Laserfiche WebLink
04!11!2005 09:00 209-579 0225 MODESTO ATC - / <br /> q <br /> I /PAGE ©2 <br /> EHO LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> LCH41ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 <br /> East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: w,}}(ypsjgq)(.o�p/ iK_"9't 50 <br /> PUBLIC RECORDS RELEASE APPLICC�OCUU��� RHTtt'"2,N,, <br /> 6�e Fi d�� <br /> APPLICANT: J" KDYIo(eri 1 1 BUSINESS/A�y -Acs <br /> ADDRESS: 111 iv"e. l?41w Ave 5,,4c �� t"Iderfo C4 Q - <br /> PHONE(1): ]A7rr - 574 -217.I PHONE(2): FACSIMILE: Zo9-57S'Z22S <br /> TENTATIVE'APPOINTMENT DATE: _ <br /> 111-O Time: <br /> (Please allow 10 business days from dais of appRtadon subnittal-•Tonmuve oniy-must be Confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$07.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ,f �" DATE 4-11-oS <br /> UNIT DISTRIBUTION 0 Urdt 1 0 Unit 2 0 UnR 3 0 Unit 4 0 Unit S 0 Una 6 0 Other(elsovotdcAlstslmaps) <br /> FILE ADDRESS END USE ONLY <br /> Street Street Name Cay <br /> 1. 515 S. F&w`. <br /> 2. t9 W. Ct.Av W+ S1.ck1e.+ <br /> g- tYl S. "a <br /> 4. 2005 rave <br /> 5. d 1 <br /> Sl.ckhr •� " .� <br /> 6. 9 <br /> 7. 44'4 Tia. Lew" <br /> 8. t4l I <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> )�((/UNDERaPouNO TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOUO WmTE FAcKMIVEHICLE <br /> RRED <br /> RCLEANUP SITE(aloN'LOP) 13FOOD FACRTw ❑WASTE TIREERGROUNDTANK((M TORINOMMOVAL) 0 DOG KENNEL 0 WaDaiTZARDOUsWASTE GENERATOR 0 CHICKEN RANCH 0 WATEWATER TIIEATMEHT PLANT <br /> PERMITTED FACILITY O MOTEL/HorEL 0 PUMPER TRUCxIYAROICNEM TOILETS <br /> 0 TATTOOIBOOY PN:RCING 0 POOUSPA O LANO USE APPLICATION SITES <br /> 0 MEON:K WASTE FAcaUrf 0 OTHER IPLEasE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVML ai_E FOR RENEW - MONDAY-FRIDAY 8:00 AM'"OPM • EXCLUONIO HOLIDAYS- <br /> 1. <br /> OLIDAYS.1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address <br /> Indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the END.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any END 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 review. Appointments should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. A new <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 expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> END 400 <br /> vlu <br />