Laserfiche WebLink
07/16/2608 13:31 2094G,09 ENVTRONMENTAL HGOH PAGE 61/04 <br />DATE RECEIVED <br />. 0 0 Q. <br />JUi_ � (i� (, LIJ <br />k SAN JOAQMN COUN'T'Y <br />ENTVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Strect, Stockton, CA 95202-270$ <br />Telephone: (209) 468-3420 Fac: (209) 464-01.38 Web: www.sjgov.oxa/ <br />PUBLIC RECORDS ftLLEASE APPLICA,MN <br />APPLICANT; V I , S t n 1^tiA,, _ _ BUSINESSiAGENCY; <br />AJ)DRESS: 'vr C 7 c itril u+ q �o <br />PHONE (1): 2*1 '?-1 Z 7 0 © '7 PHONE (2): <br />EHD LOG NUMBER <br />787 <br />FACSIMILE: <br />TENTATIVE" APPOINTMENT DATE: Time: <br />(Please allow 10 businoss days from data of appllcatlon submittal-"Tentat" Only - mu4t bE canflrMed) <br />10 CHECK 13OX TO exp1=pITE REQUEST-sqs-oo FEE (CASH OR CHECK ONLY) -REQUEST FROGESSER INS CUSINESS DAYS <br />SIGNATURE OF APPLICANT �� cl1 DATE 6,71 612.00% <br />Electronic Information: List ❑ Map -Description: _ g4h -6% KS T P STIREE T _OVEVIL." A9 <br />FILE ADDRESS <br />EHD USE ONLY <br />Strad N <br />9lrOct Name <br />t;ity <br />5 <br />❑ Unit 1 <br />'- <br />1. <br />3 3 <br />A I R Pa R --r kr <br />2- <br />- 190 f-bT W A-'' j <br />s bcx hm <br />-2_q\5_0 0 Unit 2 <br />3. <br />6 2. <br />._ �tAP � u' <br />Unit 3 <br />4. <br />7. <br />nit.4 <br />© unit 8 <br />8. <br />z <br />_p, ( R- ra f2_1 <br />9. <br />3 2- 12- <br />Al 1Z- i?D [ W <br />Ll Unfit 6 <br />10, <br />61 6,Al <br />I- le e 12, 1 W <br />Spacifie bat® Rang* of Information Raquested: From �,y � 9100$ _ to <br />�e ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />�I UNDGRGROUND TANK (US71 CLCANUP SITE (LOP) 0 Housma ARATEMaNT 11 Soop WASTE rAvLrry1VENIGL6 <br />OTHER CLEANUP srm (NoN-LOF) ❑ FOOD FACILITY 0 WASTE TIRE <br />UNDERGROUND TANK (M0NrtM1N0JRRMQVAL) 0 DDG KgNNEL DAIRY <br />HALARDOUS WASTP GENERATOR ❑ CHICKEN RANCH C1 WASTL+WATCRTREATMFN't PLANT <br />IETIERED PF.Rmn MD F=ACILITY C1 MOTELIHOT�L 11 PUMPER TRUCKIYARDICHEM TOILETS <br />11 TATTQQ180DY PIERCING a POWSPA M LANE) USE APPLICATTON SITES <br />0 MEDICAL WA&TE FACILITY © OTHRR (PLEASE Specdar)_ WELL AND SCPTIC PRRMIT RECORDS ARB AVAILAOL@ FOR REvmw - MONOAY-FRIDAY $,00 Air-3:00pM - Exc4UDING Hot,(t4AYS, <br />1. List up to ten addresses In the space above, Select the typo(z) of files from the list above by ahOOking the approprlate <br />box(es), At least one flia type MUST be selected. f gx to (209) 464 36 or maul to tht' address indicated above Address <br />ranges will not be aaaepted - for additional assistance with file addresses, contact the ERD. 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 files exist An appoiritmant for review will be confirmed approximately ten (10) <br />days after mcelpt of application. The files will be held for a tnaxirnum 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. Anew appiication maybe <br />submitted when the file 14 evailable, <br />4. Any file not returned In the Same Condition as released will bA reorganized by EHD staff at the expense of the Anlicant. <br />Futurt file reviews by the same applicant may require a $98,00 deposit prior to review. <br />FHD USE ONLY <br />* * If You should need further ossistance pleose, cantoct oiarle Martina a (209)468.34z5 directly. Thank You*"* <br />ez:; ' <br />