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EHD 1-0G NUMBER <br /> Vir SAN JOAQUIN COUNTY <br /> DEC 0 3 2A ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E=ast Main St. Stockton, CA 95202-3029 <br /> ViElL4pphone: (209)468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ d <br /> EfJV oRMITIS RACES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; 13,--.— 4sti BUSINESSIAGENCY: ..r&.kc <br /> ADDRESS: 7017 1('4500'c ftdr J„3t iw CITY/STATE/ZIP: /1...�Ge <,,,a,wQ, 4A 9rt7o <br /> PHONE(1): 916- 2eq-p7d9 PHONE(2): 91(- 8]a-2056 FACSIMILE; 416.861-6gJd <br /> TENTATIVE"APPOINTMENT DATE; 10IJ6110 01.r-'a r,jime: <br /> (Please allow 10 business days from date of application submittal-*U tative o ly-must be confirmed) <br /> ZI(�ll� Q�1 GHECK BOX TO EXPEDITE REQUEST-$122 rFE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /Z/e?bo <br /> Electronic Information: Lis ap—Description: All eel.fa 4- y, l o/a <br /> _ FILE ADDRESS EMD USE ONLY <br /> StreetStreet Namo City Unit h <br /> 00, <br /> 1 <br /> b6,r2. 6� Cj unit 2 <br /> 3. <br /> 4. enit 1-Z/? <br /> 5. <br /> 6. © t4 <br /> 7. Odor <br /> 8. El units <br /> a. <br /> 10. _ p unit a <br /> Specific Date Range of Information Requostod; From //l4Jio to 12/2003 _--_- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> dNDERGROUNo TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE j <br /> Q NDERGROUNO TANK(MQNIT0PiNG/REMOVAL)0, ❑DOG KENNEL ❑DAIRY lM n <br /> [ HAwoouS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEVYATER TREATMENT PLANT /7' 7� C✓ <br /> ❑TIERED PERMITTED FACILITY ❑MOTE0HOTEL ❑PUMPER TRUCKfYARD/CHEMICAL TOILETS <br /> ❑TATT00150DY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASF SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Af0-S:OQPM(EXQLUDING HOLIDAYS) <br /> 1. List up to ten addregg§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. ,F„ex to(3291 464-9131 Rr 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 EHA will notify the applicant if any EHD 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 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$122 deposit prior to review. <br /> OND LISP ONLY <br /> Z- U <br /> I - - P_ <br /> EHD 45-05 97/29110 <br /> T8/T8 3�Jdd D3iNViS OCVOT989TG ZT:9T 3TeZ/Ze/ZT <br />