Laserfiche WebLink
OCT. -10107KN 16: 42 VERSAR, INC. TEL:91 9622678 <br /> P. 001 <br /> E1-11)LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> C <br /> o L FNvrRONMENTAL HEALTH]UPARTMN <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 7rTelephoaa; (209)468-3420 Fax: (209)464-0138 Web: www.sjV3/11 2 <br /> PUBLIC RECORDS RE'LEASE APPLICATION <br /> APPLICANT; C,6L r <br /> OUSIN ESSIAGKNCY: �zg <br /> AD13RESS: 78 q~pp -qh6 '7 4J1 " r- �4 <br /> PHONE(1): 3—F FACSIMILE; <br /> TENTATIVE*APPOINTMENT DATE: /7 Z Time; )e) ' <br /> (Please allow 10 business days from date of lop'.cation submittal-'Tentative only-muel.be confirmed) <br /> YCHIECKROXTOEXPEDITE RE EST-$06.0 FE( Sa QR QHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information, Iw J List[I liio- -6e-scrIption: <br /> FILE ADDRESS F-HD:USE ONLY <br /> Street 0 Street Nome City I El unit 1 <br /> 2. J,,L�4 tL)CL re— UnIt2 <br /> Unit 3 <br /> 4 <br /> 4. <br /> Unit 3 <br /> F"Init 4 <br /> T T. <br /> z. Unit 6 <br /> ETD 4 <br /> 9.. <br /> 9 D Unit a <br /> 110. —.— <br /> 0. ---------- <br /> Specific pate Range of Information Requested:From to T e <br /> ENVIRONMF,NTAL HEALTH DEPARTMENT FILES <br /> JowUNDfROROUNP TANK(UeT)CLEANUP BITE(LOP) M Hotja)NG ABATEMENT M 00LIDWASTF FACILITYrVEHICLE <br /> OTHER CLEANUP SITE(NON-1-OP) M F000 FACILITY M WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) M Dari KENNEL M DAIRY <br /> HAZARDOUS WASTE GENERATOR n CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> in TIERED PFRmITTED FACILITY M MOTFLIHOTEL r3 PUMPER TpucKNARDIGHfm TOILFT6 <br /> *TATTOWOODY PIERrINQ M POCILISPA 0 I-AND USE APPLICATION SITES <br /> *MEDICAL WASTE FACILITY M 0THFR(PLEASE SPECIFY) <br /> WELL AND BFY,-nc PERMIT RecoRD6 ARE AVAILASLt FOR REVIEW -MONDAY-FRIDAY 0:00 AM-5:130PM - EXCLUDING HOLIDAYS, <br /> 1, List up to tan addresses in the space above. Select the type(a)of flies from the list above by chocking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2001404-0138 or mall ire qd1ress IndlC8t&d Above. Address <br /> ranges will not he accepted–for ndditlonal assistance with file addresses,contact the EHD,Applleatlon3 received after <br /> 3:00 pm will he processed the next business day. <br /> 2. The EHCI will notify the applicant If any EHD files exist. An appointment for reylew will be confirmed approximately ton(1 D) <br /> days after receipt of Application. The flies will he hold for a maximum of five OLialness dj(ys for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by FHP staff may not W Immediately available for review. A now application May he <br /> submitted when the file is available. <br /> 4, Any Via not returned In the same condition as released will be reorganized by 1=-HD staff at the expense of the applicant. <br /> Ftit"m file ravlaws by the some applicant may require a$90.00 deposit prior to review, <br /> EHD USF ONLY <br />