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09/29/2006 03:13 FAX 2 <br /> EHD;OG NUMBER <br /> E" ik C'E�V ED SAN JOAQUIN COUNTY <br /> ENVIRONNIENTAL HEALTH DEPARTMENT <br /> SEP 2 9 206 -104 1*:Ast VVeber std venue. .3'd Floor, Stockton, CA 95202-2708 <br /> el 1 1209)468-3 420 Fax: (209)464-013 8 Web: Nvww.Fjgov.k)r- hd, <br /> /e <br /> ENVIRONMENT HEALTRP 79 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> -C r r I BUSINESSIAGENCY: <br /> 1b,r i'V e <br /> ACSIMILE: 6A) <br /> 901- 3 5-'� 3 <br /> PHONE(21: <br /> Z <br /> .N,,-IENT-ATIV-r-'APPOINTMD <br /> ENT ATE: 4j Time: <br /> (Pleaseal!ow 19 business days from clate of application submittal-*Tcatafive only-mustbe ccnfirmed) <br /> fi '`IECK EIPEDiTE REQUEST-$35.00 FEQCASH OR WLCY)7)REQUEST PROCESSED IN 3 FU51NESF,DAYS <br /> �14-FIJ <br /> DATE <br /> ts'tror ms" Information, D List El Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> treat Name city <br /> ..................... <br /> Unit <br /> T o f <br /> .......... .................. <br /> 4 <br /> 3. <br /> -'-i-T <br /> 4, <br /> .. <br /> . ............. .......... ....... ............. <br /> d .......... <br /> 9t 4 <br /> TAC <br /> - <br /> ........... <br /> T 6 <br /> J <br /> unit 5 <br /> OCT - 3 2006 <br /> . <br /> J <br /> [<v-1) Units <br /> < <br /> . ........... <br /> 71 <br /> Rarge of Inforn-jalion Requested: From 4 <br /> to <br /> E N"%f!PON MENTAL HEALTH DEPARTMENT FILES <br /> e XjNoEPGRO,,N.')TANK(UST)CLEANUP SITE tLCIP'1' 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITY[VEHICLE <br /> L'/PTHERCLCAN'Ua-S;TE(INON-LOP' 0 FOOD FACILITY 0 WASTE TIRE <br /> TANK/MGN'!T13RING?fRE%'1fVi--! 0, DOG KENNEL 0 DAIRY <br /> 13 CHICKEN RANCH 0 WASTEWATER TREATMIEN-7,PLANY <br /> r-7 TiER=-D PERNFFIFE; FACI.-ii 1 0 MOTELIHOTEL 11 PUfOFIEFTR{JCK,YARf)iCHEM :-,i,.:-zTS <br /> 74 TATTOOIBODY PERCING 0 POOL/SPA El LAND USE APPLICATION-'-fTES <br /> 1:1 'MErICAL WASTE FACILIT-i 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTI^ APE AVAILABLE FOR REviEw- MONDAY-FR0AY 8-00 AM-5-.00Pm - EXCLUDING HOUDAY,3. <br /> aftaw <br /> .1 um to'Zerl adc;,r ace above. Select the type(s)of files from the list above by checking the appropriate <br /> • .CX'nfi'-es)' or, I pe MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> . :$oz, I rxe"tee'0 <br /> ',c pt fo,,,additional assistance with file addresses,contact the EHD. Applications recef ved of <br /> 3:61:)pro vof,prccessed the next busii.ess day. <br /> 2. The EHD will notify the applicant if any-E-HI)files exist. An appointment for review will be confirmed approNimately ten(1011 <br /> days after recelp. of application. The files will be held for a maximum of five business days for review. Appolintments <br /> s!'--fld be sch-aduicd accordingly. <br /> 3, A VIe that is actively being 4iorked on by EHO staff may not be immediately available for review. A new application May be <br /> ,,%lher-`i-ie fife is avallMNe. <br /> 4- An,"-fi"e n r turned in the same condition as released will be reorganized by EFID staff at the expense cif -n e applicant. <br /> T:U'v-ire file review-q k:y the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> ............... <br /> ----------- <br /> 2j�-j- <br />