Laserfiche WebLink
r06/25/2012 09:11 80523993• SIERRA DELTA COWT PAGE 01/01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> V <br /> �r SAN JOAQUIN COUNTY <br /> r R EI l9 ) ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 JUN 2 5 2012Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e710 <br /> ENVIRONMENTAL HEALTH <br /> PERM IT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: f \�`— BUSINESS/AGENCY: 5 �ala Dc\Ira Crr�s, <br /> ADDRESS: q35 AIC 2.( CITY/STATE/ZIP: <br /> PHONE(1): 905. 23 . +{ 152 PHONE(2): FACSIMILE: 605. Z'iq, °Boal <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Flange allow 10 business days from date of application submittal-'renrsrlve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE L 5 J I'Z <br /> Electronic Information: ❑List ap— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Street Name City unit <br /> LA I ri12 ll '�/F/is��✓L <br /> 2• ♦on Unit2 <br /> 3. <br /> 4. <br /> Unit 3 <br /> 5. <br /> 6. <br /> nll4 <br /> 7. <br /> $. <br /> unit 5 <br /> 9. <br /> 10. <br /> units <br /> Specific Date Range of Information Requested: From to / <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 2/um DERGROUND TANK(UST)CLEANUP SITE(LOP) Ll HOUSING ABATEMENT 0 SOLID WASTE FACILUYNERCLE <br /> IJ <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILrrY ❑WASTE TIRE p pI ��n.'� <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)t� ❑DOG KENNEL - ❑DAIRY UJI( I i lZ <br /> I[—�IHA2ARDOUS WASTE GENERATOR v1-- ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT V- Z\� <br /> u TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑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 flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST he selected. Fax to!20914640138 or malLto 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 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 EHD staff may not be Immediately available for review. A now 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 EMD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 8125 deposit prior to review. <br /> EHD FSE ONLY <br /> EHn 4g-05 BMW <br /> r nr nnlD 0. V4AH t,l,. AIAA <br />