Laserfiche WebLink
From: 08/21/1& 17:07 #729 SAN P.001/001 <br /> 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> %S <br /> CM M I �� �OAQUIN COUNTY EHO LOG NUM13ER <br /> UUU <br /> AUG 2 7, 2007 ENVIRONMENTAL HEALTH DCA 952CVIF.NT <br /> 600 East Main Street,Stockton,CA 95202 I <br /> ENVIRONMENT HEA!?+elephoue: (209)468.3420 Fax:(209)464-0138 Web: www.sjgov.o <br /> PERMMSERVICES <br /> // PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r, BUSINESSIAGENCY: <br /> ADDRESS: <br /> cc���,,,0. ) \ 0 T•N-t- <br /> PHONE(1): Z491J J 3) 6/. (2): goG �•S J-- y5 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-`Tentaa•ve only•must be"Infirmada so <br /> CHECK BOX TO EXPEDITE RECIUES S9 . D FEE(C K O CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS ^ry <br /> SIG ATUI2EOFAPPLICANT DATE <br /> ElectrOnicinformatlon: © ListElMap-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name J city ❑ Unit f <br /> ,. S-6a(' v 02 9J-7 <br /> a29S7 0 unitz <br /> 3. ,z. A v L <br /> Unit 3 <br /> 5. 0 ®mac (A'c. 4v x _ umne .� <br /> \ <br /> f� {/y� 0UnitS <br /> A. ! ) A-Ct f�iL / u�UZ_ F <br /> 9. t)5-- <br /> Lt✓tr 0 unit a <br /> 10. 6725 -A e-Ar Ave. fl'C <br /> Specific Data Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI S <br /> UNDERGROUND TANK(UST)CLemuP SITE E3 ffouvNGAsAIEMENTA11ID MASTEPACLITYNEHICLE ' <br /> %)�Pj <br /> d4. CLEANUP SITE(NON-LOP) 13 FOOD FACLLRY ITS TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) 0Do0 KENNEL DAIRY <br /> 0 HAZARODUS WASTE GENERATOR O CHICKEN ❑WASTEWATER TREATMENT PLAM <br /> O TIERED PERMITTED FACILITY 13 MOTELM 17 PUMPER TRUCKMARDICHEM TOa.ErS <br /> C7 TATTOOIEoov PIERCING E3 POOLISFA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PL SE SPECIFY) <br /> WELL AND SEPTICPERMITRECORDS ARE AVAILABLE FOR REVIEW- MONDAY•FRIDAY$:DO Am-SMIRK; . EXCLUDINGHOLIDAYS- <br /> ,. 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(269)464.0136 or mail to the address indicated above.. Address <br /> ranges will not be accepted—for additional assistance with file addrasses,eontae!the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notifythe applicant if any EHD files exist. An appointment for review will be confirmed approximately len(10) <br /> days after racelpt of application. The files will be held for a maximum of five business days for roAow. 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 /> submitted when the file is available. <br /> 4. Any filo 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br />