Laserfiche WebLink
f SEP-17-2009 16:15 From: ' To:12094640138 Pa9e:212 <br /> DATE RECEIVED END LOG NUMBER <br /> Do <br /> SAN JOAQUIN COUNTY <br /> ���'�- 1"1 IENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> SEP 1. S,2009 Telephone: (209)468-3420 Fax: (209)464.0138 web: vvww.sjgov.o <br /> ENVIRONNIP" T HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERM iT/O , 11 <br /> I Anthony Wightman Terrawn <br /> APPLICA : BUSINESSIAGENCY: <br /> ADDRESS: 16662 Mllllkan Avenue CitISte#e� Irvine,California 92606 <br /> y F <br /> PHONE(1); -949 60-9718 175.1) PHONE(2): 714-720.4$77 FACSIMILE: 949-660-9732 <br /> TENTATIVE*APPOINTMENT DATE: please call Time: <br /> (Ploaso allow 10 business days from data of application submittal-'Tentative only-must ha confirmed) <br /> I7 CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN 3 BUSINES$DAYS <br /> SIGNATURE OF APPLICANT. DATE 09/17/2009 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHO USE ONLY <br /> Street E Street Name City <br /> 1, 2324 Navy DriveStacktan © Unit i <br /> 2• (] Unit 2 <br /> 3. A. <br /> 4. Unit 3 <br /> 5. <br /> B- - Unit 4 <br /> 7. <br /> $ nit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Dated Range of Information Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tu(. N0rRGROVND <br /> NDERGROUND TANK(UST)CLEANUP SIYE(LOP) 13 HOusING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> THER CLEANUP SfTE(NON-LOP) 0 Fopo FACILITY ©WASTE TIRE <br /> TANK(MONITORINOIREMOVAL) (3 DO4 KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR r3 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY M MOTaL1H0T6L Cl PUMPER TIrUCKIYARDICHEM TOILET$ <br /> ATrov/Dooy PIERCING 13 POOLISPA -0 LAND USE APPLICATION SnEs <br /> MEOICALWASTE-FACIUTY 0 OMER(PLEASE SPECIFYfnn Environmental Records(UST,FiexMatpermits,violatl4ns,etc) <br /> WELL AND SEPTIC PI:RMrr RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM -EXCLUDING HOUDAY$, <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(os). At least one file type MUST be selected. Fax to(209)4§4-0110f;-or mail to the addrelss Indicated above Address <br /> rangeA will not be accepted for additional assistance with His addresses,contact the EHD. Applications recalved 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 /> days after receipt of application. 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 immodiately available for review. A now application may be <br /> submitted when the file is available, <br /> 4. Any file not returned In the sante condition as released will be reorganizad by EHD staff at the expense of the applicant. <br /> Future file reviews by the sante applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48 00 8104108 PUBLIC RECORDS RELEASE APP FORM <br />