Laserfiche WebLink
HUE 16 07 11 : 37a Ma Tyree Herbert (925) <br /> -3738 P. 1 <br /> D <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �T� ENVIRONMENTAL HEALTH DEPARTME <br /> Aljr j $ 200? <br /> Telepho600 ne:(209)468-3420 0 Fax:Main Street, <br /> 09)464-Ot8 Web;CA www.sjgov.o <br /> pVIUlr� T PUBLIC RECORDS RELEASE AppLICATION <br /> Arm lc� ECl/ItR n A H E 2F3 F_ I <br /> BUSINESS/AGENCY: VIJ&R. <br /> ADDRESS: I S W. P I rl E ST-. SrE. 8' LD91 �5Z-�f-o <br /> PHONE(1): Ci ZS) PHONE rn�: -FACSIMILE; -3 <br /> TENTATIVE'APPOW MEN // <br /> T DATE: 0- ?J I —O loox,-) <br /> (Please mine,10 business days from daEP of app6calien _cuhminal.•Tanfablw only mutt ba DDngtmwq <br /> Q CHECK BOX TO EXPEDITE REQUEST.42f 00 FEE(CASH OR CHECK ONL - EOUEST PROCESSED IN 3 RUSMESS DAYS <br /> SIGNATURE OF ApPLIOgM �^ Q'�— <br /> �— DATE 0-7 <br /> Electronic Information: ❑List❑Map-Description: <br /> Strom <br /> FILE ADDRESS EHD USE ONLY <br /> 1 street Nana <br /> � <br /> 2040 W. YV0.Shi Ior city ❑ Unit, <br /> 2 <br /> D 1 St. StcGk+o✓t w" WAsk i }on St S{vcl��cvt 0-41 Unit z <br /> a. ryas h: AA-C,r.\ <br /> 4.yZ210lW. WOLsk, +ov, St. Stoe- Unita <br /> s' Z305- W• INa.skii.l n St_ Stock} i <br /> \ k�v 6. 2321 W. YJaslt_ -1-0^ sr. Stocki-on Unit <br /> \j 2 25210 W_ washiFo 1 Sr. <br /> St- <br /> -vv. <br /> fiW. W0.s4rirt +on St. Stockto ❑ untts <br /> 9. 2100 w:....wQ.S k, �brT S}-. `J'I'-OG.k{-pt'1 <br /> !� �„� 10. 'z."� I'( w. W0.51-ti -�'D✓) Sr. 5'�"6L{��-on Unit6 <br /> Specific Date Range of Information Requeatod:From 4-11 Cj a iO, 5 <br /> to <br /> L-0t/n'J" <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �qUNOammuD TANK(UST)CLEANUP SITE(LopI O ttoUSING AOATENEM <br /> /-OTHER CLEANUP SMC.(NON{op) perp WASTE FACRnYNEHME <br /> �UROMORDIPM TAW(MONRORiNwR EoN yAL) 11 E3 Doc ry WASTE TRE <br /> ,0 HAZARDDDa WASTE GENERATOR O QIIc K KENNaRA" <br /> DAIRY <br /> .tea-'TIEFEO PERMfT1EO FACKIIT 0MOTEUHOTEL /WASTEWATER TREATMENT PLANT <br /> /-+TArTOO/BODY PERCdc ElPOOUSPA /"PUMPER TRUCHIYARDtCMEM TOILETS <br /> ,P-MEDIMWASTEFAGLITV ❑OTHER(PLEASE SPEQF'!) 0 LAND USE APPLIOATnNSITT:B <br /> WELL aND SEPTIC PERMIT ttEcoma ARE AVAILADLE PORREv1EW - MDNDAY.FRWAYa:bt AN3:aaPM - ExCLIroMa HOLIDAYa. <br /> 1• List up to late addresses In the MUST above. Select the types)of files from the list above by checking the appropriate <br /> ranges). At bast one flit type MUST ha nal aced, pax to t2A9)464-0138 ar mail to fho adtlrxs fnd <br /> 3:00 P wHl not be accepted-for rt buss additional adaistanee wdh fila addressee T:pnt-jC(the EtID. IWtCtl above Address <br /> 3:Da pm will be processed the rrext business day. APPllcatlorls tecenred ager <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for reviaw Will be conRrmed approximately ten( <br /> 10) <br /> should be scheduled accordingly. <br /> days after receipt application. The fifes willbe hold for a maximum of five business days for review. Appofptments <br /> 3. A file that Is actively being wev*od on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the filo Is available. <br /> 4. Any file not ntumed in the same condition Its released will be reorganized by EHD staff at the expanaa of the applicant. <br /> Future file reviews by the tame applicant may require a$95.00 deposit prior to review. <br /> END USE ONLY <br /> Eno'IOaT vwtaor <br />