Laserfiche WebLink
06/28/2005 1.1:46 FAX 770 642 0257 REIT INC. ATLANTA 16002/002 <br />66/24/2005 07:50 46401380 ENVTRU+ENTAL HEO PAGE 01 <br />SAN jOAQVIN COUNTY <br />RD ED ENVIROrrMNTAL HEALTU DEPARTMENT <br />304 East Weber Avenue, 3 floor, Stockton, CA. 95202-2708 LJO 5 <br />/ iES;J <br />'02.005 Telepboue: (2019) 468-3424 Rax: (209) 464-013$ Web: wwwsjgov.org/ebd <br />EliVIRO'NMENT HEALTH. pUj3LIC RECORDS RELEASE APPLIC.A,TION�� �� ,fid <br />"pucat T. S Or h 9USlNESWAGENCY: <br />PHONE (i): - S 5� x 141-2 PHONE m., <br />0� <br />` ��' TENTATIWE` APPOtNTMEKT DI4TE: -1112 1 '0 5 a . <br />{�rl (Pleaso alloy io WrInsss days from data of application suwttal - 4Teilf-Mm only - mtWt ba confirmed) <br />©CFIECK BOX TO pCPEDfTE RL-tMU T +4s3A0 FEE ( H QFt CHECK Ori[ -Y} - Rt -QUEST PRDCI=SSED'IN 3 BUSINESS SAYS <br />SIGNATURE OF APPLICANTDATE <br />t; -M OISTRnSUTM M Unit 1 a urat t g& s nit 4 ❑ Unit 6 D wK a D odwr wadranfcmat ) <br />FILE ADDRESS EHD USE ONLY <br />s, i')1 AC., 'A P -.T H U,z o' . <br />S. <br />specifia bate Ifange of Information Requested: pram 191 _ to 2op5 --Now <br />ENVIRONMENTAL HCEIL,TH DEPARTMENT FILES <br />UNDERGRpUt MNK (UST) CUAN rP 5r[E (LOPj El HOUi M AiRATENEKT a cow WAM FAG43TW <br />Onot CLL*mp StTE (Not+ -LOP) 0 row FAr, nm E] WAXM TRE. <br />DAMY <br />d s c�E +�aourmZlwK (enc owt Oru) 13 ooc ra Q <br />C3 wAsTEwATURTWATUEW PLU4T <br />JS HAZARaNANAMGENMATM C0VCa*" <br />E3 i�D PSV FAMY ❑tO PLpRT ucKYOWICK09ZatLU <br />s <br />C] LAND USE APPMA%MbN Sln�$ <br />L] TArrQdBOLSY PMERc�to ' ❑ POol1SPA <br />0 $Kaxc LwAsTEFAmM 0 OT4m MLJF,44eaPC-iaa-yj <br />WELL A14D SEPTIC PEvatr Recop= ARE AYA&AtK-E MR REVIEiIY - MOMAY-t-rFZ1 MY S-00 AN-a:t WU - 2=22200 <br />YSI <br />1. List up to ten addresses In the apace above. Select ttL+s type(s) of files froln the list above by checking the <br />appropriate box(os)- At least one file type MUST be selected. Fax to {249) 4S' or mall to a �Itid[ess <br />Indicated above Address ranges W111 pot be accepted — for additional asstsisnc0 +with file addresses, contact <br />the END. Appficalions-received after 3:00 pry wi(I be processed the neat business day. <br />2. The EHD will notify the applicant if any EHD files exist, An appointment far review will confirmed <br />approximately ten (10) days after reaelpt 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 avt itable for review. A new <br />application may be submitted when the rite Is available. <br />4. Any file not returned in the same condition as released wail be reorganized by ENO staff at tfie expense of the <br />applicant. Futuro We reviews by the same applicant may require a $93.00 deposit prior to revibw. <br />8K4 44-02404 <br />4 ir4m <br />