Laserfiche WebLink
05/18/2007 14:46 -. 9497231854 FREY ENVIRONMENT41- PAGE 02/02 <br />D <br />10/17/2006 11:22 464013E -Ir' ENVIRONMENTAL HEAPAGE 01 <br />CMU LUG NuMishm <br />VAICKCt.tIVtU SAN JOAQUIN COUNTY <br />a ENVJRONMENTAL HEALTH DEPARTMENT <br />U 3D4 Fast Weber Avenue, 3'' Floor, Stockton, CA 95202 27082� <br />Li <br />MAY 3 S 2'007 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www49Ov.org/e J <br />_... „-.. PUBLIC RECORDS RELEASE APPLICATION <br />Jrnt'4'7-(.:,�`�!J r�S `( BU91NE$$IAGENCY:, I-f�G`7 CIAV!TOylmes�,-ir. en. �., <br />ApPI:iCA <br />ADDRESS: 211-7 A LaL4-,%V E-�- �- AJea.��.r✓- crr GOt �i266/3 t,! <br />` FACSIMILE. ( zi i) 5 / <br />PHONE 11l: IRkRI 723-105 P14ONE(4 <br />TENTATIVE APPOINTMENT DATE: <br />Time: <br />(Please allow f0 business days from date of application submittal -`Tentadve only - must be confirmed) <br />M CHECK 13OX TO EXPEDITE REQUEST - $95-00 FEE (CASH OR CHECK ONLY) . REQUEST PROCESSED IN 3 BUSINESS <br />UjIN SS DAYS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Informatlon: ❑ List LlMap — oescription: <br />ILE EHD USE ONLY <br />FADDRESS 1-1 Unit T <br />Sheet N Sueet Name <br />ci 3 l <br />gtv �. 2132. 'tri 05ti R.unit 2 <br />2. <br />3 Unit 0 <br />4. Of 11 <br />5. uritt 4 <br />6 <br />❑ Unit 5 <br />7. <br />8. <br />❑ UnitB <br />9. <br />10. <br />Specific Date Range of Information Requastadt Prom <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />HOII4INn ABATEMENT O SOLID WASTE FACILITYNEHICLE <br />NOERGRIX1Nb TANK (U$T)l1LEANUP SITE (LOP) 17 FOOD FACILITY L3 WASTE TIKE <br />LEANUP SITE (NON -LOP) ❑ OGG KENNCL CJ gAIRY <br />OROUNP TANK (MONITORINGIREMOVAL) O WASTEWATER TREATMENT PLANT <br />r7 CIVCKEN RANCR p PUMPER TRucluyARP)CNEMTo"R's <br />i0l"INIC <br />AZARDOUS WASTE GENERATOR 0MOTFLIHOTfL Q LAND USE APPLICATION SITES <br />CI TIERED PERMITTED FACILITY 0 POOLISPA <br />0 TATTOOrBODY PICMING ❑ On,IER (PLEASE SPECIrY) <br />MEDICAL WASTE FACILITY <br />S. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MONDAY -FRIDAY 8:00 AM 5:00PM E%CLUDMG OLIDAY <br />1. List up to ton addresses In the space above. Select the typa(s) of file$ from the list above by chacKing the appropriate <br />ranges). utnotsbe accepted type or MUST <br />be seleCtOd. anal assistance to 2 file addresses, cont ct the EHD. Applications <br />ranges <br />afters <br />3:00 pm will be procnsaed the next business day- be elIo <br />2. Thn EHD will notify the aP at ont if <br />files will be hold for a maximum of five businesies oxist An oppicintmant for review s days for review. Appointments mately ten (t o) <br />days after recalpt of app' <br />should be scheduled accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for review- Anew application may e <br />submitted when the file is available. anse of the applicant. <br />4. Any file not returned inlthe � <br />same ancnd nt may require a $96.00 deposit pron zis released will be reorganized nto revview. staff at ehR exp <br />N <br />N <br />