Laserfiche WebLink
11/28/2P0G 10:59 1310798' PAGE 01 <br /> MCDE � 5 2094640738 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> hrtu Luis nunnet_f< <br /> SAN JOA.QUIN COUNTY <br /> N O V 2 8 2006 LwmoNmNTA,L IN ALTm UE'P,ARTMINT <br /> ENVIRC)NMENT HEALTH 304 East Weber Averzue, 3'1 Floor,StocWn, CA 95202-2708 <br /> PERM!TJSERV!CE'd Telephone:(209)468-3420 Fax:(209)4640138 Web:www.sjpv.org/Chd <br /> PUBLIC RECORDS RELEASE"PLICATION <br /> TION <br /> APPLICANT: .4;17,r, Sw Wn _ BUSINEMA43ENCY: , ----- <br /> PRONE(1): 4,P b D PHONE(z): FA=S ILE:925 <br /> TENTATIVE*APPoiNIUM DATE-i al& o Time: <br /> (please afaow 10 busOm days from data of application submittal-"IlOntA&D only-MUSt be confirmed) <br /> D CHECK BOX TO pMOrTE REQUE$ t,"we FE (GASH R CHECK ONLr-REQUEST PROCESSED tH 3 BUSIN SS DAYS <br /> SIGNATURE OF APPLICANT � DATE 1p,(o <br /> Electronic Information: ❑List❑Map—Descriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> sweet# etr"t Manta City Unk 1 <br /> �.. 5ar1zwIneA H Q `� <br /> t t i t Unit 2 <br /> 3 <br /> `` Unit 3 <br /> 5, Urot 4 <br /> 6. <br /> 7. unit 6 <br /> a. UnR 6 <br /> 14. <br /> Sptmlfic Date Range of information Requested:From 0.1 — to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIM <br /> (Z UNDFlFL0I80 X0 TANK(UST)CLEANUP SM(Lois') E3 HOUMG ABAVAfM 19 Sam WAM pASUMVERM <br /> WOMER CLtiA SRI Q(W-LOP') ❑Feea FACjL" 0 WASTE TRE <br /> LINDCAwe K"XM TAMC(NTONfR7RJ WPM0VAQ ❑Doo MNm El DAN" <br /> HAZARDWAATE QfNtUt+ort C3 C,'tr1Q10EN Pmem ❑WAST WA7MTrtR+lTiylrcNT FLANT <br /> !M79ER1xD"wtm FAcnm ❑MOTEUHOM M ToNit$ <br /> 0 TArrooftuy PiERC M0 M POOLISPA 17 LAm USE APFMATION Srto <br /> ❑MMrAL WAsTr FACILMY ❑OMER(PL6Ase 3PRrAFY) -- <br /> WtLk Anka SEp71c PE a7 RmoRox Atm Aym.ABLE FOR Rrvmw m mowA`r-FmAy e:fio Aw9:Q0PAF - FXC:LUDINO HoLMAYs- <br /> 1. List up to ton addresses in tho space above. Selact the type(s)of files from the list shove by chocidng the appropriate <br /> box(ts). At least one fife type MUST be selected. Fox to(7 ;ZS4-0139 or mall to theme adds ess IndicatWbove Address <br /> ranges will not be aeeapted—foroddifmal asalstanem with file addressor;,contact the EHO-Applications received after <br /> 3;00 pm will be processod the neat business day. <br /> 2. Tho EHD will notify the applicant if any EHD files extat. An appointment for m Dew will be confirroad approxInu taly ten(10) <br /> days attar reoelpt of apX+llcadon. The files will be held for a mWrnum of five business days for review. Appointments <br /> should ba achaduled accordingty. <br /> 3. A fie that Is actively being worked on by EHU staff msy not be lmmediatoly Avallable for review. A now applicatlon may be <br /> submitted when tho filo Is available. <br /> 4. Any file not returned In the same condition as releasad will be reargania:ed by EHD staff at tho expense of the appilcant. <br /> Futuro file reviews by the some applicant may require a$95.00 deposit prior to review.. <br /> EHD USE ONLY <br /> ono tie.as fills <br />