Laserfiche WebLink
Mar, 21. 2006 1 : 12PM1 <br /> nced Geo Environmental No, 4299 P. 1/1 <br /> DATE 1awlvat/ END'w 1...,A 15R <br /> SAN dOAQUTN COUNTY i t IS� <br /> ENVIRONMENTAL HEALTII DEPARTMENT +� �� R <br /> �i LA 304 East Weber Avenue,3'a Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax; (209)464-0138 Web:www.sjgov.or@Fftg/y,}td <br /> 22� Ate 9' U.3 <br /> PUBLIC RECORDS RELEASEO�� WION,. <br /> APPLICANT: SU ZanQ 6I�1+ Z CIL rot). <br /> ADDRESS' o I /-Sry DQE <br /> PHONE(1):,f [ ' 0'1- DD� PHONE(2) o�bq- '71d <br /> r 7 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: fiL&4 arth ;t�7 Time: <br /> (Please allow 10 business days from date of apI51ication Submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE UE3T-$83.00 FEE C SHO CHECK ONLY)•REQUEST PROCESSED IN 3 BYSINEVP DAYS c•-.�, <br /> SIGNATURE OF APPLICANT DATE dUNI <br /> UNITDISTRIBUTION ❑ Unit ❑ Unit ❑ Unit3 ❑ Unit ❑ Unit ❑ Unita ❑ Other(slactronicnistalmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street* StrWNarV. City <br /> 1. $ <br /> 43. <br /> F S <br /> . <br /> o� s. a R a a Ll <br /> s, q a 037 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES UU <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT O SOLO WASTE FACILITYNEHICLE l <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ❑WASTE TIRE ,IA <br /> NDERGROUND TANK(MONRORINWREMOVAL) ❑DOG KENNEL ❑DAIRY HlJ1R� O 7 2oOc <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT �i U <br /> TIERED PERMITTED FAOILITY 0 MOTELIHOTEL ❑PUMPER TRUCIUYARDICHEM TOILETS <br /> 4 TATTOOIBODY PIERCING ❑POOUSPA71LAN USE PLICATION SI ;�_ *' <br /> E3MEDICAL WASTE FACILITY )(OTHER(PLEASE SPECIFY) S t ro IN� p i <br /> WELL AHD SEPTIC PERMIT RECORDS ARE AVAILABLE FOR P"EW - MONDAY-FRIDAY 0:00 AM-S:OOPM - EXCLII NOH LIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges WiII not be accepted—for additional assistance With file addresses, contact <br /> the EHD.Applications received after 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 <br /> approximately ten (10)days after receipt of application. The files Will be held for a maximum of five business <br /> days for review. Appointments 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 <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 of the <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> e�• <br /> Cr O: <br /> EH04342a 6 <br /> 111410E <br />