Laserfiche WebLink
fi 01/04/2006 15:35 9722477 QORE PAGE 02/02 <br /> D R€Q�NEO EHD LOG NUMBER <br /> o t 1 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL MALTH DEPARTMENT <br /> }h 304 East Weber Avenue,3'd Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgoy.org/ehd <br /> ENVIRONk`�EN_f HEAJH <br /> ,®2EB10jTj�2E5ViCES. PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tim Zoch(David Ennis BUSINESS/AGENCY: GORE P'I'ope&Sciences <br /> ADDRESS: 12801 N.Stemmons Freeway,Suite 807 Dallas,Texas 75234 <br /> PHONE(1): 972-247-7229 PHONE(2): FACSIMILE: b72-247-7810 <br /> TENTATIVE`'APPOINTMENT DATE: January 16,2006 rime: I <br /> (Please allow 10 business days from date of application submittal-"Tentaffm only-must be confirmed) <br /> ❑ CHECK BOX TO ExPEDrrE REQUEST-$93.00 FEE(CASH OR CH ONLY)-REQUEST PROCESSED IN 3USINESS DAYS <br /> SIGNATURE OF APPLICANT ✓ �s.o o413:M44 DATE J nuary 4,2006 <br /> ag..iw.aw r <br /> UNIT DISTRIBUTION ❑ Unit 1 ❑Unit 2 ❑ Unit 3 ❑Unit jt2n ❑ Unit 6 ❑ Other(eleatr6nic/iists/maps) <br /> FILE ADDRESS EHD US9 ONLY . <br /> Street# Street Name City <br /> 1. 4315 E.Waterloo Road Shell) Stockton, -� <br /> 2. s <br /> 3. 4407 E.Waterloo Road(Emie's) <br /> 4• Stockton.GA <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9¢UtawAmourw TANK(UST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT ❑SOLID WASTE FACILITY VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> N UNDERGROUND TANK(Mowro ovAL) ❑DOCS KENNEL ❑DAIRY <br /> ❑HAWDOUS WASTE GENERATOR ❑CwAm RANCH Cl WASTEwATER TREATML i PLANT <br /> E3 TIERED PERMn'TED FACILITY E3MOTELIHOTEL, C3 PummTRUCK/YARD/4HEM ToILET'8' <br /> ❑TATToo/BODY PmRCLNG ❑POOUSPA ❑LAND USE APPLFCATIOJ SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPEC" tt <br /> WELL AND SEPTIC PERMn'RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of fifes from the list above b checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(249)4640138 or mail o the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with fife g ddresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant ff any EHD files exist. An appointment for review will be rA nfirmed <br /> approxiimatelyten(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 too expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to r lew. <br /> EHD 4e-Lnatla <br /> tn4= <br />