Laserfiche WebLink
.0 T <br /> ,1�7 cr .1,.10 COUNTY _ ... ,. .. <br /> .ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 1 4Z0 304 E Weber Avc 3'd Floor Stockton, CA 95205 <br /> 09)468-3420 Fax: (209)464-0138 Web:www.co.san joaquin.ca.us/chdILI 7q <br /> =:_NV0111SPRENT (•LES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: JOHN MCCOY BUSINESSIAGENCY: J01IN CRY REALTORS, INC_ <br /> ADDRESS: 234 EAST FREMONT STREET STOCKTON, CALIFORNIA 95202 <br /> .r <br /> PHONE: JM CELL: 601.3987 d FACSIMILE: 466.7359 <br /> TENTATIVE*APPOiNTMEN DATE: Time: <br /> {Pleas.alto0.w 1D buslnmss days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQU£ f nn q3 go FEE—REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ i !LI DATE 9/10/2003 <br /> G Department Use Only <br /> kILE ADDRESS UNIT <br /> 56U8 NO I 9trrd CR <br /> 2, Streef Ctt ❑ unit 1 <br /> ). Sweet Cit �Z <br /> e Street Gr ❑ _I,.Inll 2 L- <br /> s CJ i TYf <br /> s. Strry Unit 3 <br /> c �tj/t( j}`J <br /> 7. star ur nit 4 �` Irl <br /> 5. sttf"t dl <br /> 9. Srrr.N �n <br /> ❑ Unit 5 <br /> to. reeCi <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ZGROUND TANK(UST)CLEANUP SITE(LOP) Or HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WASTE VEHICLE <br /> GROUND TANK(MONITORINGIREMOVALI ❑ DOG KENNEL ❑ DAIRY <br /> DOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TRE=ATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑ 'MOTEUNOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> d TATTOOISODY PIERCING ❑ POOLISPA ❑ SEto'p WW" <br /> 13 MEDICAL WASTE FACILITY O OTHER(PLEASE SPECt>�HEQRON E� MYANY ME II REPORT <br /> k'OR ANY GRO WATER TOXIC/PETROLEUM <br /> 1. List up to ten addresses in the space above. Select the typels)) of <br /> RA <br /> eS from t e Est adore by checking INDINGS. <br /> the appropriate box(es). At least one file type MUST be selected. Fax to(2091 464-0138 or mail to the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist. An appointment for review wllI be confirmed <br /> approximately five business days but no later than ten (110)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> 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 reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit'prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day_ <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX = INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EI14 49.o2.01)c <br /> Post-it'Fax Note 7671 D"1° c] D out • / <br /> T° ti✓� From <br /> a+ <br /> Ca inept. C4. c 0 F ry <br /> Phn Y <br /> Fax Gj!Z) / QC"� Faze O S <br />