Laserfiche WebLink
5- 9-05; 10:27AM; ;2099836960 # 2, <br /> 05/09;2005 11:45 46401 ENVIRONMENTAL N*SLTH PAGE 01 <br /> DA �liW I _: SAN JOAQUIN COUNTV <br /> MAYO JENVIRONMENTAL HEALTH DEPARTMENT <br /> 7flllh 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> ENVfRONMENl HFA!_Telephone: (209)463-3420 Fax: (209)464-DI38 Web: www siso <br /> PERPYtIT/SEf3VICLs PUBLIC RECORDS RELEASE APPLICATTv, <br /> APPLICANT: BUSINESS/AGENCY: (2^e/* -7�G. <br /> ' ADDRESS;, eL).C' k// ' !'c,trJ y�,Cr,/y ,Sdin. Acu Svc ,e-v e­-df 9r e&2,C <br /> PHONE(11:( ��S �.! ^ CtCa PHONE(2)0, 4/ _FACSIMILE: q h 3•-6Q(/ <br /> �O <br /> j TENTATIVE'APPOINTMENT DATE:_ ;� 2��0� <br /> I �! Tlme:_/D: uc /9�_ <br /> ,.,., (Please allow 10 business days from dat spolIcaGon submithal•"Tentative only•must be Confirmed) <br /> 1 CHECK SOX TO EXPEDITE REQUEST•$93.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS O <br /> SIGNATURE OF APPLICANT DATE 5�f �or <br /> UNIT DISTRIBUTION r, Unit 1 ❑Unit 2 Unit 3 nR 4 ❑ Unit 5 ❑ Unit 6 ❑ Other(eloctroniNlists/maps) <br /> I FILE ADDRESS <br /> Street Street Name City EHD USE ONLY `� S <br /> 1: O tY Gd. E r✓ to a �?-e 5. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. s <br /> 10. <br /> Specific Date Range of Information Requested: From /}i L to /-h—[. ' <br /> J/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,UNCERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILT'NEHICLE <br /> ( ,O MER CLEANUP SITE(NON-LOP) O FOOD FACILITY ❑WASTE TIRE <br /> t^}JIODERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIEREDPERMI TED FACILITY C MOTELMOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑TATTOWBODY PIERCING ❑PODUSPA C LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MONDAY-FRIDAY 6:00 AAI.6:00PM - 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.bo deposit prior to review. <br /> END 49.024009 <br /> in Al09 <br />