Laserfiche WebLink
06/22/2007 11:49 1310798-�-'11 PAGE 02 <br /> DATfTF7CEIVED EHD LOG NUMBER <br /> SAN JOAQUTN COUNTY <br /> u 1 - <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �2 -2, 2-0007 600 E. Main Sft-ea-,Stock-ton, CA 95202-3029 <br /> Telephone:(209)4683420 Fax: (209)464-0138 Web:www.sjgov.org/cbd <br /> qrp,!Tj� <br /> PER wr-us'r�-�N!IcES PUBLIC RECOWDS PXLEASE APPLICATION <br /> APPLICANT. djo-dtt BUSINEssiAcENCY.- jam <br /> ADDRESS: 2-S-00 W�61,o -C A, <br /> PHONE(t): ------- PHONE(2). FACSIMILE: <br /> TENTATWE*APPOINTMENT DATE: Time: <br /> (Please allow 10 buslnes$000 from date of application allbMftal-*FantafiVa only-Must be confirmed) <br /> 13 CHECK BOX TO ExpEorrE.REQUE SV�R' (CASH OR CY)-REQUEST PROCESSED IN 313USINE99 DAYS <br /> SIGNATURE OF APPUC-ANT DATE Z ca <br /> Electronic Information: []Ust F] Map-Descdptlo.n* <br /> FILE ADDRESS END USE ONLY <br /> Street a street Name city Ll unit 1— <br /> cn-" <br /> 2- 75-7 Unit 2 <br /> 3. <br /> 4. 'a'units <br /> 8" <br /> 6. <br /> Unit 4 <br /> 7- <br /> Unit 5 <br /> 8. <br /> 9. <br /> Unit 6 <br /> 110 <br /> 0.. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 7I(UNo0tdROumv TANK(UST)CLjFANuF,$rTr(LOP) EJ HOGGING ABATEMENT X80LID WAVE FACILrrytvrHicLE <br /> XOOTHER CLEANUP SITE(NON-LOP) 13 FOWFAr-Lrty 0 WAM TIRE <br /> NoERGRoumc TANK(MoNrromNoAREMovAL) C3 Doo KENNEL 0 DAIRY <br /> ZKvARDous WASTE G-twtitAToR 0 CHICKEN RANCH )WWASTEWAUA TREATMENT PLANT <br /> ERED PERmnTEo FACILTrY In MOTELIHOM 0 PLIMPERTFIrUCKIYARDICHEMTOiLm <br /> TATTOWBODY PIERCING 0 POOLISPA In LAND UsE APFLMATMN SITES <br /> MEDICAL WASTE FAciLrry 0 OTHER( rmc Speciry)- <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MomDAY-FRII)AY MOO AMA:00PM ExcLijiDime HouvAys. <br /> 1. L.Ist up to ton addresses In the space above. Select the type(s)of filer,from the list above by checking the appropriate <br /> box(es). At least one file typo MUST he selected. Fax 19(2091 indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END.Applications received after <br /> 3:00 pm will be processed the next businssr,day, <br /> 2. The EHD will notify the applicant If any END files exist. An appointment for review will be confirmed approximately ton(f 0) <br /> days after receipt of application. The files will be hold for a maKlmurn of five buslnerm days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any Hie not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> END USE ONLY <br /> END"-as NgWnw w" <br />