Laserfiche WebLink
# 007 10:56 FAX 5'10 839.79, <br />FILICE ;BROIi'N <br />�J DATE RE -r, <br />r.1 L: <br />SAN .XOAQUIN <br />'!'ti i COUNTY' <br />ENVIRONMENTAL HEALTH DEPARTMXNT <br />�i, - 9, ;i�,� 600 E. Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 r»x,- (209) 464-0138 Web: www.sjgpv_pT}�,/ehd <br />� <br />iUL ;PUBLIC RECORDS RELEASE APPLICATION <br />APPtJCANT: L II BUSINESSIAGENCY, I (` <br />ADDRESS: a f? t40 <br />PHONE(i):';10-444-USI PHONE -(2): 510-`d,?7�-'9A')3 x '% Il FACSInn <br />rL :- 5: <br />TENTATIVE* APPOINTMENT DATE: 1,� aO0 7 i1600Time: 40 <br />(Please allow 1B business days from data of app]Icatfan submlW-'I'vntative only - must Ns COW <br />© CHECK BOX TO EX <br />2003 <br />EHb L7G NUMBER <br />fV <br />i <br />MW% E4ULS4-'' MCLeJ LLP <br />�Tt L, M <br />PEDITE REQUt_5T - 4195, a FEE (SH OR CHECK ONLY) - REQUEST PROCES91ED IN 3 8U I'ItS1', DAYS <br />SIGNATURE OF APPLICANT DATE G <br />Wectronic information: U List 0 Map - Description: <br />_ FILE ADDRESS <br />EFID USE ONLY <br />1 <br /># Street 8 Street Name <br />city <br />❑ Unit 1 <br />`I P - S3 <br />2. <br />10 4 Jr <br />' ` <br />I 0 Unitz <br />3. <br />4. <br />i Unit3 <br />5. <br />— <br />I ❑ Unit 5 <br />7.� <br />8. <br />—� ,- <br />Unit6 <br />I' <br />10, <br />Specific Date Range of Information Requested: From IdluUV to e <br />ENVIRONMENTAL' HEALTH DEPARTMENT PILES ! t <br />I, I)NDERGROGND TANK (UST) CLEANUP SITE (LOP) 11 HQUsING AIRATEMENT - Cl SOLID WAstil FACIUTYiY6HICLE <br />�' THIR CLAANUP SITE (NON -LOP) G FOOD FACILITY ElWAsTE TIRE:;" i <br />t1NDERGROUNo TANK (MONrroRINGMr-MOVAL) ❑ DOG KENNEL C3 DAIRY <br />IM HAZARDOUS WASTE r-ENERATOR I� CHICKEN RANCH Q WASTEWATER TREATMENT PLANT' <br />0 MEREO PERMITTED FACILITY ❑ MOTr-LIHOTEL E3 PUMPER TRUCKIYARDICHEM TOIL 'TS <br />r3 TATToofBoi)YPIERCING 13 11901-f$PA E3 LAND USE APPLICATION SITES <br />C3 MEDICAL WASTE FACILITY C3 OTHER (PLEAFr SPECIFY) - <br />WELL AND SEPTIC PERmfT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAAY 8:00 ANS-b:oOPM - FxCLUDING HOLIDAY:!. , <br />1. List up to ten addresses in the space above. Selract the type(s) of files from the list above by checking the appl opriata <br />box(es). At least one file type MUST be Selected. Fax to (2091464-0138 or mail to the a_ddressIndicated abdyel- Address <br />ranges will not be accepted - for additional assistance with .file addresses; contact the 1=H D. Applications r9ceiWed after <br />3:00 pm will be processed the next'b6siness day. <br />2. The EHD will notify the applicant If any F -HO files exist. An appointment for review will be contirmed appro dmalteily ten (10) <br />days after receipt of application. The files will be held lor a maximum of five business days Ni review, Appointments <br />Should be scheduled accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for rovie�r. A new applic2ilon may be <br />submitted when the file is available. <br />4. Any file not returned In the some condition as released will be reorganized by EHD staff at tho'expense of the applicant. <br />Future file reviews by the Same applicant may require a $95.00 deposit prior to review= <br />EHO USE ONLY <br />EHD 4849 9t1=006 web - <br />:.7 <br />