Laserfiche WebLink
07/02/2007 10113 FAX la 001/001 <br /> DATF RECEIVED EHD LOG NI.)M[jCH <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEAL'FI I DEPARTME.NT <br /> 600 L. Main Street, Stockton, CA 95202-3029 <br /> i!it007 Telephone: (209)468-3420 Fax: (209)X164-0138 Wcb: www..sigov.org/ <br /> oft 7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �r_ SI-11 L <br /> '� ��A �(z_ BUSINESS/AGENCY: 51, <br /> ADDRESS: 16 k L�vLP CA,,t_P PQ4vF_ 12o-j cl-to caq"�Ov_ Cr - <br /> I I <br /> PHONE(i):-116 5U) 1161 PHONE(2): 41 & '3�-15 A)I <br /> A 3�__1_FACSIMILE:jy ib 6 3 F 8 ML,5� <br /> TENTATIVE*APPOINTMENT DATE: 811110 - & !�E Time: /9/'1 Y(Please allow 10 business days from date of application submittal-'Tentative only,must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE REQUEST <br /> ,;,$95-00 FFrz(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: El List Ej Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> streeLit Street—Namb City <br /> El unit i <br /> L <br /> H11011,41 Wily It—IDIJ �Sl_l SH ft <br /> "Z &0 5- L19 i-N,(Zop Iry ❑ Unit 2 <br /> 4:7'0 r,.4 M 13(Z i C)L-ir-- �4 717M 4Z d P <br /> U 01# <br /> FA UL _tj­!��b "-- r, ��1 ( r <br /> 4e-T5o <br /> ha& 7HolzrjTv,-1 12 <br /> Unit 4 <br /> Z$7 T(Z c y 43 LY b. rJ Tailcy u�q- <br /> 0 Unit 5 <br /> 0 unit 6 <br /> equested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IF(LOP) M HOUSING AGATENIENT 0 SOLID WASTE FACILtryNEHICLE <br /> C1 FOOD FACILITY 17-1 WASTE TIRE <br /> OVAL) 11 DOG KENNEL 0 DAIRY <br /> 173 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY v 0 MOTELIHOTCL Cl PUMPER TRUCKrYARDICHEm ToiLETs <br /> C3 TATTOOGODY PIERCING CJ POOL/SPA 171 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL ANn SFPnC PERMIT RECORDS ARE AVAILABLE FOR RevoEw- MONDAY-FRIDAY 8.-00 AM-5:00PM - EXCLUDING HOLIOAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es)_ At least one file typo MUST be selected. Fax tp(209)464-0139 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the FHD.Applications received after <br /> 3.00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any CHO files exist- An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a MaXiMUM Of five business days for review. Appointments <br /> should be scheduled accordingly- <br /> 3. A file that is actively being worked on by CHO Staff May not be immediately available for review. A new application may be <br /> submitted when the file is available, <br /> 4. Any file not returned in the same condition as released will be reorganized by EHID staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review- <br /> EHD USE ONLY <br /> -TH-048-06 WM20w web <br />