Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
uul. I�. [�UID�rILI:7LYM <br /> ® �¢Fu�. WED <br /> (ry;�f,) N o. 0894 P. 1 <br /> -""" `'� EHD LOG NUMBER <br /> 12 c SAN TAL REIN CO � <br /> a€�[� � � ENVIRONMENTAL HEALTH <br /> JUL i `f 2C�h<i 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.slgov.org/ehd �6{ <br /> EMR0NWEhffAs1-BATF; PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICRNT: w <br /> ADDRESS: bvw BUSINESS/AGENCY: G—}Z <br /> v(rorL.>`e <br /> CITY/STATE/ZfP: r{ y <br /> PHONE(1): _SI Q-a-N'7_4 S 8 F7)6p1 PHONE(2): FAX OR'E <br /> Please allow 10 business days from date of applicatlon submltiai for the records to be available. e ra t r z <br /> yg�g' Staff will contact you to arrange an appointment date and time to review the requested records. <br /> Jai CHECK BOX TO EXPEDITE REQUPT-/VW FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS - <br /> SIGNATURE OF APPLICANT �!/ DATE -7 f e.(—((p <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant If any EHD files exist. An appointmentfor 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 /> 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:001"M(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS �'file �fgl* <br /> dA I <br /> FILES <br /> XuaaEROROUNO TmK(UST) street Street Name City <br /> CLEANUP SITE(LOP)1*14W 3` 30 �!/� _eJ ❑COMEUAIEN <br /> OTHER CLEAWP SITE(NON-LOP) 9 I S. EM ✓o r J p -J+ ` <br /> • ~ ` OFF tale <br /> HArARnaus WA.^rE � / n t <br /> TIRED PERNITTEO FAOIIITY 2 �� E( ✓CPrwtd ( ❑UAW <br /> �ASOVEGROUND TANK co Ro �}r <br /> Kf�I UST (MORINV 9 883 SA � , ,, I �PW9 <br /> A <br /> HAROOUSU <br /> ATER141.3 RIq{9 <br /> SP&LIR^E'LIABEER^ TESRPOOWEy�I /G/��T/J�J 'I,f,11 IDL' �r�IIIff��{�L{�`�, L� (�� <br /> G'DIIArIf rrlI (N6NIOIt / ATER OW ITY IV <br /> �PC=FACILITY 1 ,Y• �• ` Noc.OryP ��� <br /> I]POOL/SPA ITE MITI04TION <br /> 6 <br /> 0 DAIRY <br /> LANG USE APRuru.TION SITES <br /> HovdlNo <br /> q SEPTIC PYMPER TROCK/ 6 <br /> YARD/CHEMICAL TOILETS - <br /> -wAW"ATER TREATMENT PLANT COPA <br /> HOUSING ABATEMENT T <br /> ❑MOTEUHOTELI' <br /> CHICKEN RANCH/003 KENNEL COPA <br /> e <br /> MEDICAL WASTE FACILf1Y <br /> ❑TA70UBODY PIERCING m/SMIG WASTE <br /> WASTE TRE <br /> 9 <br /> AA- <br /> COMPLAINT \ <br /> OTNER(PLEASE SPECT-); ❑ACCOUNTNO <br /> 10 <br /> •••BOXED AREA-EHD USE ONLY'•• <br /> �i <br /> < -7-17-Ma ' FrOvid apa ctn DDri 3vis E <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time=Jul. 14. "2016=12; 55PM=No. 0973 _ <br />