Laserfiche WebLink
SAN,JJOA I . EHD LOG NUMBER <br /> NV1R0NMJrN "'Tff DEPARTMENT <br /> 600 East Main St t, tockton, CA 95202-2708 'kill <br /> , 1 <br /> a. Telephone: (209)4(58-3420 Fax: (209)464-013,S Wei): Nv%v�v.sjgov.orgie 116 17 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 10 BUSINESSIAGENCY: <br /> ADDRESS. 09 <br /> PHONE(1): szo<x- :2�2!9,7 <br /> 3-- ,7091 _4 <br /> FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date Of 2pplicationn, must b6 confirmed) <br /> ttal-'Tentitive only- <br /> T PROCESSED IN 3 BU NESS HECK BOX TO EXPEDITE REQUEST-$ CASH OR /DAYS <br /> SI ANAT CRE OF APPLICANT AP DATE <br /> Electronic Information: E] List E- Map — Description: <br /> FILE ADDRESS EHD USE ONLY <br /> S tramat# Street Name 7 City Unit 1 <br /> 2- ED) unit 2 <br /> X" <br /> 3. 2 2517 <br /> 4. AVAI 01010"Unit 3 <br /> n I <br /> 5. AlalVIZY 6RZ,,9,,o�, t��725_' NC-e 7_6'A U t4 <br /> Unit 4 <br /> 7, <br /> Unit 5 <br /> Unit 5 <br /> 8. <br /> 9. unit 6 <br /> 10. MV <br /> Specific Date Range of Information Requested. From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X_UNO1-;RqRQUND TANK(UST)CLEANUP SITE(LOP) 0 HOLISM ABATEMENT C1 SOLID WASTE FACILITYNEHIC41i <br /> THER CLEANUP SITE(NoN-LOP) El FOOD FACILITY 11 WASTE TIRE <br /> UNDERGROUND TANK(M ONITORING1118M OVAL) 0 DOG KENNEL ❑ DAIRY <br /> H <br /> 140.ARDOUS WASTE GENERATOR 0 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY M MOTF-QHQJT;L Ca PUMPER TRUCKIYARDICHRM TOILETS <br /> Cl <br /> TATTOO/BODY PIERCING 0 POOL/SPA 0 LAND Use APPLICATION SITE,; <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND 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—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 tile 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 hold 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$98,00 deposit prior to review. <br /> EHD USE ONLY <br /> If You should need further assistance please. contact Diane Martinez @ (209)468-3425 directly. Thank YOU*** <br />