Laserfiche WebLink
Apr. 8. 2003 15!34 BROWN & WINTERS -__. ' No. 0660 F. 1%1 <br /> E-F= <br /> DD SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2008 , <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web: www.sjg V.0 eh <br /> ov or eh <br /> HEATH <br /> �'/S E R V I O E S PUBLIC RECORDS RELEASE APPLICATION <br /> AV PLiC ANT <br /> C d�� <br /> SUSINESSIAGENCY: W k'Aitm <br /> SIR aE <br /> PH ONE(i) PHONE(2): . FACSIMILE; (01161 <br /> TENTATIVE*APPOINTMENT DATE:A 23 ar Time: <br /> (Please allow ten.buSpegFSys from dA Of OPP—;Cation submittal *T417ffi6V@ only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REqfiJEST-A98.0qFE((CAS T PROCESSED IN THIR.EFIUUINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EleCtronic Information. [I List[I MapD=iption: <br /> FILE ADDRESS EHD USE ONLY <br /> Street* street Name city <br /> 345 orfk YC5ewj 'M" V <br /> EHD USE <br /> )0 C_Q� <br /> )0-44 A <br /> WO <br /> 2- (IoALeo) '0 <br /> 0 wK sayk 3p%CA-. V,_41q(P 0 0 Unit 2 <br /> 3 3. <br /> Va FwMrA V1 �52�C-Rn�d�611 _C- 4D <br /> 4. <br /> IN- 6A)o C'� nit 3 <br /> 5. <br /> .-r"MOh <br /> 6. Aj r- F rill 4� <br /> 7. <br /> I D r <br /> 0 Unit 5 <br /> 9. <br /> 10. • L'I'Pjds - Gam- A) r— nit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Eff� NDFRGROLJND TANK(Un CLEANUP SITR(LOP) 0 HOUSINn,ABATEMENT T11r61-313 WASTE FACILITYlVEfliCLE <br /> 02?THER CLEANUP SITE(NON-,L0P) C3 FOOD FACILITY C3 WASTE TIRE <br /> 2 ,DEFtOROUNDTANK(MONITOPiNr.IREMOVAL) E3 DOG KENNEL 10 DAIRY <br /> "AZAROCIUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER 7xEATM ENT PLANT <br /> C3 TIERED PERMITTED FACILITY 0 MOTELMOT8L 0 PUMPER TRUCKfYARDICHEM TOILETS <br /> 13 TATTooloo[3y PIERCING 13 POOLISPA ID LAND USE APPLICATION Srres <br /> C3 MEDICAL WASTE FACILITY E3 OTHER(PLEASE SPECI <br /> WELL AP10 SEPTIC PERMIT RECORDS ARE AVAILABLE MR PZVIEW''- MONDAY-FRIDAY 9.00 AM-3:00pm -]EXCLUDING HOLIDAYS. <br /> 7- <br /> 1. List up to ten addresses in the Space above. Select the typ4i(2)Of files from the list above by checking the a-ppropriate <br /> box(es). At least one file type MUST be selected. Fax 12 f2g2lt e Address ranges will <br /> not be accepted-for additional Assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> bb processed the next bu5lness day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review YAII be confirmed approximately tsn <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 the EHD staff may not be Immediately available for review. A new application <br /> may be submitted when the file 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-M 10121)07. <br /> PUBLIC-RECORDS RFLEA$F APP FORM <br />