Laserfiche WebLink
M Jan, 9. 2007 10 52A danced Geofnvironmental No. 7243 P. 1 <br /> REHD LOG NUMBER <br /> D <br /> L SAN JOAQUIN COUN'T'Y' <br /> o � <br /> ENVIR NMENTAL HEALTH DEPARTM Nm <br /> JAN 0 8 2.007 rd <br /> 304 East Weber Avenue,3 Floor, Stockton,CA 95202.2708 <br /> ENVIRONMEN T DEALT Telephone:(209)468-3420 Fax:(209)464.0138 Web;www.sjgov.org/ohd <br /> H D <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 61 k c r BUSINESSIAGENCY: A kranc d Geo�n v•�o�r� +�l <br />� n • <br /> ADDRESS: .c� �.X ")p C lG 4vA <br /> PHONE(1): �0t.- y PHONE(2): !(e-7 /Ooc, FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: L1J— oZ.�—;Lo47 -'rime.. /0 <br /> (Please allow 14 business days from date of application submittal-`Tenftdve only-mus!be confined) <br /> ❑ <br /> CHECK BOX TO EXPEDITE RE 83.44 FEE GASH R CHECK ONLY)-REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /-1?-;t00'7 <br /> Cledfonic Information: ❑List❑Map Description: <br /> FILE ADDRESS EHD U$E ONLY <br /> street f Street Nome city w Q <br /> 1, 1 <br /> 2. IQ rS r <br /> 3. <br /> _ <br /> ❑ unit 3 <br /> 4, <br /> 6. - ❑ Unk4 ~ <br /> 6. <br /> 7' ❑ Unit 5 <br /> '. _. ❑ Unite <br /> 10. <br /> Specific Date Range of Information Requested:From to alno <br /> ENVIRONMENTAL_HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(t)ST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ©SOLID WASTE FACIUTYNEhICLE <br /> ( <br /> L7 OTHER CLEANUP SITE(NDN-LOP) I7 FOOD FAQUTY O WASTE TIRE <br /> 0 UNoERGROVND TANK(MoNrromNOIREMOVAt) ❑Doo KENNEL a DAIRY <br /> HAZAROou$WASTE GENERATOR 13 CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> E3 TIERED PERaIT oFACILITY ❑MQTELtHOTEL O PumPEATAWrJYARD/CHEMTOILETS <br /> TAT roolB4DY PIERGNa 11 POOLISPA <br /> ©MEDICAL WASTE FACILITY <br /> WELL AND SEPTIC PERMIT REWRDB ARE AVAILAALE FOR I tEVIEw- MONDAY-IFFMAY 8:00 AN-5:0OPm -Excwcma HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of flea from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fg Ra1209L 4B4-0938 or mall 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 /> 5:00 pan 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(1 0) <br /> days after receipt of applloatlon, The files will be held for a maximum of five business days for 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 review. A new application may be <br /> submltfsd 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$95.04 deposit prior to review. <br /> EHD USE ONLY <br /> EItDIS-06 ananoos . <br />