Laserfiche WebLink
FEB. 8. 2006 9: 16AM CON" EARTH TECH N0. 5527 P. 2/2 <br /> — EHD LOC NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 2006 304 East weber Avenue,3'1)Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)4640138 Web:wwW.sjgov.org(ehd <br /> ENVIRONMENT11EALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Asa jcptj aUSINESSIAGENCY:CA <br /> (lf7fr( <br /> atioRE55: ,1,q C $ dr ri <br /> PHONE Q <br /> (1):_ k9*U'+ Q5119 PHONE(2): 2b9? rt I Sd7 ' F/1CSluflllf Q9-o'er-L1 3� <br /> TENTATEVE'APPOINTMENT DATE: Tim, <br /> (Please allow 14 business days from d of application submittal-'Tentr►bw Only-must be oonfirmA <br /> CHECK BOX TO EXP R6 EST-SMOG F ( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 B <br /> SIGNATURE OF AF'F'LICA T DATE Q <br /> UNIT DISTRIBUTION L7 Unit 1 ❑Ur&2 Unit 3 C]Un@ 4 M UnN 5 O Unit 8 ❑ Other(eiedrnaeirlllslslmaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 sheet Name qty <br /> Q.111 AY14�ff <br /> F:3. <br /> 560. IF <br /> S. 1,63.50 <br /> 6. r r <br /> 7. . f4 A <br /> 8- tG l'll , <= - <br /> 9 !q <br /> Specifio Date Range of In1brrnzMon Requested:Front to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �NOERGROUtio TAMC(LIST)CLEANUP Sm(LOP) %4co <br /> wNG ABATEMENT �oun WASTE FAqurYIVeb"ff LP <br /> RTHM CLEANUP SITE(Non-LOP) FActtmr Cl WASH nFtE <br /> UNRSRGRovw TAMS(Motm Fwo1REMOYAL) KWNt�L M PAMY <br /> O HAzmoous WASTE GENEPATDR c.'KEN RANC14 ❑WAsTmATER TREATMorrPLAtrr <br /> U TtEREo PEM""FACtLt7Y tl MoTaLfHoTm O Put�veRTRacKXAnoIC►rpn T <br /> C3 TATTOOISOCY Ptdw ma .P..L.. f�alar[n USE APPLIOAMON StTES <br /> C3 MEtrcAL WASTE FACILITY G OTt0t(PLEASE SPECIFY} <br /> WELL AfW SEP11C RECORDS ARE AVAfLARU FDR Rc-M M- MaNDAY-IFRIOAY Brod AM4:44PM1{ - EXCLWING HGUDAYS. <br /> 1. List up to tete 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 fate type MUST be selected. Fax to 120 91 46C4138 or,M jii to the address <br /> Indicated above. Address ranges will not be accepter!-for additional assistance with.file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2 The EHO will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approxtrriately 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 EHD 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 EHD 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 /> AL <br /> y,Aa 4 <br /> r <br /> EHp�S-02.046 <br /> iMN06 <br />