Laserfiche WebLink
OCT-2140 WED 11 .33 AN 06ERS INTERNATIONAL FAX NO, 20 55102 P. 01/01 <br /> `, 10/20(2069 15:44 20946'a E=NVIRONMENTAL HEA PAGE 01/07. <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL,HEALTH DEPARTMENT <br /> UCT 2 j 2009 600 East Main St. Stockton, CA 85202-2708 <br /> Telephone: (208)458-3420 Fax: (208)464-0138 Web: www,sjgoy.org/eh <br /> ENVIRONMENT R 1ICL_ PUBLIC RECORDS RELEASE APPLICATION <br /> PERM <br /> j �1F <br /> APPLICANT: T L¢. _ ISN'(\�V -R 4) I BUSINL'SSIAGENCY: ��LI<4-Ln <br /> ADDRESS: $4139 ?roek3"ol2 fl,o-wt 108 C"ISTATEIZIP:_5dbc)c4 e,4 <br /> PHONE(1)1 709. 475 —:S�d l L _ PHONE (2)o FACSIMILE: -201- 4/715 - 51D <br /> TENTATIVE"APPOINTMENT DATE: daTime: <br /> (Pieaeo allow 10 buslneee data m most <br /> be con rm ) <br /> ❑CHECK BOX TO EXPEDITE REQUEST•$115,00 FEESGSH OR CHECK ONLY)_REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /- ---� DATE /0 1P <br /> Eiectroni0 Infvmtation: ❑ LM❑WP—Descrlptlon: <br /> , <br /> FILE ADMESS EHD USE NLY <br /> bfraat 0 Street Non* City1 � ❑Unit 1 <br /> 2• last r tslaf e. 1 7 '` t 3-kaki-wi <br /> nk 2 \o <br /> 3. <br /> 4. <br /> unn a <br /> 5. <br /> 0. <br /> 10. <br /> Unit e <br /> specific Date Range of Information Requabod: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HGusiNG ABATeum ❑SOLID WASTE FACILTYNo"imir <br /> OTHER CLEANUP SITR(NaN-LOP) FOOD PACH.m ❑WASTE TIRE <br /> UNDERGROUND TANK(MONRORIN01MMO)VAL) []DOD KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR 8 CHICKEN RANCH WASMAIATIR TREAWNT PLANT <br /> ❑TIERED PERMITTED FACILITY MOTELIHOTEL PUMPER TRUCKIYAROIRHwAL TOE,ETS <br /> 8 TATTDOIBODY PIERCINGnp+�POWSPA LAND USE APPL1cATioN Saks <br /> MEDICALWASTEFACILRY U OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC Piinmr RECORDS ARE PNAILADLk FOR RaviFw MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. (les t un to ten addrease,�In the space ebgve. Soleet the typa(s)of files fram the list above by ohodking the appropdate <br /> box(os). At leaot one file type MUST be naieotod. Fax to 12 46 <br /> ,0914 0133 of mail to a ddro0p Indic r d above Address <br /> ranges wig not be accepted—for additional assistance with file addressee,Contact the END. AppllcRtlona roalVed after <br /> 3:00 pm will be proceasod the next business day. <br /> 2. The EHD will notify the applicant If any E HD ff[on exist. An appointment for ravlew wfll be confirmed approximately tan(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appol"ants <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EMD staff may not be immedintaly available for revlow. A new application may be <br /> eubmlttod when the Nle Is avaliablo. <br /> 4. Any file not returned In the some condition as released will ba reorganized by EHD staff atthe expanse of the Applicant. <br /> Future file reviews by the AAM6 applloant may require a$115.00 deposit prior to review, <br /> 'r!f au need further assistance I7!M= <br /> *"' <br />