Laserfiche WebLink
JUL/14/2010/WED 09: 14 AM Ter---= Consultants FAX No. 949-660-0"Q2 P. 0701/001 <br /> DATERECEIV✓=D SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> REUSyEo ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St.Stockton, CA 95202-3029 r� <br /> JUL 1 4 [010 Telephone: (209)468-3420 Fax: (209)4640138 Web:www.slgov.Org1e <br /> ENVIRUNRIENTHFaIT PUBLIC RECORDS RELEASE APPLICATION <br /> PER'f�175 RAN <br /> APPLICANT: U/ci IJ Jn/n�. BUSINESS/AGENCY; /2r/-RCQY) <br /> ADDRESS: /G(,6,X '77WIZIA-17'4 /7l!J�✓� CITY/STATERIP: //vi Q `,, <br /> PHONE(1): 9Y9•Ga0. 77/6 PHONE(2): FACSIMILE:yy`f- c4Go. 1 73,a. <br /> TENTAT/VF*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-•Tantarlve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$115 FEE(CASH OR CHECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / SAY.) DATE <br /> Electronic Information: List❑Ma De Iptlon. <br /> FILE ADDRESS EHO USE ONLY <br /> St eet# Street Name city zo UnI1 <br /> 1. V 7 R 9 Jrfct 1-0Nf ti°6/1d sroeMTd+� <br /> 2. -5A-01 - 24 <br /> z <br /> 3. <br /> 4. <br /> Unit 3 <br /> 5. <br /> 8' U111nit4 n\� <br /> 7. \ <br /> ❑Unit5 <br /> L190 <br /> Unit S <br /> Specific Date Range of Information Requested: From to <br /> �/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I7ClA1Nbrkekoumi TANK(UST)CLEANUP SITE(LOP) [I HOUSING A9ATEMENT SOLID WASTE FACILiTYNEHICLE <br /> "OTHER CLEANUP SITE(NON-LOP) E]FOOD FACILITY ❑WA6TETIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL [I DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPERTRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA LAND 2mofEXCLU <br /> PLICATION SITES <br /> MEDICAL WASTE FACILRY ROMER(PLEASE SPECIFY)C/1a!/q/ p/(,yE/// AfWELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am* DING 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 mall 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 H any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A filo 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 EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> S. If you need further assistance,please contact biane Martinez,at(209)46$-3425. <br /> EHD USE ONLY <br /> EHD 48-06 W70 <br />