Laserfiche WebLink
DATE RECEIVEDEHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ti <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �/hskh I?��� BUSINESS/AGENCY: p �xrrivov.ww.t� �Kc_ <br /> ADDRESS: 3�(oa R luc glue( Sft. 7-0, CITYISTATE/ZIP: p2es4,4tt,,, CAq'bfet <br /> PHONE (1): (_ qhs- 3-1-14 PHONE(2): ��g,� 22k-3440 FACSIMILE: !-(A <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /`���� -�L� DATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City F[]'Unit 1 <br /> 1. to to ust�it�/ � Al Rr +MMP' + Slrtliry° tDsP <br /> 0 2. tcryt EtM r+vJ IR C-09P El.�lnit2 II U <br /> n 3. '%SvM,MP 03 T-.50C2,sP C <br /> 4. 16o AS r s ry5t Unit 3 <br /> e 5. tort PS rMP cr�j1 <br /> 6. '113) <br /> ❑Unit 4 <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> (]Unit 6 <br /> Specific Date Range of Information Requested: From I qac to _aRtiN{ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES e5 <br /> E NDERGROUND TANK(UST)CLEANUP SITE(LOP) 2WEDICAL WASTE FACILITY Q SOLID WASTE FACILITYIVEHICLE <br /> 2115iHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT �I(ASTE TIRE (�1 <br /> [a'GNDERGROUNDTANK(MON ITORING/REMOVAL) ❑F .OD FACILITY ['ISAIRYnjl .1� <br /> [JABOVEGROUNDTANK [?HICKENRANCH/DOG KENNEL [.WASTEWATER TREATMENT PLANT It' <br /> [214AZARDOUS WASTE[HAZARDOUS MATERIALS ❑r�.�MOTELIHOTEL QTUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> U <br /> 211ERED PERMITTED FACILITY rOOLISPA Q LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ['COMPLAINT/RESPONSE RECORDS ["OTHER(PLEASE SPECIFY) PXF '� S eG <br /> Er1 V jee►A IAA S^u-E_y l <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)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.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files 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 /> 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$130 deposit prior to review. `BOXED AREA-EHD USE ONLY— <br /> )y) <br /> NLY—lav:- Films <br /> ��S_ . C�3N tit-._. - Z2� . .. Wcl ...Z,-j`�of �S C , _• -, - " 3�/ - <br /> ^,.-.�.( �✓� 'le 7rvC � f r I G ��� r0�i s � )77 t <br /> UI.t 10 /f CJ , RZJ r7 ci tf*'s u�rrJ <br /> EHD 48-06 CS/ic70 �r 7LO �EuiaS,fricd , rRfGyicLQ_ct c.t ,9 � e 06!01/.i4 <br /> inC40101f rpr x 5j 6Ili 3 x 5 J l (c�^ `jSL� /nduStnuL f <br /> ion/ .ndu.4i`ial (hIgediol) /nc d Ccr"n r?rrt'uct$) k 1051 Sperry ,, 'Rj-bi'CQ,, C:D 7&o frtc(gs{rjed t-1ST��} <br /> q� j,1Clk_5t iaf Usr Hle J los} Spe-rte AST Filey d�� io -/Ss UJi4 lei For 71co rrulusrr)n,l 6ILL 7 <br />