Laserfiche WebLink
---At-g-30 11 01:33p Rich And Jodie 9165140703 p.2 <br /> 08/30/2011 13:16 2@9461`38 ENVINUNNtNIAL rl ` m `- -- <br /> EHD LOG NUMBER <br /> DP `�" ` � <br /> �V SAN JOAQUIN COUNTY <br /> R `' ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 3 0 201600 East Main St Stockton, CA 95202-3029 <br /> Telephone: (209)468.3420 Fax (209) 464-0138 Web: www.sjgov.orgrehd <br /> ENVRMITISERVICES <br /> P LTH <br /> — <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 0.PPLIGANT:� BUSINESSIAGENCY: i <br /> ADDRESS: � `{"7 FIi1- �) " '�' I2rr CITYISTATE2IP;� 6AhVVu"fJV (fig <br /> PHONE (�►.�'(t�" Z-"-�`� 1D77 PHONE(2): <br /> FACSIhtILE�I r,,• 5I t�•D 12;2 <br /> 7EAITA7IVE'APPOINTMENT DATE; <br /> Time. <br /> (Please allow 10 ousiness days from date of apPllcation suhmidal•'TenlaNve only-must he eonfirmetl) <br /> ❑ CHECK BOX TO EXPE,DITE"REQUE57 E125 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS.!r DAYS <br /> SIGNATURE OF APPLICk .. �f✓ DATE l 1 <br /> Etectronle Information: Q Map -Description: <br /> EHD USE ONLY <br /> FILE ADDRESS <br /> slreel Name City Unit 1 <br /> .- Street! <br /> Ng _ 7 <br /> Unit 7 <br /> 4. <br /> s. t _ <br /> "�Unit a <br /> 1 ... <br /> (rU-it <br /> b <br /> 9. <br /> Unit 6 <br /> to <br /> specific Date Range of Information Requested: Front <br /> ENVIRONMENTAL MEA TH DEPARTMENT FILES r�.SOLOWASTE FACILRYIVEHICLE 42 <br /> :�UNDERGRDUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT •G7�+'� O� <br /> FOOD FACILITY ® TIRE S '1' <br /> �OTNFA CLEANUP SITE(NON-LOP) ❑COG KENNEL 4' <br /> E]UNDERGROUNUTANK(MGNDotUNGIREMOYAL� ❑ OWASTIENO TREATMENT PLANT d('o <br /> ,ED.HA7NrDOUS WASTE GENERATOR CHICKEN RANCH PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> I-]TIERED PEREt1TTE0 FAc rury ° <br /> ❑MOEMO <br /> TEL <br /> ❑ omLISPA ` fm USE APPLICATION SRES <br /> [7)TATTDOIBODY PIERCING -�OMPLAirNRECORDS Q OTHER(PLFASESPECFY) <br /> IMED CAL WASTEFACIUTY <br /> LUCNNa <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AMS:ODPM(ng the app HOLIDAYS) <br /> 1. I 'st uo to ten addresses in the space above. Select the type(s)of Files from the list above by ChecMing the appropriate <br /> box(eal. At least one file type MUST be selected. Fax to(2091 464.0138 or mall to the address indicted ebrecelveddaffers <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. ApP <br /> 3:=will be processed the next business day. <br /> 2. The EHO will notify the applicant irany EHO files 691st. An appoint for review will be confirmed Approximately ten(f 0) <br /> for a maximumM o of five business days for review. Appointments <br /> days after receipt of application. The Rtes will•be held <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worsted on by EHD staff may not be Immediately Available for review. A new application may oe <br /> submitted when the file Is available. nse of the applicant <br /> a" Any file not returned in the same condition as released will be reorganized by END staff at the expo <br /> Future file r*wiews by the same applicant may require a$12.5 deposit prior to review. <br /> A!1llt <br /> e A{ <br />