Laserfiche WebLink
04/19/2006 19:18 1310798--x'41 PAGE 01 � <br /> id-.4:1 4tr4 jENVIRONMENTALaLTf( <br /> DATE RECENEp r✓ �j PAGE 01 <br /> SAN JOAQUIN CO UNW CHP LQU NIJMtttx <br /> RIECOVED E a NT,L Ts jDEPARTmiNT <br /> 304 East Webcr Avenue,3n°Floor,Stockton,CA 95202-2708 <br /> APR 0 2006 Telephone:(249)468-342014kx: (209)464-0138 Web: www.s,�gov.orglehd�j <br /> 25 <br /> ENVIRQNMEf PUBLIC PECORD9 RELEASE APPLICATION <br /> PEITg8if3 Ut(1Ilueseraoa=Ncr; <br /> A0[]RF9S: .Jtx: ����rr..��,..��..��� CITY + TATE�� <br /> PHONE(1 '-�C7�Ma� FACSIUI.F, <br /> TENTATIVE APPOINMEHT DATE:� Time: <br /> (P14 s8 9110W 10 businme days tMM date of apprIcAcm au6aT,WI-*Twnratfve only-MmA tw amfirmsb) <br /> a CHECK BOX TO MME - 3.W FEE(GASH OR CIgECK oWLY).MQUEST PRAOMr-D IN 3 SI AIW GAYE <br /> i$IGNATIJRE©i:APPLICANT DATE �� <br /> Eleclranic <br /> IRTamation l&t 0 <br /> FILE ADDRESS <br /> slsnvtiR S t e alar E"13 USE ONLY <br /> 7. <br /> 2. C] Unit 1 <br /> 3. 0 Unit 2 <br /> 4, <br /> Unit 3 <br /> 6, <br /> 7. Unit 4 <br /> 9, 71 Unit 5 <br /> 10. <br /> Specific Date Range of lafamtat;on Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT F LES <br /> Xi.19MRQRCUNo TANK(W)Q."Nup Srrs(LOP) Q HOUSING AUTfiiP,6MT >A1QvGWAsm FAoLmaYumicu: <br /> OTHER CLEANLT SrM(NOH-LAP) o FOOD FACUrY t3 WACTI:Tw <br /> X UNDERGROUND TANK(V0M7'oR1 0ftMQVAi.) ❑boG KENmL C3 bMtY <br /> eWHAZAIMUS WAM GE VIArOft 0 O"KW' A R,a" NCWAATeWA=TRMT1m(r PLAMr <br /> 97 Timm PeR 4mm FACMM 0 0.to"WHOWL 13 PUKMRTRuawYAAVrJ4ifi MAJ.T01Lr_r-- <br /> 0•TAT rooJawy PEWHO 0 POWSPA M LAw Use AftnIOATton Sns <br /> ❑F&DfIGAL WASTE FACILITY Q OMA(PLEASE SPECIAY) _ <br /> W£LL ANO SEF'Tja PERW RSWRDS ARE AYM-ARI.E FOR REVIEW-MONDAY-FMDAY 11:00 A*ZIMPM - EXCL1,115 ie HOLICAYIL <br /> 7. Ust up to ten addresses.in the space above. Select the typo(s)of fifes from the list abc+ve by checking the <br /> appropriate box(es). At least one file type MUST be selected- Fax to 12013L464-0138 or mai+l to tf�e aggress <br /> lndicatarl aboye. Address ranges wiff not be accepted—for additional assfstanco with file addrenes,contact <br /> tPre EMO,Applications received after 3;00 pm will be processed the next busincts dAy. <br /> 2. The,EHO mAll notify the applicant if any EHO flies exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of applieatiwn. The flies will be held for a maximunn of five brusineaa <br /> days for review. Appointments should be scheduled accordingly. <br /> :t. A file that is notively being worked on by ERD staff may not be immediately evc1liable for review. A now <br /> appl#cation moy fie submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD aUf'at the expense of the <br /> applicant. PtAture file reviews by the same applicant may require 3$98.04 depaelt priortc rervlew. <br /> sv0.e.aa <br /> til1Jt17006 <br /> r <br />