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,. 1VE <br /> LL60 'IN P/ " ' l 91H 'Sl 'Inp IWIJ paAlaaa� <br /> 0ATG�V !� EHD LOC NUMI3EFZ <br /> SAH JOAQUIN COUN TY <br /> J J11 L Y 5 2�H65 EUVIROPlMENTAL H-EALTH DEPART MEFN T <br /> lr <br /> 1368 East Hazelton Avenue Stockton CA 96205-6232 •..' <br /> a f; <br /> - �I��P��•��EI�FhL HEALTh, i elephorse: (209)468.8420 Fax:(209)464-0138 Wah:vYwva-sJgov,o glehd ��-- <br /> .I PELRW El6trft E a ' <br /> AD6LiCA T: V e D I � BU S-1NELSrAGENCy;__ �f1 � �` � d��•t��� < <br /> ANDRE-S:. LJVLo Hill Sj 5U(4-P,S CiTYISTAYEIZIP:__ Pq S°Lo2 <br /> PHbNrz(1): `i r 84-gjl.H PHONE(2): FAX OR E MAIL: _LECk�l4c��CkP�d>"i'�eCDF1SU��nTs.a <br /> Please allow 90 business days from date of application submKial for the revo-ds to be available. <br /> Staff v ill contact you to arrange an appointment date and time to review the equested records. <br /> ❑ CHECK BOX, -0 EXPEDITE P,EQUEST-$130 FE (CAS.H OR CH',ECK ONLY)-REQUEST PVi0;ESSED IN 3 6USINESS DAYS <br /> SIISF�A T UR8 OP APPLI'ANT __ DATE -1111.116 <br /> 9.; List urs to ten addr asses in the spaL.below. Select the types)of files from the list belt m by checking the appropriate <br /> box(es). At least c in fila type MUST be selected. tg to(208 -_0138 or mall to the;�IL rose indicated above. Address <br /> i ranges will not be iccepted.Applications received after 3:00 pm will be processed the i is Et business day. <br /> 2. For assistance In I lentifying the nature and content of EHD records,please contact Etll) it the number noted alcove. <br /> 3.1 The END will notlf• the applicant If any EHD Iles exist. An appointment for review vlrili Ise confirmed approximately ten (10) <br /> i days after recolpt 11 application. The files will be hold for a maximum of five business Ela fs for review. Appointments <br /> should be schedui e®accordingiy. <br /> d 'Any file not return,-d Its the same condition as released will be reorganized by EHD staff'a I:the expense of tine applicant. <br /> Future file rvvlew.- by the same aPPlicant may roquke a$130 depoelt prior to review. <br /> WELL ANO SEPTIC F ERMIT RECOPD5 ARE AVAILABLE FOR REV15fl: MONDAY-I'RIDAY 8:00 Al I-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic InZrrnat on: ❑ List ❑ Map—Description: _— <br /> i specific[sate Rant a of information Requested: From b <br /> i <br /> 5NVIROMMENTAi <br /> HEALTH DEP'ARTIVll NT FILE ADORES E H D US E Q IN L <br /> FILES <br /> UNDERGkOUNb TANK(UST) 34raat R Street Mame City <br /> ! CLEANUP SITE(LOP) m O CONEUME <br /> HAZARDOUS WASTE �- ' ❑ONRY <br /> r TIERED PERMITTEb FACWTY 2 r) f � h <br /> AwvwROUNo TANKS. l _ <br /> '� �PWS <br /> USS (MONITORING I REMO%4 •I�{ �(//�� <br /> i HArAA000S MATERIALS /-I� i I pi <br /> �j SPILL/RELEASE RESPONSE 6 [j WATER QUALITY <br /> $OUb WASTE FACILITY I VV 4 <br /> �I FOOD FACILITY <br /> (\ si r I �;,IsrMm�moN <br /> I POOL I SPA if VOOLC <br /> Cj DAIRY I�� o �i eEo 11 mad -�- <br /> LAND USE APPLICATION Sm 3 I I I rJ"HQU.51Na <br /> LJ SCPTIC PUMPER TRUCK/ NL� c <br /> /60YARD i CHEMICAL TOILETS / V I�,LB rl f� <br /> [�CUPA <br /> WASTEWATER TREATMENT I.ANT <br /> HOUSING ADATEMENT <br /> W MOTEUHOTEL / <br /> CHICKEN WWCH/Doe KEN MEL <br /> 8 ' <br /> O MEDICAL WASTE FACILITY <br /> TATTDo180bT PIERCING ��ouD WAS- <br /> WASTE TIRE 9 <br /> COMPLAINT -- <br /> p AccouNnNo <br /> OTHER(PLEAS@ SPECIFY)! c I <br /> �RghxFD ARE.#- Y USE ONLYa <br /> >> l i c� c�LIViG�►J�t i I�i �� est i l i/ll `1 � t ►' <br /> I - - <br /> 12ecordi; toA ied b Staff-PPR Com lete. Staff Nems: <br /> EHD 48-08 im <br /> In'71 OI n7/CI <br /> Inn/Inn 's r. lol » •y <br />