Laserfiche WebLink
Frow MARCUS H. BOLE AND ASSuCIATFS 530+633+0119 06/22/2007 13:52 9444 P.001 <br /> 09/24/2006 12:21 4640138 ENVIRONMENTAL HEALTH PAGE 01 <br /> SAN JOAQWN COUNTY <br /> E <br /> F'NVIRONMENTAL$EA.LTIT DEPARTMENT /a <br /> 304 East Weber Avenue,3nd Floor,SWkton,CA 95202-2708 <br /> Telepboac:(209)468-3420 Fax:(209)464_0138 Web: wv v sjgov,otpjehd <br /> PUBLIC RECORDS RELEASE APPLICATION O Q <br /> APPLICANT: BUSINESSIAGENCY: <br /> anvfiEss: /0 y��mc� -----•�_.,,J.-..o c. <br /> ...�-.C1TY staTE , <br /> PHONE(1k�S�O�.�� —Q// 7 PHONE 124-, FACSIMILE,$�D <br /> TENTATIVE"APPOINTMENT PATE: tCo�9CG,% . Time: <br /> (Please Allow 10 business days frdfn date of Application su . ••Teriii a only•must be confirmed) <br /> CHECK I30X TO EXPEDITE REQUEST-V5.00 FEE(CASH OR CHECK Obrt.Y)-II,SQUEST PROCESSED IN 3 6USWESS DAYS <br /> SIGNATURE OF APPLICANT ot 9 ergDATE 6 <br /> Electronic Des <br /> h�fortnst}OnUst0 map- <br /> MLE ADDRESS EHD USE ONLY <br /> Street M Street Home <br /> fib' <br /> ❑ Unit 1 <br /> 2. <br /> 3• r5 ❑ Unit 24. <br /> r� <br /> 5- Unit 3 // <br /> s. -x <br /> T. nit 4 <br /> s- <br /> 9- ❑ Unit 5 <br /> 10- - ❑ Unit 6 <br /> Specific Date Rango of Information Requested.From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> P16NOE:RCiROVIW TANK(VST)GtEA W SITE(LOP) ❑HW1 M AIATEWNT O SOLID WASTE FAcLmf ewal <br /> QCLEANUP Srm(NON-LOP)0P) M FOOD FACIIm 0 WT� <br /> BAORDUND TANK(M OWMRING(fiEWNXJ 0 DOG KOOML C1 DAW <br /> HAiARDOU9 WASTE OmrtAToR ❑CHICKEN RANCH 0 WASTEwATEit TFWATmm PLANT <br /> C1 TwREOPEn umoFAcuw E3 MoTE11HOTF,L n PUWFRTPMGKIYA$VCWM1CALTo0.ETs <br /> 13 TATTooMmy Pmciwa ❑POOLnPA la LAND UsEArPucATI0N Sr Es <br /> mmcAL WASTE FAcsLrrr ❑OTHM(PLEM SrH:cI� <br /> WEU.AND SEPTIC PERwT RECoRDs An AVA/ARLE FOR REmw-MONDAY-FRIDAY 1:00 Am-&:00Pic - E)UxyDING HOU)ATS, j <br /> Z. Ust 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(2091464-0138 or mall.to the address <br /> Indicated above._ Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be prooessed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The Files will be held fora maximum of five business I <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 hot 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 /> o Ca <br /> EHHD 4�-0i <br /> Henu2000 <br />