Laserfiche WebLink
lam f?9f 1612014 16:27 P.0011001 <br /> C <br /> �(�/��)ee - ( �ti G NU ERit (IMVED SAN JOAQUIN COUNTY �/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 5EP6 <br /> 201 <br /> 4 1888 East Hazelton Avenue, Stockton, C <br /> Telephone, (209)468-3420 Fax: (2 9) 464 138Webw9520"232 <br /> �g� o g/ehd <br /> ENVIRaNPAENIA <br /> LHEAJI-I <br /> PGR1flITISERUICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal EiUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA/95215 <br /> PHONE (1): 209-467-1006 PHONE (2): 20 -829-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ocAp Time: <br /> (Please allow 10 business days from date of application submetal-'Tontdlvo only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-�$�126 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /DPA' «ljQ,1%e DATE 9 • !G • lL/ <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> stroat it Street Name City - unitt <br /> ILI <br /> G— 2s. e$o?U(zi c �NJo cow <br /> t . Un <br /> R 2 <br /> Cn - W _ N° c <br /> 3. Lathrop 11� Notsat3� Lathrop <br /> W <br /> 4 2427 <br /> 2112 East Louise Avenue Lathrop y <br /> ; <br /> 6. t t4 <br /> 7, <br /> Unit <br /> 9. 7] <br /> 10. aufiitlt 6 <br /> apeclflc Date Range of information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES f <br /> El UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [I HOUSING ABATEMENT Q SOLID WASTE FACILTTYIVEHICLE 11 OKI <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACIUTY WASTE TIRE Lk <br /> 3 <br /> QUNDERGROUNDTANK(MONITORINGIRENAVAL) ❑DOG KENNEL ❑x DAIRY 3, <br /> O HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT cl <br /> ❑x TIERED PERMITTEDFACILILY ❑MOTEUHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILETS <br /> ❑TAT7001BODY PIERCING ❑POOUSPA (]LAND USE APPLICATION SRES <br /> ❑ MEDICAL WASTE FACILITY x❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERNNT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AWS:OOPM(EXCLUDING HOLIDAYS) <br /> 1. I st Gs to ten addresses In the space above. select the type(s)of files from the list above by checking the appropriate <br /> box(ea), At least one file type MUST be selected. Fax to(20B)484-0138 ar mz tl to above, Address <br /> ranges will not be accepted•for additional assistance vA Ole addreasea,contact the EHD. Appllcatlons received after <br /> 3:00 pm will be processed the next business day. <br /> 2, The IEHD 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 flies 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 new application may be <br /> submitted when the flie 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$125 deposit prior to review. <br /> 3L.5-4 P op � - ��Is esa ovJnel,jo 0= I LD t eJ�wn 1/le(-t)�_ �1/ CauiS� <br /> IND 4645 <br /> Receiv e d Tim ' 16. 2014 4: 15PM k 7070' - <br /> s <br />