Laserfiche WebLink
1 <br /> Unlu .s / Lulu MUN 17 : U / YAX 0001 / p01 <br /> � �C' €��` [ F r EHD LOG NUMBER <br /> SIA OAQUIN COUNTY <br />` ENVIRONMENTAL HEALTH DEPARTMENT <br /> f MAY 0 3 Ld lO 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENT F <br /> EEALTH Telephone: (209 ) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> - <br /> PEI i_ SERV! Qj PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Martin Wills BUSINESS/AGENCY: Taber Consultants _ <br /> ADDRESS: 3911 W . Capitol Ave . CITYISTATE/ZIP: West Sacramento , CA <br /> PHONE (1 ): 916 - 371 - 1690 PHONE (2): 916 - 402 - 4755 FACSIMILE: 916 - 371 - 7265 <br /> TENTATIVE* APPOINTMENT DATE: May 7 2010 Time: 10 am <br /> (Please allow 10 business days from date of application submittal - *Tentative only - mustbe confirmed) <br /> FXJ CHECK BOX TO EXPEDITE REQUEST - $115 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE May 31 2010 <br /> Electronic Information ; ® List E] Map - Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street # Street Name city <br /> E� unit 1 <br /> 1 . 3105 South El Dorado Street Stocktontia <br /> - - <br /> 2 — <br /> 3. <br /> 44 <br /> 5. ., - - - - -- - -- - <br /> 6. axx c f 71 <br /> - - -- <br /> -- <br /> B. <br /> 10. <br /> © Unit6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> © UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br /> ❑ OTHER CLEANUP SITE (NON-LOP) ❑ Fool) FACILITY <br /> ❑ WASTE TIRE <br /> ® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> ❑ HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL <br /> ❑ TATTOOIBODY PIERCING LlPOOL/SPA El PUMPER TRUCKIYATOILETS <br /> ElMEDICAL WASTE FACILITY ❑ LAND USE APPLICATTIONION SITES <br /> ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAY$) <br /> 1 . List un to ten addresses In the space above. Select the types)l of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail 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 files exist. An appointment for review will be confirmed approximately On (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 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 $116 deposit prior to review. <br /> 5. If you need further assistance,. please contact Diane Martinez, at (209) 4683425. <br /> ENb USE ONLY <br /> EHD 4806 <br /> 812]109 <br />