Laserfiche WebLink
08//09/2007 THL 15:05 FAX 209&99 SJC PUBLIC WORKS 2 0051006 <br /> iDATF RECEIVED SAN FULE <br /> (COPY Y END LOG NUMBER <br /> ENVIRONMF,N'rAL HEALTu DEPARTMEN" <br /> 304 E Weber Ave 3td Floor Stockton,CA 95205 -7 4q <br /> (209)468-3420 Fax: (209)464-01.38 Web: www.co.san-joaquia.ca.i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Claudia Gembcrlin8 BUSINESS/AGENCY: San Joaquin County Public Works Department <br /> ADDRESS: 181.0 E. llazelton Avenue, Stockton, California 95205 <br /> PHONE: 953-7624 FACSIMILE: 468-2999 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93,00 FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT N U E% 141 ,� DATE <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> 4. Swcl esG. G "� Cl <br /> a. /D Slur b-A at ❑ Unit 1 <br /> caN <br /> ...9. Sttnnf �� Unit 2 <br /> 4. Street Cil <br /> 5. 8"n t o2.O G Unit 3 <br /> r. swill ! c Unit 4 <br /> e. stmpt 31,2Z <br /> 9- st—t 3 Cil ❑ Unit 5 <br /> t0. Swat 3!� City <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT 0)9 SOLID WASTE FAC?' <br /> AC LITY �( �� AL <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY SOLID WASTE VEHICLE /�+ <br /> UNDERGROUND TANK(MONIPORINGIREMOVAL) ❑ DOG KENNEL DAIRY �-- <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH VC PKG TREATMENT PLANT <br /> TIERED PERMrITED FACILITY ❑ MOTEUIHOTFL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING ❑ POOLISPA 11 LAND USE APPLICATION SITES <br /> 17 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> w ... <br /> ..O�,N���EIISr(�h.tPQaP-1dit�lMirN�::CTA........, - �-. �''...... ..r.;._... . �:, _ _ <br /> : .:... <br /> [7 - . -- f� <br /> _ <br /> l SATE:GONFi <br /> ....:: <br /> it ,_,......_..., <br /> _ <br /> EHD 4QA2-0OB - <br /> Api@009 <br /> FILE COPY <br />