Laserfiche WebLink
From1arcus H. Bole & Asso4)es 530+633+0119 0602008 08:34 #022 P.001 <br /> EHD LOG NUMBER <br /> SAN,TOAQUIN COUNTY <br /> I rq X008 ENVIRONMENTAL 11EALTH DEPARTMENT <br /> J Ll N 1 f ` 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-270 <br /> ENJIRONKIENl i1EA� t <br /> elepbone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/c <br /> PERMJ T/'PR�IJCE PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT: ll/p(li,S /7 p�lP BUUS�INESSIAGENCY:�llc <br /> n '( �Aolt' <br /> E <br /> ADDRESS: �O / �L� / ��/C �r I�JGC 7711e[�T ,4Z 'yi y.�- p <br /> PHONE(1): ��-�� `O//7 PHONE(2):�9 —�Y7—/ f FACSIMILE: c�0 <br /> TENTATIVE`APPOINTMENT DATE: 7AIrS &Ao2LlO� [Or' Sc?onPo Time: 1"'� � <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) C�//kc6 ' <br /> C_n.nL <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Eiectronic Information: ❑ List❑Map-/Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. ob '1 OjP <br /> 2 ❑ Unit 2 <br /> 3. <br /> Unit 3 <br /> 4. <br /> 5 - <br /> Unit 4 <br /> 6. /OF <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT 91'SOLID WASTE FACILITYIVEHICLE I b 1'e kr <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY "ASTE TIRE I (OL <br /> �NDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL 0 DAIRY 1 ( lPI r <br /> O AZARDOUS WASTE GENERATORtK 13 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT l� <br /> 0 TIERED PERMITTED FACILITY Q MOTEL/HOTEL 17 PUMPER TRUCKIYARD/CHEM TOILETS <br /> 13 TATTOO/BODY PIERCING 0 POOLISPA M LAND USE APPLICATION SITES <br /> CI MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses 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. Fax to(209)464-0138 or 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 EHD 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 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 911312006 <br />