with file addresses, contact the END. Ap.-ilicationa mceireceived after <br />5:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant if any EHD files exist. An appointment for review will he cantirmod approximately ten (10) <br />days after receipt of application. The files will behold for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. A, Pie that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br />'vabrni+me where the Wp is a.�aiiahie, <br />fid. Any file not returned in the same condition as released will De reorganized by EHD siaif at the expense of the applicant. <br />Future file reviews by the some applicant may require a $95.00 deposit prior to review. <br />EHD USE ONLY <br />Esme m a„arzaoa - <br />■'N_ <br />Y <br />W <br />e0 6 <br />