Laserfiche WebLink
9/2007 10: 16 FAX [a 001/001 <br /> 10 46 <br /> .ATF RECEIVED EHD LOC NUM6CR <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTn DEPARTMFNT <br /> 600 L. Main Sircet, Stockton, CA 95202-3029 <br /> it ii '+ ` ,'007 Telephone: (209)468-3420 Fax: (209)164-01.38 Wcb: www.,sjgov.org/000 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 0 T_ R Lf BUSINESSIAGENCY. �✓ _ ,�t r-9M`.`7 <br /> ADDRESS: �16 k .(7vLP Cwt P Paf Er�R^' 'l Co-2>Ovr9 °1$" 7o[7 v V <br /> PHONE(1}: q16 J 0� 116 PHONE(2): '116 -34-6 30 FACSIMILE: q_ f b D J Q p U_Jp,r <br /> TENTATIVE'APPOINTMENT DATE; t r 'Oe-F-19`✓E Time: Iq N Y <br /> (Please allow 10 business days from date of application submittal-Tentative only-must be Confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 5-00 FjE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 DUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7- -0 7 <br /> —�7 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# - Street Name city— ❑ Unit 1 <br /> 1• E HI%ZDI1.16- W 19 y 7 061r ollj qsSK qW <br /> 1660 S -1 5_ L-47 M Z op -ry <br /> tAJ3 164�o G�Ml32falr;� ir`t2dP .i unrt3+ <br /> 5c)� U-a.4y U 5 <br /> �6u 6 7 Ioar�To,' 20 5TvucT <br /> --- _ -- � Unit 4 <br /> /yl{� 2'3 T(�I C Y &11 b. n) <br /> - ❑ Unit 5 <br /> S -- <br /> �)( N\9 -- -- ❑ Unit 6 <br /> Requested:From t`�- to �- <br /> 5 _T - 5 ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> 'E(LOP) 17 HOUSING A13ATEMENT 11 SOLID WASTE FACILITY/VEHICLE <br /> d FOOD FAGILITY n WASTE TIRE <br /> NAL) E3 DOG KENNEL ❑DAIRY <br /> M CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> Ef TIERED PERMITTED FACILITY 0 MOTELIHOTEL E3PUMPER TRUCKIYARDICMEM ToiLm <br /> O TATTOO/BODY PIERCING f7 POOLISPA r'I LAND USE APPLICATION SITE5 <br /> a MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL ANn SFPTIC PERMIT RECOkuS ARE AVAILABLE FOR REVIEW- MONDAY-FRIOAY B-00 Am.5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected- Fax to(,209)464-01313 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with Tile addresses,contact the END.Applications received after <br /> 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 approximately ten(10) <br /> days after receipt of application- The files will be held for a maximum of Five business days for review- Appointments <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- A new application may be <br /> 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 el(pense of the applicant. <br /> Future File reviews by the same applicant may require a$95.00 deposit prior to review_ <br /> - EHD USE ONLY <br /> EHp4ft-06&n5/'20Ur1 web <br />