Laserfiche WebLink
10/22/2010 08:46 925746600 AEI CONSULTANTS . PAGE 01/01 <br /> RE'``1MFED SAN JOAQUIN COUNTY EHOLOGNUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ut.i L 2 2010 600 East Main St.Stockton, CA 95202-3029 <br /> ENUlRUNh1EPJ T HEra�LTfipnone:(209)468-3420 Fax; (209)464-0138 Web:www.sjgov. rg/eh7 <br /> PF9MiT/RRV1Q-:L PUBLIC RECORDS RELEASE-APPLICATION-- -- - - - -- <br /> APPLICANT: r)P �G) (^ BUSINESSlAGENCY:_—A-4�'T CA2 � �unt3 <br /> ADDRESS: LCA �QlYilhd Ikbl() CITY/STATE/ZIP: WQl Uf- CVck CprgLf,S6f - <br /> PHONE(1): Cit �9q(o-(0Opg PHONE(2): M5) FACSIMILE: (R2 ) �3 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data ofapplication submittal-"Tentative only-moat be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE ST-$115 FEE j9ASH OR CHECK ONLY)-REOUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE DFAPPLICAN �y SDI�2R t� c DATE_ IQ 72- 1_10 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHO U$E ONLY <br /> Street Name y,� City <br /> jj'40 C-a I I eIY16Y1 t' C�i llfi� S�( 11-D <br /> �bMI Eac4- �t,1mm}- fi n 35a � a95v Unit2 <br /> ... TEX-K 6r - <br /> 4. b y S bY)�jTel i S IaC k 1i Unit 3 <br /> 5, <br /> 6. <br /> 7. <br /> B. <br /> 8. 0 units <br /> Unit B <br /> Specific Date Rang@ of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(USTI CLEANUP SITE(LOP) O HOUSING ABATEMENT SOLID WASTE FACILTTYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) [I FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONRORINGIREMOYAL) [I DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY g MOTELIHOTEL PUMPERTRUCK(YARDICHENCAL TOILETS <br /> ®TATTOOBoDY PIERCING ❑POOUSPA I LAND USE APPLICATION SITES <br /> 14 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDA -FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS <br /> 1. L,Ist unto ten addressee:in the space above. Select the types)of Tiles from the Ilst above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1209)484-01�8 dr m-il to th -ddre s Indicated aboygd Address <br /> ranges will not be accepted-for additional assistance with file address®¢,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 f r review will he confirmed approximately ten(10) <br /> Td after receipt of application. The files will ba held for a maximum of rve business days far review. Appointments <br /> should be scheduled accordingly. <br /> 3. A <br /> submitted flie that is actively being worked on by EHD staff may not be immediate y available for review. A new application may be <br /> when the flie is available. <br /> 4. Any file not returned in the same condition as released will be reorganize by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prio)to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)4""3425. <br /> EHD USE ONLY <br /> EHD 4&aa <br /> 012TleB <br />