Laserfiche WebLink
09/25/2007 08:51 FAX 5307585972 FEDEX KINKO'S DAUIS Z002/003 <br /> `/ <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telepbone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.o jhd (113 <br /> { <br /> PUBLIC RECORDS RELEASE APPLICATION L <br /> APPLICANT: 0/N rl t\rj/ W PS I e-y'f` B <br /> �}USINESS/AGENCY: <br /> ADDRESS: �1(d YLl f C(\ lL� HUt- ��.UJ�s� C A <br /> PHONE 5yC7 ) 7S –8 �3 PHONE(2): 902-063-2 _FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirm <br /> CHECK BOX TO EXPEDITER QUEST•$98.00 FEE(CAS HECK ONLY)-REQUEST PROCESSED IN 3 A <br /> NATURE OF APPLICANT _ �n DATE _ Z <br /> e <br /> 3.. <br /> Electronic Information: ❑ List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> LStreet 9 Street Name City ❑ Unit 1 <br /> 170 ofrr,,s�rona Rd 1_o d <br /> 2. 7, 0 N De r. 'O1 I-od AVO P, <br /> 3 <br /> z65 N.Tb 0 r n on FqazA <br /> —z46 1_od i F " p ,/ ❑ Unit 3 <br /> 4.1 + W. Saf fin�f�0a�.--� <br /> 5 / ! �1 � .i C-re—r„_2 v fo �_ Cori�(.� ,5>Q- <br /> ❑ Unit 4 <br /> 6 x(p q 1 p 2;r '5+ c ns fZd Loctz /VO 6 <br /> 1 / ',1 <br /> 7• Sd 1--.0A Q ❑ Unit 5 <br /> 9., 12,11 L.0 <br /> UtE�d' �rQ no•� / l-O G) t fYj S_ 7 '/ Elunit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 12 HOUSING ABATEMENT 13 SOLID WASTE FACI <br /> OTHER CLEANUP SITE(NON-LOP) n F000 FA ILITY ❑WASTE TIRE k._ <br /> UNDERGROUND TANK(MONITORING 0 D K EL ❑DAIRY <br /> 13 HAZARDOUS WASTE GENERATOR NCH n WASTEWATER TREFINTLANT <br /> ❑TIERED PERMITTED FACILITY EL PUMPER TRUC K/YARD/CHEM TOILETS <br /> 0 TATTOO/BO BY PIERCING PA LAND Usr APPLICATION SITES <br /> MEDICAL WASTE FACILITY THER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT O A AVAILABLE FOR REVIEW - MONDAY-FRIDAY H:00 AM-S:OOPM - 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 recetptof-app ication.-The files will-be held for ama imirtt-of five business days for review. Appointments <br /> _---sb,puld beSGheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew application aybe <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END 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 /> EHD 4846 WEs S 2oo7 <br />