Laserfiche WebLink
From:Narcus H. Bole & Associates 530+633+0119 05/16/2012 10:22 #239 P.001 <br /> DA E EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> TA `a � ENVIRONMENTAL HEALTH DEPARTMENT A <br /> 1)PY $ 2012 600 East Main Street,Stockton, CA 95202-3029 \� <br /> Telephone: (209)468-3420 Fax: (209)464.0138 Web: www.sigov.org/ehd <br /> ENVIRONMEMRAce L PUBLIC RECORDS RELEASE APPLICATION <br /> P Jn� <br /> APPLICANT; (SC. !e^ BUSINESSIAGENCY• <br /> ADDRESS: 0 G D citylStatelzip kh mi(ap'i C-7f f�4w <br /> PHONE(1); D 443 -0 / PHONE(2): Sao r /•�t�__A1 oL� "e- FACSIMILE: _530 3S�—OJT_ <br /> TENTATIVE'APPOINTMENT DATE: T�LOAN MAY 291&elIG Timer <br /> (Please allow 10 business days from date of application submittal 'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQ T-$105 FEE ICASLi OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT �� DATE <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streetf Street Name City <br /> ,. q101 S At ugr WAY5 N <br /> 2. 1 <br /> 3. 3 N <br /> 4. Unit 3 <br /> G <br /> 6. ax. i 1 yF� <br /> 'JA <br /> � pp {� <br /> 6. M1t� [,}m rvuA.nV�r A)0 //i <br /> Jt/Ilt a �V <br /> T til, Po o sr S 5MrkM1V o � Y <br /> N ❑ unit s <br /> 6. <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From Aly II G0 &A3 to Rl� <br /> ENVIRONMENTAL HEALTH DEPARTMENT�F,IILES o 1_ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ,y,�S'�O�LID WASTE FACIUTYIVEWCLE <br /> OTHER CLEANUP SrrE(NOLOP) ❑FOOD FACILITY /A r ASTE TIRE t 0n� A��f/ <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) � ❑DOG KENNEL 0 DAIRY v t/�I <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOWL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> 13 TATTOOIBODY PIERCING MPODLISPA ❑ ND USE APPLICATION SITES <br /> .l7 MEDICAL WASTE FAGUTY F OTHER(PLEASE SPECIFY)] AA9119t"(=�/w j}I <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-S;OOPM - EXCLUDING HOUDAYS. <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(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 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 be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> 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 of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. '\�.•� <br /> EHD YSIE.ONLY <br /> 5 / 5 5 � a <br /> js <br /> 2 I 0 L <br /> Of G — BLS <br /> EHD 8 8/04/D8 5.l FII : Pro t� ' � Q Py D�i-0/ir-f�� VCJS <br /> �D{ +{o0y f)5EIt7QQ//��do. totllPlazn} (p10350t1iis in Hw{ �p� ]OSI COMM ids <br /> Cl7l."Ur)7i1 LOflO.O•t SI S. In,()F13CA� . .a Tm.t)fl�cnu/: .,.., _ W.,r_•I.. G, .- �,I-�'-r �..-,ni`f. <br />