Laserfiche WebLink
x <br /> 04/18/2007 11:17 5108340 PAUL H KING PAGE 02/82 <br /> _ EHD LOG NUMBER <br /> �/�1 E RECE11lED SAN..JOAQUIN COUNTY <br /> 1ENVi.RONMlF,-NTA1,14EALTII DEPARTMENT <br /> 304 l ast Weber Avenue,3r1 Floor, Stockton CA 95202-2708. <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Wein: www-sjgov-org/eh <br /> s : PUBLIC RECORDS RELEASE APPLT.CA,TION — <br /> r BUSINESSIAG HLydj ±,:�?_Qcl� e <br /> APPLICANT',ADDRESS. � 'D , Z-1• 0 <br /> PHONE(1): PHONE(2): <br /> (QfACSIMILE: �� <br /> � lP� C L�Lt�.[L-r <br /> TENTATIVE"APPOINTMENT DATE: <br /> 1 f tt-�,, S`1% TimO: f d r ti <br /> (PlOasn allow 10 business days from dote of application 9Ubmlttat-*Tanftrtive only-must be confirmed) <br /> Q CHECK BOX 1-0 EXPEDITE REQU X95 d �MASH OR CHI=CK ONLY)-REQUEST PROGESSED IN 3 BUSINESS S <br /> SIGNATURE OF APPLICANT <br /> '`kr�► DATE �)�' <br /> Electronic Information: ❑List[j Map Description: <br /> FILE ADDRESS _ _ EHD U51n dNLY <br /> Street Name City 0 unit i <br /> F13. j <br /> reet# _. <br /> 9�o0 I�_ S cu_ s / ,��_ 56,y—�vr, <br /> - . .. -- Unit 3 <br /> 4. <br /> 5. <br /> 7 Unit 5" <br /> Unite <br /> 10. <br /> Specific Date Range of Information Requested: From A-) to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> L.]u-NOERGROUNDTANK(UST)CLEANUP SITE(LOP) Irl�HOUSENG ABATEMENT U SOL-IV WASTE FACILITYIVEHICLE <br /> ISOP Ek CLEANUP SITE(NON-LOP) ❑FOOD FACILITY . M WAST;TIRE <br /> M'ONDERGROUNDTANK(MONITORINGIRF,MOVAL) 0 Dov KENNE=LM'FIA DAIRY <br /> 2ARDOU5 WASTE GENERATOR CHICKEN RANCH 13 WASTEWATER'TREATMENT PLANT <br /> TIERI=DQEI>,WAST FGENERACIUTY El MGTELIHOTEL, ❑PUMPER TRIJOWYARDICM01 TOILETS <br /> O T EREID ERMi PIERCING 0 PDDLISPA 0 LAND USE APPLICATION SITES <br /> In MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) - <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVA14ABLE pdR EZEVIEW MONDAY B:OO AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the spaoe above. Select the typ®(s)of files from tlTe list above by checking the appropriate <br /> box(es), At least one file type MUST be selected. Fax to d9 4G4-0138 or ail to the ddress I dicated move. Address 4 <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:Do pm will be processed the next business day. <br /> 2. The AHD wlll 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 flips will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, a <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 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$99,00 dope4it prior to review. <br /> EHl7 USE ONLY <br /> EEID 4x-05 9113I]-9� <br /> I <br />