Laserfiche WebLink
zip`d ldioi . • <br /> D <br /> V E® SAN JOAQurN C®uxz'y _ <br /> ENVIRONMENTAL HEALTH TJM RTp1 Xl'r <br /> SEP 2 8 2006 301 East We)er Avenue, 3rd floor, Stockton, CA 95202-2T�£ <br /> MENT HEAL 1g�h°fie:(209) 468-3420 Fax: (209)464-0138 Wehc www.sjg0v,0gVC/ h.I:i 7 7 <br /> ENVIRON CES / <br /> pERMITISERVf PiTBLIC I,:ECOIU)S RELEASE APPLICATION <br /> a I _=t;.�r�•r `✓�'`�1 �'� -�, owslNEt,ara��racv -!='t��+�?e. ( r - <br /> ADDRESS:_ (7{l)G{,let'utlNe. x'11 Sae it7kr.t2l1 'e�.,YY++;-C <br /> PHOM(1):_. –ir T � "'I..,.m LjCa22_PHONE(2): Fw"C�SAABtL:, tlg,� ;.;' <br /> TEN T A�i l rE`Ai'PCINTMEhT DATE:�11�t alp rima 7 7 <br /> (Please allow 10 buslrAititi da;,s from date application submittal-"Tearafiva only muot;Y colt ttr SEF 2 8Q 6 <br /> _: Et'K SOX S°C EXPEDITE REQUEST.$95.00 FEE(CASH OR CHECK ONLY)-PEQUaST PROCES vEC IM 3°a s rtAY2• <br /> SWGNATURn' OF APPLICANT ������`. � - - DATE ��� ' .z.� <br /> Electronic Information. ❑ List 1J Map-Description: <br /> __ FILE ADDRESS EHD USE ONLY <br /> .. i St• i i. Stn:et Name City , .P <br /> r <br /> t, 12-V i w1,A_V Vi. D^,V�v_ �C yfGVb U <br /> 2. I Lf 11� l i 1/� tI✓ tfil�i 1�5 .. —� Unit 2 <br /> 3- <br /> 4. <br /> .4 I Unit 8 <br /> CONE rM <br /> --.._0 .Unity O <br /> 006 <br /> Specific DateRarlgeatinformationRequested: promd to I t <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> R,UNDY11GROUND TANX(UST)C:LFANUP SITU(LOP) ❑HpyII&Io AF}hFEMENT MSDL:D WASTE i�kDILiT4' 'rri:CLE <br /> 1%G LlR G_' 411"P E(qor i_,'?G) d FoeePaerer;ti n%1A+ Y8't <br /> uNrcRGRCUNDTFkl.l('MONlTOM3WREMOV,IL) Ci Di7WE ML 0�Ua✓>SSL. <br /> 17 Fyy�',F-�F?! .RrSi6R fl Curmai613ANGM L'1 V}ANT'F4'JA"'?'R"TtC lxi"$6AplT <br /> Taus�u,ar�r 'aelL rY d Mos? rEL o Pc1srP vc;•: role NeM Tor ars <br /> El Ty��!IERCING ❑P061�S LO <br /> 1#a �/41e-FF' ��P;:;.iQAiION SITES ��4 ,W,.. O <br /> Q�Ji5rACiL" MOTNEa(PLWA .8Pt6j")__ <br /> WM I_AND SEPTIC PEnMIT RECORDS AR_AVAILABLE FOR REVIEW- MONDAY-FRIDAY 800 AM-5:500M E'CLU0.14M3L6A:' <br /> e i up t Lry uddret•es in the space above. Select the type(s)of files from the pat abce a by di eck,ng i' 4 air. i, , <br /> box(sa. At least one fiae type MU5'r be:selected. Fax to.(20014t-013$or mail to the address+gid.. icabove. Qdx'rvv <br /> ranges will not be accepted-for additional assistance with file addrwoes,contact tha EHD.Appii�atilotis rem-wed after <br /> 3:00 Pts wiii b,pmcossed 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 tar,(10) <br /> days after receipt of application. The files will be held fora maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> & lie t ax.& retlyeay being worked on by EHD stiff may not be immediately availaels fcr tzvieuu. <br /> subrnibn4 whey:the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff rt the expense of tile applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review: <br /> EHD USE ONLY <br /> EO'd 00S E9£ 9T6 OOT8 Z9£ 13TE TT:9T 9OW-LZ-d38 <br />