Laserfiche WebLink
NOV. 11. 2004 9:31AM OR EARTH TECH 41 NO. 1908 P. 1 <br /> EHDLOGNUMSER <br /> f S�� el�Ed SAN JOAQM COUNTY <br /> NOV 1. 7 2004 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave 3r1 Floor Stockton, CA 95205 7L <br /> eLVVIRO'i!;AtN1 EiL 468-3420 Fax: (209)464-0138 Web:www.co,san-joaquin.ra,us/ehd <br /> ZI <br /> AA (� pUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Afty Pk ;# BUSINESSIAGENCY: (.O/1Qnr <br /> ADDRESS: !&86,A k "s� C•�cl<.� 5u,4I, �(, CA 95Z20(e <br /> PHONE: LOI-4c.sI FACSIMILE .2.09„'7-34-0536 <br /> TENTATIVE*APPOINTMENT DATE:, 12./�. /2 Do 4 Time: 1-00 A M <br /> (Please allow 10 buslness days from date of application submittal) <br /> El CHECK BOX TO EXPEDITE REQUEST•$99333.W.EE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ti/� DATE _ - <br /> Department Use Only <br /> FILE ADDRESS UNIT <br /> see 15o N. ncla r c SA-0�k4-0 04< �2 ❑ Unit1 <br /> ]. spa q0`157 . Ma: G L_ _3 <br /> a. s� 1030 S. (Di%vg ar /y, `7 r�Unit2 <br /> a. $�ff O 0 e, Nlelgi n a � � <br /> 6. 6bM /Od O lA/Atk.A-Y city <br /> I <br /> e. s0e�"q o,+0 l�l(o-i r 01 V M. =� �� <br /> 7. sree 52 E . Mair c. 10 nnit4 <br /> e. sues 055 �, � �1 a <br /> s sv,e< .SII G � . Iv\0.1M City ❑ Unit <br /> 10, sues city <br /> L <br /> 9 x'+02 e . MwtV%, 4' �Ai� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> fS UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITY <br /> W OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 SOLID WASTE VEHICLE <br /> »UNDERGROUND TANK(MON TORINGIREMOVAL) 0 DOG KENNEL O DAIRY <br /> 9C HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH tl PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELIHOTEL 0 PUMPER TRUCKIYARDICHFM TOILETS <br /> 0 TATTOOIBODY PIERCING Cl POOLISPA `$-LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FAGILnY 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 wig!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 /> 5. '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 /> :AP;Poj"t.f�Rt:DYeT> �,'�tilWi�•';;';' <br /> tNFII#YV� i', i '" <br /> tNi't'f¢I_S,L i k <br /> c N <br /> MD2-M <br /> eruac0s <br />