Laserfiche WebLink
MA4, 3 . 2006 3 ' 1P CONDOR EARTH TECH NO. 6865 P. 2 ; <br /> EHD LOG NUMBER <br /> SAN JOAQM COUNTY <br /> EN MON1VWMAL MAL T)a DEPARTAMT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-270w8 2 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web : ww .sjgov.or!fVehd <br /> PUBLIC RE 0Rb S RELEASE APPLICATION �/ ✓ 3 <br /> C <br /> APPLICANT: fejzeAJc I�BUSINESSIAGENCY: re <br /> ADDRESS: ILLI IG e TJ ( �5 <br /> PHONE (1 ): - l�Sl Qi PHONE (2): FACSIMILE:; _�7 %d� - QI 19 <br /> TENTATIVE* APPOINTMENT DATE: 5I I r9Time: �0 . <br /> (Please alloy 10 business days from datM(GAH65 <br /> ubmittal - •Tenta6va only - must be confirmed) <br /> 13 CHECK BOR TO FJ(P E 5T - §93.00 FCK ONLY) - REQUEST PP.00ESSED IN a BU 114ESS DAYS <br /> SIGNATURE OF APPLIG 7 DATE6151040 <br /> UNIT DISTRIBUTION ❑ Un' 1 171UIIR2 ❑ Unit $ na4 DUnitS A Unit6 ❑ Other (electrenicllis(X p3) <br /> FILE ADDRESS 1EHE ONLYfj <br /> Sheet #, Street Name City dddmk <br /> 1. dm Ar < o h2. kAJ w5.6. t. 5 tL airi n e. <br /> 7. las E9. <br /> Specific Date Range of Information Requested: From to <br /> ,.,(/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGROUND TANK (LIST) CLEANUP SITE (LOP) E MOUSING ABATEMENT r0 $Ou0 WASTE FACILl1Y1VEHIOLE <br /> M,,,❑���///ppp'''TH£R CLEANUP SITS (NON-LOP) 13F000 FACILITY 0 WASTE TIRE <br /> OERGROUND TANK (MONITORINGIREMOVAL) 171 Duo KENNEL AIRT <br /> HArAROOUS WASTE GENERATOR E3CKIOKEN RANCH P WASTEWATER TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL - 0 FUMPER TRUCIUYAROICHEM TOILETS <br /> ❑ TATTOO/BOoY PI£RGNO R POOLISFA 0 LAND USE APPLICATION SITS <br /> ❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AMv:OOPM • 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' <br /> appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <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 EH D will notify the applicant if any EHD files exist An appointment for review will he confirmed <br /> approximately ten (10) days after receipt 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 the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorgan¢ed by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> EHD x9.91-096 <br /> 1/4495 <br />