Laserfiche WebLink
U6/23/2a95 14:03 916-371-1809 RANEY GEOTECHNICAL- PAGE 01/0 <br /> DATE RECEIVED ! EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENwRQNMENTA.L HEALTH DEPAR MENT <br /> 1, <br /> 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 2005 JUN <br /> 23. <br /> Telephone: (209)46'8-3420 Fax:(209)4640138 Web:www.sjgov.org/ehd P x <br /> SAN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 19 �' { 'r BUS(NESSIAGENCY: <br /> ADDRESS: / /. E •t /�?f�l� .�z+ <br /> PHONE{i):10'4I57/-"QTf5 7 PHONE{2): PACSiI�ILF �GlJ� I rQ <br /> TENTATIVE"APPOINTMENT DATE:'�'�' _- -_ Time: <br /> (Pless'a allow 14 business days from date of application submittal-'renta"only-must be Tonfinned) <br /> j !tn <br /> CHECK BOX T!0 EXPEDITE REQUEST- t} HECK ONLY)-REQUEST PROCESSED IN 9 USIXE PAYS <br /> SIGNATURE OF APPLICANT DATE S_ <br /> UNIT DISTRtt3VTION C]Unit 7 nit'2 Unl nit 4 Unit S d Unit e 0 Other(elactronlctllstslmape) <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street# i Street Nama r City -- <br /> FR <br /> 2_ o �yor�r -r',�i ,CTc� 35� <br /> M5a. <br /> ms <br /> 8. E; <br /> Speeffic Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UN13ERGROUND TANK(U'"CLEANUP STYE(LOP) 'l bHOUSING ABATEMW a SOLID WAS1E PAciLrPYNEHICLE <br /> OTHER CLEANUP stM(NON•LOP) ❑F6oD rm,"rY ©WASTR TIRE <br /> 0 UNIRGROUNDTAHK(MONrropmom AmovAL) I IM DoE KENNET. LL13�DAIRY <br /> p( <br /> J9 Hmmvous WASTE GeNEUAToR O CKIcKEN RANCH WASTEYrATER TREATMTwT PLANT - <br /> 0 T'IF_REo PERMnTEO FAci Try .0 MoTEtlfia TEL 0 PUUPHR TRucH/YARD/CHEM TONE M <br /> E3 TATTDOftOY PIMFNG Q PCOLISPA ❑LAIID USE APPLICATION ORW <br /> L3 MEMAL WASTs KAcanir r.;3 OTHER(PLEAse SPECIFY) l <br /> WDLL AND SEPTIC PRIMIT RECORDS ARE AVAILABLE FOR Rrmv- 1NoNDAY-F mAY 8:94 AM-5:40PE - E=LIIDRIG Houvme. <br /> 1. List up to ten addresses In the space abaii. Select the types)of flies from the list above by checking the <br /> appropriate box(es). At least one file type MIDST be selected. Fax to(209)46"1.38pr_Mil_to the address <br /> lndicaled_above,_' Address ranges will not be accepted—for additional assistance with file addresses,contact � <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHP files exist. An appointment for review will be confirmed <br /> approximately ten(14)days after reoOpt of application. The files will be held f6r a maximum of flue business <br /> days for review. Appointments should W scheduled accordingly. <br /> 3. A file that is actively being worked on1by I=HD staff may not be immediately available for review. A new <br /> application may be submitted when the file'is available. . <br /> 4. Any file not returned in the some condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> 0 MR <br /> RUZ) <br /> in+les <br /> i <br />