Laserfiche WebLink
1 <br /> Jan 03 05 10: 03a _ �Ibert Nicholson 9#714-3073 P. 2 <br /> EHD LOG NUMBER <br /> DTE RECEIVED SAN JOAQUIN COUNTY <br /> �' '-' <br /> ��vED ENVIRONMENTAL HEALTH DE,CA 95205 I �� <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> Z0Q509) 8-3420 Far: (209)464-0138 Web: wxv-w.co.san-joaqtlin-ca-us/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Bob NicholsonBUSINESS/AGENCY: RNC Environmental <br /> APPLICANT: <br /> 9746 Parktree Way,Elk Grove.CA 95624 <br /> ADDRESS: 91(x290.01(16 <br /> PHONE: 916-714-3073 FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE <br /> Time: ti <br /> (please allow 10 business days from date of application submittal) <br /> CHECK BOX TO EXPEDITE REQUEST $93.00 FEB-REQUEST PROCESSED�y RobeBUSINESS DAYS <br /> .Wd <br /> a—n&-Z4^- Can:soos.o,.osm:+csr-WW DATE <br /> SIGNATURE OF APPLICANT Depadment Use Only <br /> UNIT <br /> FILE ADDRESS <br /> t �„t 1220 East Pine owLodi ❑ Unit 1 <br /> a srvee, 1240 E Pine St - Lodi ,f <br /> a_ s, 213 South Kelly Street c Lodi �Unit2 1`\\ <br /> a q„« 1220 Victor Rd C Lod, <br /> s SeeBl u <br /> Lodi Unit 3 <br /> 32 N Clff <br /> 1005 Cluff Ave Lodi <br /> s. snee, Lodi 1$1hr� 'J IJ Unit 4 <br /> 200 S.Becka,ar, C <br /> C Lodi ok) <br /> e. sueae 9021ndus[rial ❑ Unit <br /> 9. Sl�cet <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES J <br /> SOLID WASTE FACILITY <br /> UNDERGROUND TANK(USI)CLEANUP SITE(LOP) FOOD FACILITY ABATEMENT SOLID WASTE VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) DOG KENNEL DAIRY <br /> UNDERGROUND TANK(MONITORINGfREMOVAL) CHICKEN RANCH PKG TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR MOTELIHOTEL PUMPERTRUCKIYAROfCHEM TOILETS <br /> X TIERED PERMITTED FACILITY POOLISPA LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING OTHER(PLEASE SPECIFY) <br /> MEDICAL WASTE FACILITY <br /> List up to ten addresses In the space above. Select the type(S)of files from the list above by checking <br /> the appropriate box(es). At leastone file type MUST be selected. Fax to 121484-0138 or mail bo the <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointment for review will beconfirmed The files <br /> approximately five business days but no later than <br /> an ten(10)days after receipthou d of aPP i scheduled <br /> will be held for a maximum of five business days for review. Appointments <br /> accordingly. <br /> 3 A file that is ac0vely being worked on by EHD staff may not be immediately available for review. new <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 5, <br /> *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 8. Applications received after 3:00 pm will be processed the next business day. <br /> EDATECONFIRMED <br /> ED APPOINTMENT DATE TIME <br /> PHONE FAX INITIALS <br /> YES NO REVIEW DATE <br /> Dmns 2v <br /> arenooa <br />