Laserfiche WebLink
Hf` A RECEIVED - - EHD LOG NUMBER <br /> L1VSAN JOAQUIN COUNTY <br /> 615" <br /> C SEP 0 Pn,7 ENVIRONMENTAL HEALTH DEPARTMENT t <br /> 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> &L3 AROHr4EiSTA3 tHF-AL H Tetephone: (209)466-3420 Fax: (209)464-0138 Web:www.$)gov,org/ehd e <br /> `� pERCU"!TI` r rES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: F7CtS�'ct �anG {� �q BUSINESSIAGENCY: Cl/I <br /> ,3 <br /> ADDRESS: y �g, � s(arc F e 13�RA Z>4re 2,o l CITY/S TATE0P: -T <br /> _ _ aeFe --- _(A _`�?01 Os <br /> PHONE(1): _ l� • 1�3- aISQt PHONE(2): (@-3f _ 5.T€7- FAXORE-MAIL: dSoe�sseCo�56r✓� cep <br /> Please allow 10 business days from date of application submittal forthe records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN BUSINESS DAYS <br /> SIGNATURE OF APPLICANT "�� i i � DATE 4- I-Lo t(, <br /> '!. List up to ten addresses in the space below. Select the type(s)of flies from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0438 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 appointment for review will be confirmed approximate ly tan It 0) <br /> days after receipt of application. The files will be held for a maximum of fivo 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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information, ❑ List ❑ Map-Descrlptlon: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD <br /> USE ONLY <br /> Rl1ulYEnaIOUNn TANK(UST) Street* Street Name City <br /> CLEANUV Sn'e(LOP) <br /> OTHER CLEANUP SITF(NON-LDP) � � �"`• �P"�C-- ` J+�+'-'F T`^-� pIT NI/ �/r r' <br /> �PIrsRDOuu WAJTY / .t 1J 1v r I r ..0 DARY <br /> TIFRFn PFRMITTRJ FALILItt 2 <br /> 4�tiC^ acs SES L.��C cc.-C <br /> ❑AeovecaNur+u TANK Cie. <br /> []USI(MOMTORING/REMOVAL) CI pvv'° <br /> 1A.UIROWu MATLWALS '} <br /> O <br /> �PII i/RFIFARF RFRPD Ffl.. / <br /> Ii� <br /> ❑SOLID WASTE FACILM/WHICI.F G ®`WATER eUAUW <br /> FOOD rALRITY <br /> ❑Poo"/SuA Snc MOIL` <br /> DAIRY S <br /> ❑LAND UDE AF LICATKIN STYES 1-13::_-1 (2 <br /> SEPTD PUMFhN TR u1 l OUeIND <br /> 6 <br /> YARD!Cnr.'MICa,TOLETS <br /> WAF,TF WATER TREATIAENT PLANT <br /> COPA <br /> NOUNNO ARATFAIFNT T <br /> MOTF.VI'IOTEL / <br /> CHICKEN RANCH 1 COO KFNNFL M COPA-UST <br /> MEDIcALWASie FACILnV R <br /> ❑TATT00/eODY PWRONc <br /> aOLID WASTE <br /> WAsi L TIKE. <br /> B <br /> GOMMAWT <br /> OiNER(PLUSC S'L•L11'V); _ O A=UNTINO <br /> 10 <br /> ^BOXEDARE. -FHDUSE ONLY' <br /> LO Records provided by Staff-PPR Complete, sLArma3 .: <br /> kiz <br /> Eke 0", <br /> Received Time Sep. 1, 2016 2: 26PM No. 1164 <br />