Laserfiche WebLink
01/09/2008 15:01 209334 „1 WGR SOUTHWEST N�- PAGE 01/01 <br /> DATE RE£ Y�r0 ���. r;—, <br /> ti 's �I ���I 'I I EHD LOG NUM13ER <br /> L�;�, �,' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AN I 0 2508 600 East Main Strect, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.or <br /> ENVIP)GNt INI HLALIN Z 7 <br /> v 9i�1, SEPVKE.1 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:ry� S-H 06.(4A --BUSINESS/AGENCY:_C,J Gr- "v-L T H J <br /> ADDRESS:.?I c� i I�'Fi 5 I Kee 1♦ SU I���D� � <br /> PHONE(t): `I PHONE(Z):_34Q & (e (o FACSIMIL F_;7(lci .7 j C( <br /> TENTATIVE*APPOINTMENT DATE: P--5- Zoo� � - <br /> (Please Allow 10 business days from date Of It <br /> submldel-" Time:� AM <br /> PP Ten,ative only-mustbeconflrmed) <br /> CHECK BOX TO EXPEDITE REQU 5T-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINES <br /> SIGNATURE OF APPLICANDAYS <br /> T DATE / p <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS �i <br /> Streete Street Name GRY EHD USE ON <br /> 1. 515 Y <br /> a I : c- of <br /> au 1vg� c..kt-rYrl � � unit <br /> U 35175 CivL .'SmFlwalJ : c5(r1) <br /> � n z <br /> 4, atb W F Sh 3 lug Unit <br /> 5. �N V D Lre <br /> \\1�� 6, 01F PI \ <br /> 7. Unit l\ <br /> N 8' ❑ Unit 5 <br /> 9. <br /> 110. Units <br /> Specific Data Range of Informatlon Requested:From ./-,k Lt' <br /> to <br /> ,,,�/r/� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE LOP ❑ <br /> �TNER CLEANUP SrTE(NON-LOP) ( ) HOU91NG g0pTEMENT T£pUD WASTE FACLLnYNEHICLE ` J} <br /> UNDERGROUND TANK(MONRORINO/REMovAL)V 13FOOb FACILTIY WASTE TIRE <br /> HAZARDOUS WASTE GENERATOR✓ DOG KENNEL 13 DAIRY <br /> ❑TIERED PERL9TTEO FACILITY t7 CHICKEN RANCH O WASTEWATCRTREATMEN7 PLANT <br /> 1• <br /> 17 TATTpo/DODY PIERCINp ❑MOTEL/HOTEL ❑PUMPERTRUCKIYARb/CHEMTOILETS 7 <br /> O MEDICAL WASTE FACILITY ❑PCOUSPA ❑LAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS AREAVAILARLE EOR RevIEW - <br /> 7, e MONDAY-FRIpgY 9:00 AMS:009M - EXCLUDING HpLlbgyg, <br /> List up to ten addresses In the space above. Select th <br /> box(es). At least one file a tYPe(s)of files from the list above by checking the appropriate <br /> Itheadd <br /> ranges will not be accepte�d�--forla dlbtlpnall ass Mt Ace wlthOfle addresses,contact the EHD.p—!ioiciged <br /> ns received after <br /> css <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 Ries will be held for R maximum of five business days for revppintments <br /> iew. Ao <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 EHD <br /> FUture file reviews by the same applicant may require a$98.00 deposit prior to revleatatT at the expense of the applicant <br /> W. <br /> EHD USE ONLY <br /> h <br /> 350 A) - L451- Z <br /> ry <br /> E6'5a S 1 + -Z <br /> en007 <br />