Laserfiche WebLink
04/24/2007 08:56 5302445021 LAWRENCE ASSOCIATPS PAGE 01 <br /> -A <br /> PATE RECEIVED_, MGNUMBER <br /> SAN JOAQU.IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a ' 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sj$ov.org/ ..d <br /> PUBLIC RECORDS RELEASE APPLXCATIO1V <br /> APPLICANT: USiNES AGENCY: <br /> ADDRESS:_�W2'00 t flxdr e#- f d l <br /> PHONE(1): PHONE(2): -_--_— NACSINiILE- q`f-50 2-i <br /> TENTATIVE*APPOINTMENT MATE: J� e:Ar�s1J�i�e Cl 4'LL. - <br /> (Please allow 10 business days from date of appl canon subW. UEST <br /> 1 Ust he�ronflrlttetl) <br /> CHECK BOX TO EXPEDITE REQ ST-$95. CASH O N PROCESSED IN 3 BUSINESS DAYS ".,Tabid. <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ Lis Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Sbeet Name City ftyr,b s ❑ Unit t <br /> 1• r0y .. <br /> 2. n. a s e i K ,p('S Un(t 2 <br /> �g Unit 3 <br /> to, 6. a us( unit <br /> 8, a ❑ unit S <br /> V .9- <br /> Unit 6 <br /> Specific pate Range of Infoimation Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP STrE(LOP) 0 HOUSING ABATEMENT ;eI�rou <br /> So WASTE FACIUrYNEHICLE <br /> / OTHER CLEANUP SITE(NON^LOP) 13 FOOD FAc L1TY r WAsTe TIRE <br /> 'X'UNDRROROUNO TANK(NONITORINWREMOVAL) C3 Doo KENNEL )3-DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH Z'1lVASTEWATER TREATMENT PLANT <br /> TIERED PERmmm FACILITY 0 MOTEUHOTEL ♦ 0 PUMPER TRUCWYARDICHEM TOILETS <br /> C3 TATTDolSoDY PIERaNG 0 POOLISPA e 0 LAND I I SE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY Z oTNrR(PLEASE SPrc1M 7'e- of- <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUiNNO 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 appropriate <br /> box(es). At least one Ale type MUST be selected. Fax toR08)4840138 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 K 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 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 EHO 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 /> EHO USE ONLY <br /> L6 r tS�d-i 'oeG -moi <br /> EHD"46 01131 "t3 <br />