Laserfiche WebLink
09/29/'2006 11:129 F.4_X 16002 <br /> FHD LOG NUMBER <br /> EED SAJ'4 JOAQM COUNTY <br /> MV ENTvickONMENTAL HEALTH DEPARTMENT <br /> 5 <br /> 'a or, Stockton,CA 95202-2708 <br /> SEP <br /> Telephone. ('20/9)468-342.0 Fax:(209)464-0138 Web: www,sjgov.org/eh,21117- <br /> 04 <br /> 2 9 2006 East Weber Avenue, 3d Flo - Zo <br /> EMARONMENT HEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PERMITW=E§_ ESSIAGENCY: <br /> NT: VC* BUSIN <br /> A <br /> ADDRESS: �e- ILI"t-l'- F <br /> PHONE(1):' _PHONE(2): FACSIMILE: (Zoq I I 3q 7 Z 7 <br /> 'TENTATIVE*APF OINTMENT DATE: <br /> lVease s0ow 10 business days from dot.?of application submittal-17-ontotiv e only- Tlust be cvnflnr�ed) <br /> , CK 014LY�-REQUEST PF.0CESSED:N <br /> � ' :i VjSiNE.�S DAY�� <br /> 11,SOKBOX TO EXPaCITE RE <br /> rW <br /> 1'WpT-$093.00 FEE(CA OR HE <br /> SiGNIATURE OFAPPLICANT /ZZ 2 _______DATF - 9/2-1 lot. <br /> Un 0i Uniti r !jnjt 77:Snit 11 3 Unit 4 0 Unit 6 L'I -t6 other(e'ectronicilists1maps) <br /> LE ADDRESS El­iDJE",,E0N f <br /> Street Name city <br /> 4� <br /> PACARTH ......I <br /> 5157 1-00P Vj <br /> 2-3`'0 CROMA _•--........ <br /> -T <br /> �3 <br /> ......... <br /> -7 7 <br /> EL ZvEt,110 5T rc= <br /> Specific DRtv-R-inge of Information Requested:From <br /> ENNnRONMENTAL HEALT T_ <br /> tC]NUERGROUND <br /> pmv.;C-Rousin Tika.,�(UST)CLEMui,SITE(LCs') M HOUSING ABATENIEN WASTE FACW I -) WIVEW LE <br /> THER CLFANUF1 Siie(NoN-t-015) 0 FOOD FACILiTY WAsTe TIRE <br /> TANK(MONITO.-UN31REIVIOVAL) C3 Dor,KENNEL C DAIRY <br /> 7,14AZARDOUS WASTE GENERATOR C3 CHICKEN RANCH 01 WAS71EINATER TRcAvoFNT PLANT <br /> ,0'�`EREV PEPMVFTED FACILITY C3 MOTELIHO TEL 12 PUMPERTRU-IK/YARDICHEM TOILETS <br /> 0 77ATTO0,113ODY PtEPCING 13 FOOQSPA M LAND USE APPLICATION S"JS <br /> C7 MEDICAL 104ASTE FACILITY C3 OTHER(PLEASE SPECIFY)___- <br /> WELL ANO SEP11C PERMIT FECOPCS ARE AVAILABLE_FOR REviEvv - MONDAY-FRIDAY 8:00 AM-5:013PIVI - F'XC1 U)-NG HOLIDAYS- <br /> I st up to twi addresses In the space above. Select the type(s)of files from, the list aboveJy che(;king the <br /> appropiliate box(es). At least one file type MUST be selected- Fax <br /> _tO209)464-0 138 or mail to the add LeAs <br /> Indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the El D,App;lcatlons received after 3:00 pm will be processed the next business day. <br /> The Ei-0 1AN notify the appllcSrft if any EHD files exist. An appointment for review W ;orfirmeCl <br /> Wil be c f f n <br /> apprc, -or a maxii v five Ws' ess <br /> ximateiV ten(10)days after receipt of application. The files will be�,�,Md f <br /> Fcr rev7p )�,jjtrrsp hojki b e e ace rdi <br /> p.p p, ts s 1, be sch dul d o ngly. <br /> "k fill, Is w;0Areiy I.ItOng if;rorkod on by EHO staff may not be Immediatuly avaHabls for review, A Pew <br /> apptiratlan m,ay be submitted when the file Is available. <br /> 4. Any file not retumed ir,the same condition as released will be reorganized. by EMD staff at the expense of the <br /> an <br /> plicAp.t. Futuro file revieQ,&,s by the same applicant may require a$93.00 deposit prior to review <br />