Laserfiche WebLink
10/18/2007 TRU 14:36 F>l 20r -42999 SJC PUBLIC FORKS <br /> �- .� Z002/002 <br /> DATE RECEIVED <br /> F" SAV JOAQUIN COUNTY EHb LOG NUMBER <br /> �� ((�J{= ;��`,;/j if`l; ENVIRONMENTAL HEALTH DEPARTMEN <br /> � � <br /> 600 East Main Strect, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464_0138 Web; S' ov. / d <br /> : �� <br /> Lr . PUBLIC RECORDS RELEASE APPLICATION <br /> t'`: APPLICANT:_Mark Hopkins <br /> BUSINESS/AGENCY: Public Works <br /> ADDRESS:_181p E.Hazelton Ave. SJC Pbli ___ <br /> PHONE(1)._.,_,468-3085 <br /> PHONE(2): 3 0'( -O(J <br /> TENTATIVE"APPOINTMENT DATE: FACSIMILE:_468-2999__�� <br /> (Please allow 10 business days from date ONappHcalon submittal-•r'Antative onl Time. 1.15—PM <br /> — <br /> 0 CHECK BOX TO EXPEDITE REQUEST. y-must be Confirmed) <br /> 0 r�EE(C� ECK ONLY) REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1/ <br /> DATE <br /> Electronic Information; ❑List 0 Ma D <br /> P— escrlption: <br /> FILE ADDRESS <br /> user stroot Name ! EHD USE ONLY <br /> i. 0 0 � L) s <br /> 4. a <br /> ^45-12- L;VN <br /> 5 <br /> s. N <br /> ]. IJ k nit 4 \ <br /> 9. L -- L) T ❑ Unit 5 <br /> 1 D. <br /> o�c LV V� �-(� E] unit c <br /> Specific Date Range of Information Requested:From _ <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> P UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0f•+OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT L7 SOLID WASTE FACILfTYNENICLE <br /> UNDERGROUND TANK(MONITORINGIREMOvAL FOOD PACIUTy <br /> (HAZARDOUS WASTE GENERATOR ) I1 DOC KENNEL [I WASTE TIRE <br /> O TIERED PERMITTED FACILITY 0 CHICKEN RANCH C3 DAIRY <br /> ❑TATTOO/BODY PIERCING Ej M(JTEL/HOTEL ❑WASTEWATER TREATMENT PLANT <br /> 0 MEDICAL WASTE FACILITY 0 POOLISPA PUMPER TRUCK/YARO/CHEM TOILETS <br /> 0 OTHER(PLEASE SPECIFY) 2rLAND USE APPLICATION SITES <br /> WELL AND$EPTIC PERMIT RECORDS ARE AVAILAEI-E FOR REview- MONDAY-FRIDAY 8:00 AM-5,O01,M <br /> 1. List up to ten addresses in the space above. Select the ExcwoiNe HOLIDAYS. <br /> box(es). At least one file type MUST be selected. Fax type(s)of hies from the list above b checkin the appropriate <br /> ranges will not be accepted–for additional assistance with file addregSeg contact the EHDyAppliic t ons reeived aft r <br /> 209 464 0138 or mail to the ad <br /> s indicated above. Address <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD flies exist. An appointment for revfew will be Confirmed approximately <br /> days after receipt Of application. The files will be held for a maximum of five business da f r review, q <br /> should be Scheduled accordingly. . Appine ten(1 O) <br /> 3. A file that Is actively being worked on b END y$ o Appointments <br /> submitted when the file is available. y staff may not be Immediately available for review. Anew application may be <br /> 4. Any fife not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file rovlews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4&-06 WEB &/82007 <br />