Laserfiche WebLink
09/29%2006 11:29 FAX -- <br /> { EH^I_CG%101=F <br /> (� (��('` � D SAN JOAQUIN COUNTY <br /> If 11��"J V q� ON1ViENTAL HEALTH DEIIARTMENT <br /> 30?i ast Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> X006 2C9 4 Fax: 209 464-0138 Web:www,sjgov.org/e'n100 J <br /> SEP 2 9 Telephntse. (..�>,468 3 20 ( ) <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIVaVa§ -=___ aUa- - <br /> BUSINESSIAGE1 M- <br /> AOnRESS: LII W- ria- u4tf3' <br /> f2¢9' 234+�7i2L PHONE(2): i6 -7f FACSIMILE: <br /> PRONE if, —.Zn <br /> l: _. <br /> TEIdTATiVE'APFORcTMENT CATS: <br /> Tlrne: <br /> 1 {P�aaes ei:a;v t0 business d<ys from date of application submittal-'Tentative only-*oust be centtnne.4l <br /> REQUEST PROCESSED 1N 3 B13SiNEa3 DAY$ <br /> . DATE 9/2-1 10L <br /> ^ R T)ExF ITREhT-$93.00 FCK ONLY)e <br /> SI:tiATUANG <br /> UNI?DiSTRBBUTION <br /> O Unitt � Unft2 CUna3 0Unit 4 0unit 5 M Unn6 :1 other(e'edmnicnistsirnaps)s` <br /> FILE ADDRESS _ EHD USE ON f <br /> r ° Street Name <br /> obb <br /> v p "Diet IST ,_2 <br /> 7L9ACR{ TNufG .24Pl __Tt•acI --- '----* - <br /> z Lea 5'� +4._ TrcL1cVV t1 <br /> 2 0 <br /> 5� ,1 j_ GfKtAW T Lf NE_Rb. X24...._ <br /> �}, LaceTta�� <br /> 23gU 6 �' G4e°Sw;RpJ 01-5 23901--- Tray. ._ AS1 .. <br /> H. <br /> 1A, a�} t lra lA5 r <br /> }5oP t -- <br /> 1 � Ztacy <br /> r . <br /> Fixey 'Th1 5T Ifo$ 1ra� <br /> Specific Otte RA:Ige of Information Requested:From - <br /> 0111* <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIL Q T�r L�D ' <br /> "DERGRCUttb TAN'S{UST)CLEANDi,SITE{LOP) G HOUSING ABATEMENT L. <br /> OTHER CLEANUP SIT'c(NON-LOP) CIFoOD FACILrTY <br /> Jt _ <br /> NOERGRoLNC TANK(MONITOMNGIREMOVAL) ❑DOG KENNEL L <br /> ❑CHICKE CN- .. .TREATMEMTPLANT <br /> "FIRED ER WASTE FAQ;U GENERATOR 13 670 L �i .KryARD/CHEM TOILE7e <br /> "FIRED PERMITTED FACIUTV ❑FOCUS APPLICATION SITES <br /> C A^CU WAS PIERCING ': <br /> C A9EOICAL WASTE FACILITY ❑OTHER( LEA Ul• <br /> WELL AND SepnC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MO - PAi-S:DOP - EXCI.U�7:NG HOLIOA <br /> 1, List up to ten addresses In the space above. Select the a of til s f in the list above by checking the <br /> appropriate box(es). At least one file type MUST be select Fax to 0 464.0138 or mail to the addre!s <br /> indicated above, Address ranges will not be accepted—for additiona assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The El_D+jell;potify the appliCant if any EHD files exist. An appointment for review will be confirmed <br /> ,pprcY§rnateiy to 40)days after receipt of application. The files wiii be hold for a maximum of five business <br /> A ppoiatm antsshould be scheduled accordingly. <br /> !s,foc..nz, Is ectivsiy being"orked on by EHD staff may not be immedlatcly available for reviara. Anew <br /> appllc2tlon 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 fife reviews by the same applicant may require a$93.00 deposit prior to review. _ <br /> —i <br /> <rnax-oz-a� <br />