Laserfiche WebLink
00ct 14 2014 8: 26AM TPUPS STORE 2503 91"251772 P. 1 <br /> ■ <br /> NnpTF &D iLOO NUMEIER <br /> �'�'^`�C SAN JOAQUIN COUNTY �O <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT ] 4 2014 1868 East Hazefton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj®ovorg/and <br /> ENIPE-R PE <br /> -0 PUBLIC RECORDS RELEASE APPLICATION <br /> PEf�RtRf4FRtnf!FR `` ^^ <br /> APPLICANT: I / +// �G��l/ BUSINESSIAGENCY! -1 r?,—I-- / Q <br /> ADDRESS: Cr Y/STATEMP: Gt .�rvr <br /> PHONE (1): loGL PHONE(2): FACSIMILE: / C-O& COs, <br /> TENT TlVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of applleaffon submittal-'TmtwUvv only-must be con <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Irtformailon: ❑Llat❑ Map—Dascription: <br /> FILE ADDRESS END WE ONLY <br /> Struats Street Name City 0 Unita <br /> 2. S rt 5 (�.- V ..)o D.-!? s� t t 3 i Uc5 Unit2 h <br /> 3. ( �� �- <br /> 4. n it ata ' <br /> 8. <br /> e r01 / units <br /> 7. <br /> 8 uen s <br /> 9.' <br /> 10. 1 Will b <br /> Spec Ac Date Range of infonnatlon Regveeted: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT MILES <br /> NDERGROUND TAN(NST)CLEANUP SITE(LOP) MEW.AL WASTE FAgLRY ❑SOLD WASTE FAcuwIVEHICLS <br /> OTHER CLEANUP SITE(NDN•LOP) HOUGH ABATEMENT ❑WASTE TIRE <br /> 17WtiERtiROUtD TAN((MoRiToRNWREMOVAL) FooDFAcunr ❑DAIRY <br /> yEtiROUW TANK Cfecxa RMici4 DOG KENNEL []WASTEWATER TREATMENT RAW <br /> F4Z9 WAMVHAZARDOUS MATERIALS ❑MOT$MEL Ed PUMPER TRUCIUYAROICHEMICALTOILETS <br /> TERED PERMITTED FACILrrY ❑PDDLISPA ❑LAND WE APPLICATION SITES <br /> ❑TATToomooy PIERCING MPUU <br /> CONTIR posm RE( ElLEASE ORDS OTHER(PSPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVN LE FOR REvi2-w: MONDAY-FRIDAY 8:00 AAt$:OOPM(EXCLUDING HOUDAYZS) <br /> 1. List up Qpm addressee In the apace above. Select the type(s)of Ree from the list above by chocking the appropriate <br /> box(es), At least one fiietyps MUST be satacted. Fax to 12MI484-Q138 or mall W the addreaa Indicated above. Address <br /> ranges wilt not be accepted-for add Itlonal assistance vAfh file addresses,contact the EHD. Applications received after <br /> 3:00 pm vAU be processed the next business day. <br /> 2. The EHD vAll notify the applicant If any EHD flies extst An appointment for review will be confirmed ap�proximatety ben(10) <br /> days after recelpt of application. The Mae will be held form mardmum of Ave business days for review. Appointor antim <br /> should be scheduled accordingly, , <br /> 3. A fl le that is aetively being worked on by END staff may not be hnmadfataly available for review. A naw application may be <br /> submitted when tete file Is available. <br /> 4. Any file not rstt cried in the same condi■on as released VAR be reorganized by END staff at the expo of the appllearrL <br /> Futuro file reviews by the same applicant.may require a$125 deposit prior to nr4ow. !181501101:�.�1�'�Y' tltljG'�' <br /> v.: <br /> IirVtIS $t■ff-)?Eft Goinieta seiteia : <br /> o.n.a.ua <br /> Received Time Oct. 14. 2014 9 : 34AM No. 7324 <br />