Laserfiche WebLink
09/25/2007 08:51 FAX 5307585672 FEDEX KINKO'S DAUTS 8002/003 <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 (113 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgay.o lbd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:��e� �S - "' 1C� - SUSINESSIAGENCY: <br /> ADDRESS: <br /> PHONE x530 -75 " _73 PHONE(2): 3� g0 2-4 63Z- FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Aleaae allow 10 business days from date of application submittal-*Tentative only-must be confl <br /> CHECK BOX TO EXPEDITE R QUEST-$98.00 FEE(CAS HECK ONLY)-REQUEST PROCESSED IN 3 S A <br /> NATURE OF APPLICANT DATE Z <br /> Electronic Information: ❑List[]Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# street Name City ❑ Unit 1 <br /> 1. <br /> 1708 f fra 1-0 rd r' y� <br /> 1�� �-d d I1t 2 <br /> N De- r� nJo 2 B <br /> g/ob Lad i In�- <br /> 3. N. �i�fOr� _ ❑ 't1nd3 <br /> 4. <br /> 5 It !ItLU<v�lr 5 ra�-r 2 w1 G i _ l � .i. © Unit 4 <br /> 6 X& q 1 ISR:►` 5r 2c n IZoC LvG(t /110 ),8 <br /> _0 ❑ Unit5 <br /> !3. 2 1 D WtEy4'e�X lCe111__4 � / k_ecl e� rn� .91�-�� ❑ Unit 6 <br /> 1Q. A7(- Rid ►�I9 3�odr yYlS 9-2-09 .IA 9?-SLS" <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP.SITE(LOP) CO HOUSING ABATEMENT E3 SOLID WASTE FACT <br /> LEMI) S <br /> OTHER CLEANUP SITE(NOH-LOP) a FOOD FA ILITY <br /> CS WASTE TIRE <br /> ❑UNDERGROUND TANK(MONiTORINGIREMOVAL) t7 1] K EL D DAIRY <br /> t7 HAZARDOUS WASTE GEkERATOR NCH 0 WASTEWATER TREA ENT LANT <br /> 1$ <br /> ❑TIERED HAZARDOUS <br /> PERMITTED GENFY L 0 PUMPER TRUCKIYARDICHEMTOILETS <br /> ©TATTODIBODY PIERCING A �lAND USE APPLICATION SITES <br /> *MEDICAL WASTE FACILITY THER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT O UVAILABLE FOR REVIEW -MONDAY-FRIDAY B:Do AM-S:00PM -EXCLUDING HOLIDAYS. <br /> 1. list up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0136 or mail to the address indicated above. Address <br /> ranges will not be accepted–for additional assistance with file addresses,contact the EHD:Applications received after <br /> 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 approximately ten(10) <br /> --- <br /> he—fi el s wllEbe h—- <br /> ap�tlon-=PeldTor-amrkXifrtlj-m-of�ive-bustness=daps dor-review.�ppointmen ���-----------:- <br /> y 9 Y _ <br /> ati,nu�LbB.sthedilled?c�nritiaaly , <br /> 3. A file that is active) being worked on b EHD staff may not be Immediately available for review. A new application may be <br /> 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 applicant <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> I EHD USE ONLY <br /> I EHD 4948 WEB 819 MT <br />