Laserfiche WebLink
07/17/2006 13:38 916-371-1.809 RANEY GECTECHNICA! PAGE 01/01 <br /> EHD LOG NU%FR <br /> DATE RECEIVE11 <br /> SAIv JoAQunN COUNTY <br /> ENVIRONMENTAL HEALTH IDEFARTMEN7 <br /> 304 East`Veber Avenue, 3'd Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-01.38 Web: wNw•gjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION _ f <br /> AFFLJCANT: 'u+ --- - w l3USINESSIAGF,NCY:I—QvJ _ -'�C n !/•C <br /> ADCIRF-SS:3t -o ��o� � <br /> B _. 1� � CA <br /> FACSIMILE: '04 2 1 i <br /> TE PTATIVV APPOINTfAFryT DATE: 2 The:— a a <br /> 7ease*11mv 10 bUr-inoSS,days foam deto of pileaffon submittal-*TentaBvv only-muct 6e confirmed) <br /> 1!d CHjz-CjC g0X TO EX?EQITE.REQtA T $9 00 P C OR CHECK ONLY)-REQUEST FF'0CESSFD!H 3 E•U31 SS W <br /> SIGNATURE lel=APPLICANT / .DATE ( _ <br /> UW[T DIS1 ft1P UT{C1N 13 unit 1 M Unit 2 0 1.4 3 0 Unit 4 0 Unit 5 11 Unit B 0 Oth©r(vecEroeiicAlatGImaps) <br /> � •••��. _ <br /> FILE ADD RESS EHD USE ON <br /> -- Sfrcet 41 Street Name City <br /> - <br /> T. <br /> 1 rJ. _ <br /> sp-Aft Data Flange Of in ati:+n Requested:From ` to L 4 V <br /> E14VIROHMENTAL HEALTH DEPARTMENT FILES <br /> M�JNDERQROUND TANK(UST)CLEANUP SfrE(LOP) 0 HouslNo AeAwrAENT &SOLD WACtR FACaL.r1 Y1VEHICLE <br /> E;)FriER CLEANUP:R•E(NON-LEP) C3 FOOD FACam Q WA43T=TIRt <br /> T'114DERGROUND TANK(M0NTTQRiN*1RRWQVAL) E3 DOG KENNEL bA1RY <br /> RDOUt1 WAME GeNERATOR I�CHMMM RANCH WAT:WATtR TREATMENT PLANT <br /> TrzRE90 PERMITTer FACIUTY ❑MOTELIHoTm M PUAlPr;RTkttl4tUYARO/C`-1famTOi.ETB <br /> TATTOOFBQDY R?zRrANG 0 POOLISFA M WD USE AFPUCATION-54TEs <br /> fAMICAL W 4HTE FAmrrC 0 OTHER(PLEASE SPECIFY — - <br /> VYex AND SE"c PERmr,R_(GOR[19 ARE AVAILABLE FOR REVIEW- MONDAY-FRFDAY 8:00 AM-5:001`10 ^ EXCLUMNC HCLIOAYS. <br /> 1. List up to tit n addresses in the space above. Select the type($)of fileiS from the list Above by checking the <br /> applropriaCe box(es). At least one filly type MUST be selected. Eax to 209)464-0136 or mail to the address <br /> indicated alcove. Addresf:mir gas will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 prn will be processed tho next buslnuss day. <br /> 2. The EHD will notify the applicaril If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for niview. Appointments should be scheduled accordingly. <br /> 3. A file that K.actively being work?d on by EHD staff may not be immediately available for roview. A.new <br /> application may be submifted whon the file Is available. <br /> 4. Any file not returned in the sauce condition as released will be reorganized by 1.HU staff at the expense of the <br /> applicant. f=uture file reviews by the same applicant may require a$93.00 depc�sit prior to review. <br /> EUD ra.nz.aon <br /> 11I4fG6 <br />