Laserfiche WebLink
._x._09/17/2008 16:07 9165642722 KRAZAN PAGE 02/02 <br /> EHU LOU NUMBER <br /> 1JFV E_ SAN JOAQUIN COUNTY <br /> ENVIRON)IIE4NTAI,.[J.F/�,),')'[-I DI PAR. TMENT <br /> East Main Street, Stoc - <br /> T� Telephone; (209)468-3420 Fax: (209) 464-013,9 Web: tvrvw.sjgov.org/ehd& Icon, CA.952022708 <br /> I g/chd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESS/AGENCY,- <br /> ADDRESS- a�zwltl /,q <br /> PHONE(1): /V/ ge'�,Z/ 2,?1:70 PHONE(2); F/,/ FACSIMILE; YK <br /> TENTATIVE*APPOINTMENT DATE- Tlme: <br /> (Please allow 10 business days from date ofapplicatlon submittal-'Tentativa only-must be confirmed) <br /> ,<CHECK BOX TO EXPEDITE REQUEST- (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 SU NESSDAY$ <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic: Information: E] List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Nimo City EJ Unit I <br /> Z <br /> 0 Unit 2 <br /> L <br /> W'unit 3,* <br /> —4--> I �a <br /> 5. <br /> WUnit 4 <br /> 6. <br /> 7. <br /> El Unit 5 <br /> 8. <br /> 9. <br /> V0'Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to to 10 <br /> ENVIRONMENTAL HEALTIi DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 71 HOUSING A13ATEMENTOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 4�11SASTE TIRE <br /> 7 fb, <br /> UNorRoRouND TANK(MONITQRING1RFM0VAL)9,_ 0 DOG KENNEL LI DAIRY <br /> AZARDOUS WASTE GENERATOR)(- 17- CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> IERIHD PERMITTED FA(;ILITYV- 1:3 MOTEL/HOTELPUMPER TRUCK/YARIVCHEM TOILETS <br /> 171 TATTOO/BODY PIERCING M POOLI$PA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELL,AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REvirw - MONDAY-FRIDAY 8:00 AM-5:00PM - 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 appropriate <br /> box(es). At least one file type MUST be selected, Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD-Applications received after <br /> 3:00 pm will be processed 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 files will be held for a maximum of five business days for review. Appointments <br /> 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 application may be <br /> submitted when the file is available. <br /> 4, Any file not returned In the same condition as released will be reorganized by EI-10 staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review, <br /> EHD USE ONLY <br /> If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly, Thank You'" <br /> 61p, �,- L41 V0-16&Y&nL17 iA ice5 <br /> F , kvha JVQ 17- - ZYqq k&MLykzi ©1 Z. <br /> Upahp i n <br /> EHOMI-06 91111,2p" V <br />