Laserfiche WebLink
MAR.10.2005 10:59AM AP"u ENVIROTECH,INC. NO.289 P.1 I <br /> DATE R %Q, EHO LOG NUMBER <br /> WjeCa�VED Sart JoAQvnv COUNTYt�+NmoNMENTA �HEALTH DEPARTMENT � <br /> 304 Fast Weber Avenue,3 Floor,Stockton,CA 95202-2708 <br /> MAR 1 0 2005 Telephone:(209)468-3420 Fkx.(209)464-0138 Web:www-490v-or9/4hd '65S.T <br /> E ONN NT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> ' 0`'� BUSiNE851AC�TICYi_ <br /> ADDRESS: . v��► �.. A r JAf* � <br /> PHONE(1):ZAZ PiiONE(2): 7A? S.'('g01041- FACSNYIILE: <br /> TENTATIVE"APPOiN11MENTDATE (A'a`Id+t �•�� —TNne: 04 <br /> (Pisses allow 18 busmen days from dab Df womadon submw-•Te dow only•must b aaanAl red) <br /> G CHECK SOX TO EXPEDr m REQuwr-693.00 PEE(CASH OR CHECK ONLY)-REQUEST PROCESSED INS■USiNESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> DATE3 tic to sr <br /> UNIT mamitlumoN O unit 1 O unit 2 D unit a• unR 4 6 G uelt 6 C3 OgT.r(slsd=IQfdst WfS) <br /> FILE ADDRESS EHD USE ONLY <br /> Sprat s shad None <br /> 1. j09i U+ Kt s -i-AiN <br /> 2. vt AF-4'o' c <br /> 3. 4LQ X660-01- tl tJ <br /> linkt <br /> S. B, H At <br /> T. t <br /> LARW <br /> 9 LO W Q rWl- S <br /> 10. to/2i &-PtI P 4� c Lock. <br /> Speelft Date Range of information Requesod:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> WuwwwtOTBro TANK(uS71 G1.m%*SITE(UDP) G HOUSING AeATmAmT P soFD WAs m FACUMNEMLI! <br /> 13 Tree CL4A"srtE(NON WP) a Foos FACLIYY o WASH TIRE <br /> 13 ilfB>f =ROIMTANK6k*#ow4WRTaTOVAL) tO Ow K0*91L ' O DAiRY <br /> G HAZUWCP 3 WAsn:GIV EaATOR D CiICION RANCH Q WAS19WATIR TREATWNT PLANT <br /> C TiaaBD PeFUMP FACILITY M YOTgA•IOM D PURVI RTMMIWAROICHIM TORETS <br /> ra Twfbomouv Paww O POOLISPA C LAND Un APPLICATION VIM <br /> Q MMICALWABTEFAMM E3 OTHARiPLEARSPECfV)-,, <br /> WDLL ANP SEPTIC POW REOORgs ARE AVAILABLE POR"MN- MONDAY41111DAY WX J40'"OM Dpx.M"HO My L <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 fila type MUST be selected. EM�i 1484 0436 or mail to tote addtilas <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 recelpt 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 th4 Me 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 some applicant may regWre a$93.00 deposit prior to review. <br /> �Aeneas <br /> �naes <br />