Laserfiche WebLink
05/03/2006 11:34 <br />DATE RECEIVED <br />209-579-165 <br />MODESTO ATC <br />SAN JOAQVIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Moor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax; (209) 454.0138 Web: www.Sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />PAGE 02 <br />EHD LOG NU41SER <br />2351h <br />APPLICANT: I11�°°rr�1� y1 1 -6y BUSiNESSIAGENCT; Ai::b A <br />ADDRESS;. y I�M�—ry�Lat'ja- L-AL.M N,�-� Nec4S�G" -y. CSL J/fq <br />PHONE (1): ?&8 -!S'1 , 2M, 17;7 1 PHONE (2): FACSIMILE: Zol- <br />TENTATIVE* APPOINTMENT DATE: .5• I9, Q6 nm: R AAS _ <br />(Pleats allow 10 business days from data of application submittal - *Tsnfa/M only -must be ooldhmed) <br />CHECK BOX TO EXPE R�F�p�tt)E/$)Tr 193.00 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 aV3INE98 DANS <br />SIGNATURE OF APPLICANT Ala DATE !� 1 <br />Specific Date Range of Information Requostod: From nib -r- to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br />UNDERGRWND TANK(UST) CLEANUP SUE (LOP) <br />O HousNe AaAmmeia <br />IX.SaJDWAs E FACILITYNEHICLE <br />WON,■sem <br />® <br />e. <br />* NK <br />UNMMRM ND TA(M terDAING(RENNAL) <br />❑DOC KENNEL <br />E3 DAIRY <br />11 MAawN 5 WASTE GENERATOR <br />❑ CHICKEN RANCH <br />O WASTEWATER TREATMENT PLAHi <br />PsTiemo PERmTED FAcoury <br />0 MOTEL/Horet. <br />O PUMPER TNucKfYARGICHEM TOILET'S <br />O TATTOOBODY PIERCING <br />❑ POOOSPA <br />13 LAND USE APPLICATION SITES <br />19 MEDICAL WAaTY. FAciLrr r <br />❑ OTHER (PLaAsa Si E d <br />Specific Date Range of Information Requostod: From nib -r- to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br />UNDERGRWND TANK(UST) CLEANUP SUE (LOP) <br />O HousNe AaAmmeia <br />IX.SaJDWAs E FACILITYNEHICLE <br />OTHER CLEANUP SRE (NON -LOP) <br />❑ FOOD FACILITY <br />❑ wAsw TIRE <br />* NK <br />UNMMRM ND TA(M terDAING(RENNAL) <br />❑DOC KENNEL <br />E3 DAIRY <br />11 MAawN 5 WASTE GENERATOR <br />❑ CHICKEN RANCH <br />O WASTEWATER TREATMENT PLAHi <br />PsTiemo PERmTED FAcoury <br />0 MOTEL/Horet. <br />O PUMPER TNucKfYARGICHEM TOILET'S <br />O TATTOOBODY PIERCING <br />❑ POOOSPA <br />13 LAND USE APPLICATION SITES <br />19 MEDICAL WAaTY. FAciLrr r <br />❑ OTHER (PLaAsa Si E d <br />WELL AND SEPTIC PERaWT RecceDs ARE AVAILABLE FOR REVIEW - MONDAY-lizMAY e:eD AMS:DUPE - EXCLUDING 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 <br />appropriato box(es). At least one file type MUST be selected. Fax to (208) 464-0136 or maii to the address <br />indicated above. Address ranges will not be accepted -for additional assistance with fife addresses, con?act <br />the EHD. Applications received after 3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant if any EHD files exist. An appointmant for review will be confirmed <br />approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br />days for review. Appointments 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 now <br />application may be submitted when the file Is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br />END 4"IP <br />111"I <br />ruture me reviews Dy me same applicant may require a Su3.eu aeposn prior to review. <br />