Laserfiche WebLink
Petry Trigueiro OakValleyComBank ( 1/1 ) 11/17/2014 02 : 18 :06 PM -0800 <br /> Y DATE RECEIVED -- "^` END LOG NUAIBER <br /> SAN JOAQUIN COUNTY 1� <br /> ENVIRONMENTAL HEALTH DEPARTMENT �� ' <br /> I�OV T. t Z014 , <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 t <br /> Teteppone: (209)468-3420 Fax: (209)464-0138 Web: vvww.sjgov.Drg/ehd <br /> 'EI ('stli7^ hL'iCaS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: l ECf3( ll )xe•i G to f.It?.r5 BUSINESS/AGENCY: Cwv err LL4-'y G°1'11i>1L4tL r ry IJ{� <br /> ADDRESS; 2.Cj7�- W fir) ( # LHAe CITY/STATE/ZIP: jJGL LI/V r,4 <br /> PHONE (1): 61z?W20~7s-vl PHONE (2): FACSIMILE: (�vcj 526...7&;�-XV <br /> Please allow 10 business days from date of application submittal for the records lobe available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOXTO EXPEDITE RE T-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINES]�DAYS <br /> SIGNATURE OF APPLICANT :4 Irv^ t_ 1 � ,r--- ,,,r=-•—' DATE ( { �I--1/( - <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street S Street Name city <br /> ❑ Unit 1 <br /> 7. � OFf-Fd � L.i'rj 11t'}N'TcG �ilxk,tllts�t. ,.xxcf�(� <br /> 2. <br /> ❑ Unit <br /> 3. <br /> 4' Unit3 �J <br /> 5.6. <br /> e <br /> unit 4 <br /> 7. <br /> 8' ❑ Unit 5 <br /> 9. <br /> ID. <br /> ❑ unit e <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACiuTYNEHICLE t V lle' <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE v <br /> ,UNDERGROUND TANK(M ONrrORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY lLntl I <br /> ❑ABOVEGROUND TANK El CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT IZ � n/ <br /> ❑HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS- <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE 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 u3 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)464-0136 or mall to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. 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 /> 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 $130 deposit prior to review. "`BOXED AREA-EHD USE ONLY-- <br /> 0 Records provided by Staff-PPR Complete. staff Name: <br /> CHD4846 <br /> OS/D1/14 <br /> —Received Time—Nov, 17. -2014— 2: 12PM—No. 7567 <br />