Laserfiche WebLink
-p r. 3. x§2007 12: 21PM Advanced Geo Environmental NO, 8130 F. 1 <br /> r � �O SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2007 304 East Weber Avenue, 3Td Floor, Stockton,CA 95202-2708 Q,, 1p <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/6hd /t�CC-� rT� <br /> Ei PE%'IlT'E,RVICES�Ns (/ ln�M <br /> PUBLIC RECOORDS RELEASE APPLICATION ht"t <br /> APPLICANT: IN <br /> ,-)1 BUSESS/AGENCY: s015tell IlrbnMED <br /> ADDRESS; 3 S it k42 to C It1 -� <br /> PHONE(1): *?0- V-1 / ' 100!0 PHONE(2): NO ,� -cIAU FACSIMILE: <br /> "\ TENTATIVE'APPOINTMENT DATE: Time: / <br /> 1 U. (Please allow 10 business days from date of application submittal-'Tentativa only-must be confirmed) <br /> �ECK BOX TO EXPEDITE RE?MT-$96.00 FEE(C S OR C ECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> GNATURE OF APPLICANT DATE ? <br /> Electronic Information: ❑List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 1 ± Street it Street Name City <t ❑ Unit <br /> \�l/ t. /57.q j? e- plyaL 4-ile C&II) SrMg- oA.) tj1�sT- <br /> 2. 1930 It). anT 57DCKTDK� s— c �i ❑ Unit2 <br /> ` <br /> �1Q 1U. can OW s7nmmA) <br /> 4 Unit 3 <br /> 5. — OU.14 <br /> 5, D pruni <br /> ❑ Unit <br /> APR v <br /> 6. - <br /> s.. <br /> Cl units <br /> Specific Date Range of Information Requested:From to <br /> N <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 00 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) In HOUSING ABATEMENT O SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> xI UNOEROROUNo TANK(MDNITORINGIREMOVAL) 0DOG KENNEL 0DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 11 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL Z.CUMPERTRUCKIYARDICHEM TOILETS _ <br /> 13 TATTOO/BODY PIERCING 13 POOLISPq JIFLAND USE APPLICATION SUES <br /> 0 MEDICAL WASTE FACILITY O OTHER(PLEASE SPEcIrY) /IDS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE rOR REVIEW- MONDAY-FRIDAY 8:00 AM-9:00PM • EXCLUDING HOLIDAYS. <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 type MUST be selected. Fax to(208)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD(ilea 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 EHD 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 EHD 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 /> EMD 48-H WI=OM <br />