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FROM ERAS E-111--mensal. Inc. (WED)OOT 7 2000 14:02/ST. 14:011Mo.7600000e6S P 1 <br /> J-VE C}G <br /> DATE <br /> �RE�('�E �(] D�� ;� SAN JOAQUIN OUNTY 1.00EHD LOG NUMBER <br /> � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 0 � Z00p 600 East Main Stockton, 3029 <br /> elephone: (209)468-3420 Fax:x: (209)464-0101 388 Web: vwvw.sjgov.org/e <br /> 03 <br /> ENVIRUNmENTHEALTH PUBLIC RECORDS RELEASE APPLICATI7O-NDq r ( / <br /> APPLICANT: �� �� e— SINESSIAGENCY:�G/^FYJ !gin v ren i1r'lt �l <br /> ADDRESS: j X33 Q 9 ';IFISTATEIZIP: Fish/w <br /> PHONE (1): 419S-1,3b -813,6Q PHONE(2): FACS LIMI E S(0-$8la-S'39� <br /> TENTATIVE'APPOINTMENT DATE: z z"", 1110 Time: <br /> (Plea"allow 10 business days from date-of ipolihation submittal-*ngkiiii- ni must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST- 115 (C H OR CHECK ONLY). REQ S x; OCESSED IN 3 BUSINESS DAYS <br /> SIGNA URE OF APPLICANT DATE <br /> Electronic information: ❑List❑Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> Street R Street Name city <br /> „110 El unit 1 <br /> ��.^.8 I <br /> ^, 2' 111UA'� t C nit 2 <br /> 3. 603 Cf+-c e- 5 0 5 <br /> 4• 003 E- l MWIQ.r- Ln Unita <br /> S. I 3f0/ <br /> 6. <br /> Unit 4 <br /> 7. _ I G, <br /> _ S. IVp� / / Out <br /> 5. <br /> 10. tL 0(ip ❑ ' <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ( UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FAciLrryIVEHICLE •' ' <br /> HER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> [�HNDERGROUND TANK(MONIToRiNGIREMOVAL)K ❑DOG KENNEL ❑DARTY <br /> AzARDOUS WASTE GENERATOR p( ❑CHICKEN RANCH ❑WASTEWATER TREATMENT POINT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMK:AL TOILETS <br /> ❑TATTooIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uD 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)4640138 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 EMD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately len (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. Afiile 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> EHD 48-0e --— <br /> BT/DB <br />