Laserfiche WebLink
11-Jan-2006 02:25pm From-Youngdahl 17 'Itina Group, Inc 916 933 6482 T-232 P.001/001 F-779 <br /> DA-M RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTIO)EPARTM) NT <br /> 304 East Weber Avenue,3`a Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web.www.sjaov.org/ehd <br /> ii PUBLIC RECORDS RELEASE APPLICATION / �7 /// <br /> APPLICANT: L LLt` e -J-,C 11-4 •e BUSINESS/AGENCY:1OL�i_"o6I anrkrX)7 <br /> ADDRESS: 2 l e—iAa�j! �'/ boe q e.''ilp <br /> PHONE(1):(91(o , D�� l <br /> PHONE(2):(7l� Y Z—,9? -FACSIMILE / � <br /> TENTATIVE*APPOINTMENT DATE: Time. <br /> 01/CHECK <br /> � <br /> / (Ploasc allow 10 business days from date of application submittal-'Tentative only-must be contirmed) <br /> 01 CHECK BOX TO EXPEDITE RE T-$93.00 EF(CR CH K ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> UNIT D1sTRlBUTION D Unit 2 G Unit 3 ❑Unit 4 G Unit 5,&.,D Unit 6 0 Other(cloctronic/lisWmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> 1. <br /> 100 C.hoc.r'l-e?.- W S-tpcK ti <br /> 2. 5A chct-" er Ir r <br /> 3. p <br /> K z" \ <br /> p <br /> , <br /> 3 A 6- <br /> 9. <br /> 10_ <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FA�IL//ES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) I3 HOUSING ABATEMENT 19 OLID WASTE FACIUTYNEHI E <br /> jjjlS�ER CLEANUP SITE(NON-LOP) L]FOOD FACILtTY n WASTE TIRE <br /> IVNDERGROUND TANK(MONRORwWREMOVAL) In DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR n CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FAGILr Y O MOTEL(HOTEL E3 PUMPER TRUCKIYARDICHE.M TOILETS <br /> n TATTOO/BODY PIERCING ❑POOLISPA El LAND USE APPLICATION SITES <br /> ©MW]rAL WASTE FACILITY ©OTHER(PLEASE SPECIFY) . <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILA6L.E FOR REVIEW. MONDAY.FRIDAY 8:00 AM-$:OOPM . EXCLUDING MOLADAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses, contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application_ The files will be held for a maximum of five business <br /> days for review. Appointments 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 <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 of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 1'HD 4a-0Z-006 <br /> 711ap5 <br />