Laserfiche WebLink
®� 0112212015 16:07 , P.0011001 <br /> ■ <br /> I�■ <br /> q� DATE RECEIVED EHD LOG NUMBER <br /> FE <br /> SAN JOAQUIN COUNTY <br /> �R � —11A ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2 3 ?0Melephone: (209)468-3420 Fax: (209)464-0138 Web:www.slgov.org/ehd <br /> ENVIRONMENI'AL HEALTH <br /> I PE:FI IT13ERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RebeCCa Natal BUSINESS/AGENCY: aI <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:StOCkton / CA / 95215 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Ploam allow 10 business days from date of application submittal-•TenteNe only-moat be confirmed) <br /> ❑CHECK BOX To EXPEDITE REQ $125 FEE( CH CI -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -- -- DATE_/,9,? -/S <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> 'y/1 u Unit <br /> �(1 <br /> � 1 i <br /> 2. 18 � nit2nr i <br /> � <br /> ililo <br /> 3. 2150 East Fremont Street Stockton I �y"�r' <br /> �4yV'iY1 �l�F4. 103North E Street Stockton �� 1 <br /> 5- 36 D Street Stockton w <br /> 6- 124 North E Street Stockton ; �> lPA t!) tui` nIt <br /> 7- 11 South A Street Stockton L),eve le <br /> e. 1750 East Channel Streetn <br /> Stockto _ co <br /> ----- --------------- ... -- ___._. L ?> . IQ 'X t U Unit 5 <br /> 10. 13 Unit 6 <br /> Specific Date Range of Informaton Requested: From _all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X7 UNDERGROUND TANK(UST)CLEANUP 81TE(LOP) ❑HOUSING ABATEMENTx❑SOLID WASTE FACIUTYIVEHICLE r <br /> 7OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Dx WASTE TIRE 'j j0 /t r' <br /> (]UNDERGROUND TANK(MONITORINGIREMOVAI.),r.._ ❑Doo KENNEL Q DAIRY ,,,J 3. P,2-f 7/ S <br /> 0 HAZARDOUS WASTE GENERATOR,;:•,. ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIEREDPERYMED FACILITY ❑MOTEUHOTEL ❑PUNIPFR TRUCK(YARDIC WMCAL TOILETS <br /> ❑TATTOOMODY PIERCING (J POOLISPAX❑LAND USE APPLICATION SITES <br /> ❑ MFDiCAi.WASTE FACIUTY Q COMPLAINT RECORDS 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-B-OOPM(EXCLUDING HOUDAYS) <br /> 1. List up to ton 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)4U:9132 or 11 tg thR address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHb. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD wlll notify the applicant If any EHD files exist, An appointment for review will be confintted approximately ten(10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointment$ <br /> should be scheduled accordingly. <br /> 1 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 file is available. <br /> 4. Any file not returned In the same condition as released wilt 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 /> F}I�}USkANfY i. I r�r i f:1 ��i __. ` . <br /> r - <br /> 003 <br /> - �- <br /> t ,-� 7 ;C, .�,` t r ,i � 1` <br /> ^. u ? _ t t € ^< 114t <br /> )4. AO'trt�s , 0 J' tZ-i 5' Aej o A e5 �� t�' 1' !'�;,'trtt var•t., <br /> �, vtfar 9 <br /> y <br /> R e c e i v e d Time Jan, 22. 2015 3:59PM No, 79441 0^t (1450 IQ 3 C_(r4.,, T-p,U5r�, ��0W-�T <br /> , t 1-7150 t1'ani7 u;t .p >� <br />