Laserfiche WebLink
04/24/2007 08:56 5302445021 LAWRENCE ASSOCIATP-S PAGE 01 <br />WelmdDATE -RECEIVED - G NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-01.38 Web: www.sjgov.org <br />'PUBLIC RECORDS RELEASE APPLICATION ((( r <br />I� <br />Iv <br />Al/ Specific Date Range of Information Requested: From <br />APPLICANT: t'>rA -(fA <br />ADDRESS:—'`�OOI (i�d('Y.2:� StjY.'t <br />PHONE (1): 5?�0PHONE (2): <br />TENTATIVE' APPOINTMENT DATE: <br />(Please allow 10 business days from <br />X CHECK BOX TO EXPEDITE <br />SIGNATURE OF APPLICANT <br />X30 ^Z- Lit -So 7 <br />Z4, A,. <br />he conFlrmetl) — I r r' 'Ie_s� <br />PROCESSED IN 3 BUSINESS DAYS GJwACc.b)G. <br />—DATE � <br />Electronic Information: ❑Lis Map -Description. <br />FILE ADDRESS/� <br />EHD USE ONLY <br />Street III <br />Street Name <br />city <br />N yr- OZ ❑ unit f <br />i1et^ <br />1. <br />I 0 ti <br />.�ss�6.L14 <br />c <br />2. <br />�(�BLI <br />n. o+ <br />-I <br />itl,^O I-3 1d'hj /�Unit2 <br />-ori <br />�soo <br />n*441— <br />Ow mr 406t <br />wo"Unit3 <br />4' <br />{o=iw V <br />"" US1 <br />r+ <br />r'L 6t^ <br />� unit a <br />7. <br />5 <br />'rI ti& <br />r� <br />❑ Unit <br />8. <br />a, <br />t o. <br />N A <br />L40 60 <br />01 <br />..._. <br />t' <br />Unit6 <br />------ ------ <br />i, 50. �u.;., <br />--' <br />- SL.I G �'tsc <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />IUNDERGROUNu TANK (UST) CLEANUP SUE (LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br />OrHFR CLEANUP SITE (NON4-OP) 11Fo00 FACILITY rr� WASTE TRE <br />ZUNDEROROVND TASK(MONRORINWREMOVAL) C3 Doc KENNEL EI -DAIRY <br />.,/HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH Ja WASTEWATER TREATMENT PLANT <br />JZ( TIERED PERMITTED FACILITY ❑ MOTEUHOTEL D PUMPER TRu6NIYAROICNEM TOILETS <br />TATToolBODY PIERCING ❑ POOLISPA (� � ❑ LAND SE PPLICATIDN SITES <br />MEOICALWASTE FACILITY Z OTHER(PI,EASE SPECIFY) DCM 6r- ��ln"k <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRID4 0:00 AMS:DOPM - 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 net 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 fie 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 reurgarilmd by EHD staff at the expense of the applicant, <br />Future file reviews by the same applicant may require a $9500 depvslt prior to review. <br />EHD USE ONLY <br />