Laserfiche WebLink
From:NARCUS H. BOLE AND ASSO•ES 530+633+0119 06/2007 13:52 9444 P.001 <br /> ' ,l <br /> 08/24/2006 12:21 4640138 ENVIRONMENTAL HEALTH <br /> JL sa „� 2607 SA.N,TOA PAS 01 <br /> IiFA ItNV1RONM�NTALHEALTIibEPAR1NIENT <br /> 1i4 Bast Weber Avenue,3n°Floor,St ektoa,CA 95202-2708 <br /> Tetaphonet(209)468-3420 Fan(209)464.0138 Web:www.Sjgov.otp/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: e <br /> AbORESS• nUS(NESSIAGENCY: <br /> CRY /jGr/ <br /> PHONE(1k STAT sS•TO G,�? —Q/i 7 PHONE(7k :•f0/�X <br /> �" �acslMtLE <br /> E' <br /> TENTATIVAPpoiNTMENT DATE:}met e a91..a.�_ 1 Time: <br /> (PleaseaeowlOhusMessdeye,rommkorappixaaon+�4dlldfi.•TenfaNreonly-must beconfllmed) <br /> nL CHECK SOX To EXPEDITE REQUEST•t?-';00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED n ir BUSINESS bAYa <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic <br /> Information D List 0 Map•Deco" <br /> PILE ADDRESS <br /> Street a Street Name q4, EHD USE ONLY <br /> 1. <br /> 2• ❑ Unit 1 <br /> 3. <br /> 4. O Unit 2 <br /> 5. <br /> s. i Unit 3 )7 <br /> ' -Unit 4 <br /> 9• O Unit 5 <br /> 'D Unit 6 3 <br /> Specific Date Rango Of Information Requested:From to I <br /> � <br /> � � ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> PP-11 ROROUNCTAW(UST)11Eum$at(L.op) G Houma ABATEMENT OSOUDwAlTE FActnTNdlaE I <br /> Y (NON10P) O FOOD FACCITY O WASTE TIRE <br /> INDEROROM TAKK(MftTT WA;Z=VAL) a bop roarti. 0 VARY <br /> B�HAZARDOUS WASTE 0MRATOR ❑CHICNFM rUNCH O WASTEWATERTREATNENT PLANT <br /> 11 TIERED PERMnTEo FACLLrrr - aMOTWHOTFA 0 PUIMATRU09YARNOWNIICALTOa.ETS <br /> M TATTo0fEoev PIFRCMo r]POMMPA tT LAHO USE APPLICATION SITES <br /> O MEDICN.WASTE FACILMY A Olm(PLEASE SPCCrY) . <br /> WEU ANP SEPTIC PEwim RECORDS AAMAVAILABLE Port REMW-MONDAY-FRDAYe:00 AM-6:ooPa . JL=V QHaLoAY& <br /> S• List up to ten addresses In the space above. Select the type(s)of files from the list above by chocking the <br /> appropriate boX(eS). At least one file type MUST be selected, fax to(2091464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received ager 3:00 pm Will be processed the next business day. <br /> 2. The EHD will notify the applicant U any EHD files exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held fora 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 new <br /> application may be submitted when the file is available. <br /> 4. Any file hot returned in the tame condition as released Will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> l <br /> ki <br /> 1� <br /> EIID HAt ,.i <br /> 1on1l3�1 <br />