Laserfiche WebLink
12/15/2005 16:57 209825"°54 KPNIJJAR PAGE 01 <br /> i <br /> 464018 ENVIRONMENTAL HEA .ori PAGE 02 <br /> L� SAN JoAQUIN COUN7f`'x 01' <br /> utu 2005 1ENVM WT fAL HEALTH DEPARTMENT <br /> 3U4 East Weber Avenue,3fd Flmr,Stockton,CA 95202-27083q <br /> ENVIRONMENT HEALTNephun .(209)469.3420Fax: (209)464-0138 Web:www.3jgay.dr 1ebd <br /> PERMITI/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> n"UCANT: <br /> /RA�v ,,t � =taEtwr ow0Y: fdY ' 0 *3aC1.4r6J <br /> ADDRESS: / �i.?/G4d q1Y !C441 STATE—L� <br /> pN�t1): d 9 d'I�- 3 I:>ia1 n> FACSOMLE: 02 <br /> TENTATIVE'APPOINTMENTOATE: /� / Tana: a:°o OM <br /> (per albw 10 tKts m"d2"from date of 1006cm a bat •"T9tKsm anty-invit ba gwffinuom <br /> GiiECK Box TD t Yt d7E REQU - I! ( H OR CxFOK awn.hEOMM Pg=SSED IN <br /> s<IitJB��� <br /> SIGNATURE OF APPLICANT _ � l DATE <br /> Eteetronta � t� ra tkap-p�� <br /> i�fo�atlon <br /> FILE ADDRESS C+'hr EHD USE ONLY <br /> st+aet9 st�tHome sTo Tart ❑ Unit 1 Pr <br /> z ❑ Unit 2 7 <br /> a. t <br /> a. OK,Unit,3 <br /> s' ,, � . <br /> 7• O t;Unit 5 <br /> 9• ❑ .Unit 6 <br /> o. <br /> /a/aoa !i <br /> Specific Data Rangy of Information Requoet9d:From ifiwar/wI Ptc to <br /> ENVIRONMENTAL HEALTH IMPARTMENT FILES <br /> �tktpRRatovHDTuac(U3T)t'.LEAHUPSITE(tDP) GHOMMABATMENT GSWDWASTEFA�G <br /> WASTflTIF4E <br /> 0 GnW( AMM MM(14011414-0P)(14011414-0P) 0--oP) 1D FaCn paauTr <br /> URDERoaovMD TANK(MMMjgtKGftWYAL) 13 Doo KENNEL Dasarr <br /> D l flQ it1tEAlUAT <br /> KUMD0ua WAt%QgN0MT0R P G N RANCK PUtjPFRTUUCslMffAAL <br /> fa--ft <br /> d TnrEPEAaIrEa FAcnm MQRJHCE <br /> p FQOVBPA 0 LW tied APPUCArM SMS <br /> ❑TAsr0011300YPIRROINo Q OWWk(PLEASE SPE <br /> GIF'f) <br /> a MFwALI1I u=FAc411Tr <br /> VF LAAS s rmc PvwKrr Red6RD'S ARC AYA�ASL6"M Rr4"r IYI4IVAAY^F�RAY G:D411ih�:00Pwn • I xc:.e by cher: i <br /> 1. list up to tan addressee in the 3paca abovo. Sel�st The types)of files Erorrl the list above by CIIeGlcitll!?the <br /> ddmM <br /> appropriate box(es). At least one file large MUS be selected. F to 249 454-0 38 or W to the' es <br /> IndAddress ranges will not be acceptea—tor addttivnal assiatanae with file aalc#resses,contact' b <br /> the EHD.Applications recelved after 3:40 pm colli be processed the next business day. <br /> Z. The EHD well ncty the sppGcant it atTr�D ltlCatian, The filedWig ebefor <br /> held or a ew mxl�utftbe ;o Rve buq�inesv <br /> approximately ten(10)days after recelpt of app <br /> days for rwiew, Appolotmef is should be 5chedeled aocor milli. <br /> 3. A fila Hiatt Is$19:1ti-14y Oeing worked on by EHD Staff may t Qt Ile lmntediataly Available for review. A new <br /> appticatlon M&y ba+submitted when the fila is available. <br /> a. ppilea+tL Future fllaile hot returned rrovIvAm by the same apphe soma condMon as licant maleased yirequir*$93 00 de an[zed paoltpf rr to reAew.VOn"Of the <br /> �p <br /> 9iQ fiOi <br /> 4CR1dOQ! <br />