Laserfiche WebLink
�F�ftECE�VED t U LUG NUM SEM <br /> {� �I � <br /> � ' I� �J SAN JOAQUIN COUNTY <br /> ENVNMENTAL HEALTH DEPARTMIn <br /> � <br /> ,0+l 600 East Main St. Stockton, CA 95202 30 <br /> TeleQhone: (209) 468-3420 Fax: (209) 464-0138 Web T rg/eh <br /> f I I tMR <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: � o LA IL-e- BUSINESS <br /> ADDRESS: 5-22S)1 l/.Q S� ZOO CITY/ISTATErziP: <br /> PHONE (11): &D -): 5 3`t PHONE(2): 510-(aYS-(p20 FACSIMILE:510-2615- 2(aJS(p <br /> TENTATIVE*APPOINTMENT DATE: 1-f-jc�[un 2 . Zo ) O Time: $qv� <br /> (Please allow 10 business days from date of applicatl rsubmitta "Te eav*—e only-must be confirmed) <br /> SACHECK BOX TO EXPEOIT QUE •$115 F H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUINESS AYS <br /> TURE OF APPLICA i DATE C9 Z5 <br /> efl <br /> Electronic Information: List ap- cript n: i ro~vNe <br /> 0 <br /> FI1 USE ONLY <br /> Street# Street Name city a=yl. Unit <br /> [3- <br /> 3O ✓) tiSh i� V2 ; DoUnit2 2 S+ —C4(� Q Y/e �.I % Untt3 J <br /> s. 3 S S1-ADC +-o /l,Je. <br /> " <br /> 6. 21 W . Q.ln ft Unit <br /> 7. )'LJ Va ,, `` <br /> B. '22.-70A A& 1�7� 9 ❑unit s <br /> 9. F� . I i V1 <br /> 10. 1 D 2 e Unit6 j/ <br /> Specific Date Range of Information Requested: From 0- r -e to r-lp-se P1 <br /> U'f5UNDERGROUNDENVIRONMENTAL ALTH DEPARTMENT FILES I <br /> TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACIUTYNEHICLETHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> NDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH JaWASTEINATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(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-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 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 /> 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$115 deposit prior to review. <br /> 5. If you need further assistance, please contact Diane Martinez,at(209)468-3425. <br /> EHO USE ONLY <br /> EHD 48-06 <br /> 9/27!09 <br />