Laserfiche WebLink
04/24/2007 08:56 5302445021 LAWRENCE ASSOCIA S PAGE 01 <br /> PATE RrCENED- - G NUMBER <br /> SAN JOAQU.IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 F- Main Street, Stockton,CA,95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ ..d. <br /> "PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ USINES AGENCY: /lio meg -I" A :5o ssy� <br /> ADDRESS:——7_00( (INAr eA— <br /> PHONE(1): 7-,0 PHONE <br /> TENTATIVE*APPOINTMENT DATE: � � e: j�CC7 4' .tl�,¢ Z�►./e�- <br /> (Please allow 10 business days from date of appl cation sub VII ust be confirmed) <br /> CHECK BOX TO EXPEDITE REQ ST-;95. CASH O N VEST PROCESSED IN 3 BUSINESS DAYS GJadCblG. <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ Lis Map—Description, <br /> FILI ADDRESS EHD USE ONLY <br /> Street# Street Name City Ayr.o Z ❑ Unit 1 <br /> J2 &A*4.fA- ?0" <br /> 5Dt) WWI m na (p <br /> 4" {O fhb I] ^" u�� --e� ;Pr— Unit3 <br /> D C1550ill- ,SSI �, �—�r Unit� <br /> to El unit s <br /> etc.�._._. �._�. � ..T.._ <br /> �`- 9 <br /> Unit 6 <br /> t0. til <br /> Specific-Date-Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SrTE(LOP) ❑HOUSING AaATEMENT SOLID WAM FACIU7YNEHIcLS <br /> OTHETt CLEANUP SITE(NON4-Op) O FOOD FACILnY WASTE TIRE <br /> ;5UNDEROROUND TANK(MONITORINOIREMOVAL) ®Doo KENNEL )a-DAIRY <br /> WHAZARDOus wAm GENERATOR 0 CHICKEN RANCH -AMASTEWATER TREATMENT PLANT <br /> TIERED PERmriTEO FACILITY 0 MOTWHOTEL • ❑PUMPER TRUCKIYARD/CHEk1 ToiLm <br /> ®TATToolOoDY PIERCING 0 POOLISPA ❑LAND, SrPLICgTION SMS <br /> 17 MEDICAL WASTE FACRRY "(OTNER(PLEASE SPECtFY �')_ 14'a Q� 8cf ati'K. <br /> TIVELL AND S!Rm PEMN"T RECORDS ARE AVAILADLE FOR REVIEW- MONDAY-FRIDAY 8:00 AMS:00PM - EXOLUDINO 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 approprlate <br /> box(es). At least one file type MUST be selected. Fax 10.(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 if any EHD tiles 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 EHL?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 reorganized by EHb 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 /> -4., <br /> END 44-00 WiSQdMwob <br />