Laserfiche WebLink
From-Marcus H . Bole & Assoc 530x633-x01 0 { 201 10,122 39 P,001 <br /> Ia T IWHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 690 East Main Street, Stockton, CA 95212-3029 <br /> Telephone: (2039)466-34201 Fax: 209)464-0136 Web: www.sjgovoFg/ehd <br /> litePUBLIC RECORDS RELEASE APPLICATION <br /> PPct T. U INF SIAL N 'Y: <br /> aial City/ tattip <br /> IiCsPdF }; <br /> PHONE(2)=, 3 � F t a1 1L <br /> TENTATIVE*APPOINTMENT DATE; T irsTe; <br /> (Please allow 10 business days from date of application submittal *Tantafe tsnly Inst e Caeatlrrsaed) <br /> HECK BOX TO EXPF-DITE,REG E 0 HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS AY <br /> SIGNATURE OF APPLICANT � DATE <br /> Etrsi lrsfr at'sra; � Lief «�' riitaran <br /> Al <br /> AL <br /> 6. <br /> 9. <br /> FiL l <br /> r <br /> �. <br /> Unit <br /> Specific late Range of Information Requested,From to <br /> ENVIRONMENTAL HEA DEPARTMENT FILES <br /> NDERLxI�C�UNo TANK(UST)CLEANUP SITE(LOP) F oussRG ATEmENT OLID WASTE FACILITY/VSHiCLE <br /> OTHER CLEANUP SITE(NoN-LOP) FOOD FACJUTY ASTE"TIRE <br /> UNDERGROUND TANK Ct <br /> ( Pt3°ff:'FRiN s1 EMOVAL) 0 O KENNEL DAIRY <br /> F <br /> I DOUS WASTE GENERATOR 0 CHICKEN C I WASTEWATER TREATMENT PLANT <br /> l� <br /> fTtEREa PERwT o FACILT'rY r MOTELIHOTEL 0 PumPER TRurK/YARD1CHFMTOILEf <br /> TA"TTool f!lw PIERCING 0 PCdOLIS'A 0 N USE PLICATION SITES <br /> MF <br /> 01CAL WASTE FACILITY OTHER(PLRASE SPECIFY} Wa <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY"-#I WAY`& - . CL....0 FI.L.DAT a <br /> 1, List up to ter addresses in the space above. Select the type(s)of fifes from the list above by checking the appropriate <br /> bo ( s)• At least one file type MUST be selected. Fax to 204 464-4125 or mall to the address 1IT I--*- atad�e Andress <br /> ranges will not be accepted for additional ssist ne with file addres es,contact fire lie Applications received after <br /> 3:00 dam will be processed the next business day. <br /> The EHD will`notify the applicant if any END fifes exist. An appointment for review will be confirmed approximately ter!(10) <br /> days after receipt of application, The fifes will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> file that is actively being worked on by FAIT?staff may not be immediately available for review, A now application may b <br /> submitted when the file is available. <br /> . Any file not returned in the same condition as released Will be reorganized by Fff ,staff at the expense of the applicant. <br /> Future flle reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD US ON L°t° ,.ao <br /> Its <br />