Laserfiche WebLink
12/23/2000 12:26 2093644. 8 NEIL ANDERSON El f'?O PAGE 02/0 <br /> ---""� EHD LOG NUtw 2 <br /> DATE RECEIVED - . SANJOAQUIN COUNTY <br /> J <br /> ENVIRONMENTAL J1EAI.,TH DEPARTMENT <br /> 004 304E Weber Ave 3'd Floor Stockton, CA 95205 <br /> ��" l' x(209) 468-3420 X+ax: (209) 464-0138 Web: www.co.san-joaquin.ca.us/ehd <br /> ;.SES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> x.. <br /> IrJrJ A C cc) BUSINESSIAGENCY; Nu Y�r 6)-\ <br /> ADDRESS: -I �'{ �� LX <br /> PHONE: FACSIMILE: �� � <br /> TENTATIVE'APPOINTMENT DATE; Time: <br /> (Please allow 10 buslness days from date of appliration submittal) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE—/REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _/� DATE <br /> Deportment Use Only <br /> ^FILE ADDRESS,, UNIT <br /> t. Street �` ��� �`O1' Cn S G p Unit 1 <br /> 3. St 33 N� - v ! vtit (Z,rt Gt �c. ati-• <br /> tree [:I> Un)t 2 1� <br /> 4. street 3501 r w`r.�I•/� +r.YrxvYV�-G"r �rJt..Gh Is7 <br /> S. Street Unit 3 <br /> 6, Strcrl G <br /> 7. Street GU I/f Unit D4 <br /> G1 <br /> 9. Street [� <br /> 9, Strrcl Cl E] Unit 5 <br /> G <br /> to. Streel � VW V <br /> en�^ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT K SOLID WASTE FACILrry <br /> SOLID WASTE.VEHICLE <br /> f OTHER CLE173ANUP SITE(NON-LOP) FOOD FACILITY <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HA2ARbOUS WASTE GENERATOR O CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKrYARDICHEM TOILE' <br /> jn E RMI PIERCING ❑ POOLISPA 171 LAND USE APPLICATION SITES <br /> ❑ TIERED <br /> ❑ MEDICAL WASTE FACILITY 173OTHER(PLEASE SPECIFY) <br /> 1. List up to On addresses in the space above. Select the type(s) of files from the list above by check <br /> the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mall to tt <br /> address indicated above. <br /> 2. EHD will notify the applicant if any END files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10) days after receipt of application. The fil <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately available for review. A; + <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expe <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to rev /. <br /> g, 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> EHo 4e-02-006 <br /> aanoo3 <br />