Laserfiche WebLink
IRMI� I%w .w <br /> L— V L`�V SAN JOAQUIN COUNTY END LOG NUMBER <br /> AUG 1 2 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, 9508 A/579?V <br /> ENVIRUNP,9ENT HEALTH Telephone: (209)465-3420 Fax: (209)464-01313 8 Web:eb; vvwww.sJgov.org/e <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lr4 M nri; l BUSINESSIAGENCY: y%ey'Co^ <br /> '/ <br /> ADDRESS: L ! lar YIYc�i '7t L CITY/STATEIZIP: "&cfa,-'Al <br /> PHONE(1): _ jr Iqe0,09,2,g PHONE(2): FACSIMILE: 79 YID O60� <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of appllntlon submftl--Tentsdw only-must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQU T-$115.00 F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List[j Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> Street t Street Name city On,1 <br /> O� 1. :r r '/N0 <br /> 2. yP•`" �i 1 �JL' ❑units r <br /> 3. <br /> 4. J <br /> u s r�� <br /> 6. <br /> ❑ 4 <br /> T. <br /> S. <br /> g - ❑Unit 5 <br /> 10. <br /> ❑unit 6 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILRYNEHICLE3 <br /> THEN CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> NDERGROUNDTANK(MONRORINGIREMOvAL�( ❑DDG KENNEL [-1 DAIRY wI�II l'r�,r <br /> US WASTE GENERATOR OL ❑CHICKEN RANCH <br /> TIERED PERMITTED FACatTY v- ❑MOTELIHOTEL ❑WASTEWATER TREATMENT PLANT <br /> ❑TA7TOOpi PIERCING ❑PUMPER TRUcKNARD(CHEMICALTOI ETS <br /> ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-5.00PM(EXCLUDING HOLIDAYS) <br /> 1. Llet uo to ten addresses In the space above. Select the type(*)of files from the list shove by checking the appropriate <br /> boX(ea). At least one fila type MUST be selected. Fax to(2091484-0138 or mall to the ademss Inalrnti.r eti-.� Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant H any END files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after reoelpt of application. The files will be held 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 END 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 et the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115.00 deposit prior to review. <br /> Eno u9e onEr <br /> """If you need further assistance lease coMae�Illane tinez @ (209)468-9425 directly, Thank Ysu"' <br /> Ia <br /> EHD KOE <br /> A312Wp <br /> L00/100Z XVJ LO80GOOZ/ZL/80 <br />