Laserfiche WebLink
04/24/2007 08:56 53024451 LAWRENCE ASSOCIAluS <br /> PAGE 01 <br /> DATE RE6EIVED-- -- . <br /> .SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 Q <br /> Telephone; (209)468-3420 Fax: (209)464-0138 Web:wwwsjBOv.org d U �r/, <br /> 'PUBLIC RECORDS RELEASE APPI ICATION <br /> APPLICANT- _- -- - - - <br /> USINES AGENCY: L_&,. I•y�e a {- <br /> ADDRESS:_`�.OD n10.T ej- t b) <br /> PHONE(1); -110 PHONE(2): SIMILE:-5:30^Z.LF`{-go Z/ <br /> TENTATIVE*APPOINTMENT PATE: Jr es yi,�C'j 4'.M1L } z�,,R <br /> (Please allow 10 business days from data of appl collar b e my-must 6e canfirmetl) r �+ <br /> PC CHECK BOX TO EXPEDITE REQ ST-E95. CASNO IS <br /> -REQUEST PROCESSED IN 3 BUSINESS DAYS G,Jw.te.1O(G <br /> SIGNATURE OF APPLICANT DATE VZ3/0 <br /> Electronic Information: ❑ Lis Map—Description! <br /> FIL ADDRESS <br /> SlreelM Street Name EHD USE ONLY <br /> City ❑ Unit 1 <br /> 1. r 0 9 - �-���n N• F, � .� <br /> Un <br /> 3• >J SOU 1i � R2 <br /> 1 �� <br /> 6. cb!50 � Un1t4 <br /> n <br /> 7. „ r !t <br /> I <br /> 8. yl ❑ unit <br /> 9. -- <br /> �o. N oil, JD, r4u;. —SiLIGUnit 6 <br /> csc <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A9ATEMENT �r�SOLIO WASTE FACILn'YfVEHICLE <br /> XOnim CLEANUP SITE(NON4-DP) ❑FOOD FACILITY r WASTE TRE <br /> UTANK(MONrORINOIREMOVAW 0DQo KENNEL �a-DNRY <br /> XO H ARDOU9 WASTE GENERATOR ❑CHICKEN RANCH -ZVASTMATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEUHOTEL ❑PUMPER TRUCKIYAROIDXEN TOILETS <br /> O TATTOOIBODY PIERCING ❑PDDLfSPA <br /> MEDICAL WASTE FACILITY /� In LANA�{SE PPLICATION SITES <br /> DTNER(PLEASESPECIFY) �1cnf. gg j�EAPP <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLEFOR REVIEW- MONDAY-FRIDAY 8:00 AMS:00PM - EXCLUDING HOUDAYS. <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(es). At least one file type MUST be selected. Fax to(208)464.0138 or mail 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 /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant W any EHD riles exist. An appointment for review will be confirmed approximately ten(1o) <br /> days after receipt Of application. The files will be held for a ma:imum 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 /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be morganlmd 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 /> EH54io WIT2 , b <br />