Laserfiche WebLink
EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQU.IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3r4 Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)404-0138 Web:www.sjgov.OTg/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION Loll <br /> APPLICANT: a0a?%ttg,/A_Wc0N ENMW BUSINESSIAGENCY: NII-t440 DiViRWA94—TAL--. <br /> ADDRESS: g5to 64�PAGIFIC�H164'tLRY,��(III 0 � Q <br /> PHONE(1):�s9s (2): r ��5,,�, �/pp FACSIMILE: <br /> PHONE <br /> SrSIO � <br /> TENTATIVE'APPOINTMENT DATE: BO` V BNWA 2,0077 Time: <br /> (Please allow 10 business days from date of application subm'P-•Tenretwe only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDRE RE ST•595-.0-0�FEE'C/ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 DUSINE 5 DAYS <br /> SIGNATURE OF APPLICANT �E ��GJ'J DATE17 <br /> Electronic Information: ❑ List[l Map-Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Name city Una 1 <br /> 1. "700 DrARC $AP,.�W LASS-CROP_ <br /> 2. NEC. V1ARCyP4W#V M 4A! unlez <br /> 3. <br /> 4• <br /> 5. _.... _ -Unit4 <br /> 7. _ Unit S <br /> 8. <br /> 9. <br /> EE <br /> _. Unit6 <br /> 10. 71- <br /> Specific <br /> Date Range of Information Requested:From /900 to ��7 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT I2�10LID WASTE FACILRYNEHICLE <br /> Men CLEANUP SITE(NON-LOP) NFOOD FACILITY 0!r WASTETIRE <br /> �DEROROUNO TANK(MONITORING/REMOVAL) OG KENNEL /' AIRY <br /> �AzARDOua WASTE GENERATOR �HICKEN RANCH ASTEWATER TREATMENT PLANT <br /> Ts <br /> TIERED PERMITTED FACILITY OTEIJHOTEL J0 PvmPER TRUCKIYARDICHEM TOILE <br /> ;e-rATTOOIBODY PIERCING POOUSPq LAND USE APPLICATION SITES <br /> ,ffMEDICAL WASTE FACILITY O OTNER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REOORDs ARE AVAIL gaLE F4R REVIEW • MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above, Select the type($)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be Selected. Fax to(209)464.0130 or mall to 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 flies 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 new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition Be released will be morganizod by EHD staff et the expense of the applicant. <br /> Future Elle reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> eNoaeua enazzsoa <br />