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E002/002 <br /> { 09/2:4/2006 08:18 FAX • FHD'i_OG NUMBER <br /> SAN JOAQUIN COUNTY <br /> V ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 2 9 2006 'OAF Fast Weber Avenue, 3"' Floor, Stockton, CA 95202-2708 <br /> le;hone: (=J)) 168->i 0 Fax: (209)464-0138 Web: tcwwsjgov.ora <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT: 7�t?'Z:! ' - �(I�'IC BUSINESSIAGENCY; J. t-=- <br /> ON�(1):_ `� 1 7 'i 9U) Z. PHONE(Z- 33'1 /3Sr�5 LCzw+"ACSIMILE: <br /> �� C/�111 <br /> *,ITENTATItIE"APPOINTMENT ) <br /> TMENT DATE: Time: <br /> 4 (Please allow 10 business days from date of application submittal-"Tentative only-must be Confirmed) <br /> i <br /> C�ItECi<BCX?O EXPEDITE REQUEST-$95.00 F (CASH OR C ECK REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> /� DATE <br /> ';'�?,Ti4Ri GI=�:P,=LICANT ---� ' -- <br /> �E'te t uric irfarmation• ❑ L'st LJ Map—Description: <br /> FIL* ADDRESS EHD USE ONLY <br /> ;a- ^re I Nar:e _ .. city ❑ Unit 1 <br /> rUnit <br /> r11r .------ -r/'a,L\�...... Unit; <br /> -- _ <br /> 4. <br /> 7 ✓ <br /> 7 ... 11 .... T <br /> ('RL a Un¢o <br /> ^ t f 1 .. Y U I✓ l N i 4L c.y OCT <br /> N <br /> ,/ <br /> tea. ` <br /> Spec fbc Date Range of Information Requested: From 4 11 r4 L1y I)4 t C 'ef`0r di to <br /> I�. ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,,(NOE"ROUND TANK(UST)CLEANUP SITE(LOP) CI HOUSING ABATEMENT 13 SOLID WASTE FACILITY(VEHICLE <br /> LN/to THER CLEANUP SITE(NON-LOP) FJ FOOD FACILITY 0WASTE TIRE <br /> M uncERcRoutio C DOG KENNEL ❑ DAIRY <br /> uF�• T F RAT�R ❑CHICKEN RANCH C WASTEWATER TREAT77Et;'PL,=.t., <br /> r-STI ftDp6s&ll lr 'I ," ❑ M1oTEUHOTEL ❑PUMPER TRUCK;YARDICH£MTOIL-,S <br /> C TATTUOIBODY„ '.' A C POOLISPA C3 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE r aLC OTHER(PLEASE SPECIFY) --- <br /> VlE�L AROSE - ip,2 AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAY �s ANEW <br /> kel <br /> 1 Lis'.up D,en add;c space alcove. Select the types?of files from the list above by checking the appropriate <br /> eoa(es). r,.least o e.;pe MUST ba selected. ax to(209)464 0136 or mail to the address indicated above. Address <br /> ;ar: es wi,i;Toff b. 'ace.euted-for additional assistance with file addresses,contact the EHD. Appllcat:ons recewed otic. <br /> 3:00 pm wog he prccessed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> sl -uld be scheduled accordingly. <br /> 3. A (e that is activeiy being worked on by EMD staff may not be immediately available fov review. A new application may be <br /> f= <br /> ,;ub�i¢ted �jhen tale file is available. <br /> 4. >,ny fi:e not returner) in the same condition as released will be reorganized by EHu staff atthe 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 /> •.END 9A 5!'eiJ i�iC5 <br />