Laserfiche WebLink
01/05/2010 16: 41 9257466099 AEI CONSULTANT L� PAGE 01/01 <br /> i <br /> DATE RECEIVED jj�� SAN JOAQUIN COUNTY FHD LOG NUMaCR <br /> RuE(CE V ED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-2708 41 J <br /> jAN U 5 2010 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov,or /J C✓,[� <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> t V KO 4A C.p _ BUSINESSIAGENCY:ADDRESS: -oi"100 O\nOJD CITYMTA1E2IP LIJULC C_lpAY ,CQ...,14C <br /> PHONE(1): ( 2.S-746-6045 <br /> p <br /> PHONE(2): iS -S( — 1 FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application aubmlttai'•Tcntaflve only•must be confirmed) <br /> C1 CHECK BOX TO EXPEDITE REQUEST-$10 FEE( H OR CHECK ONLY)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE jfOW-14 S, 201 o <br /> Electronicfnforrnatlon: [] List C] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street3 Street Name_- City ❑ unit <br /> 2, t l� Kp� vS NI�fP� ❑ Unit 2 <br /> 3, PO <br /> 4. <br /> Unit t <br /> 6. <br /> 7. <br /> ❑ unit s <br /> 8. �� <br /> 9. i Unit S <br /> 10. <br /> Specific Date Range of information Requested: From to Sir^ <br /> IENVIRONMENTALHEALTH DEPARTMENT FILES <br /> I <br /> UNDERGROUND TANK(UST)CLEANUP SRE(LDP) 17 HOUSING ABATEMENT >kSOUD WASTE FAC ILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) t7 FOOD FACILITY 0 WASTE TIRE <br /> UNDERGROUND TANK(MOMTORINOIREMDVAL) 0DOC KENNEL EM DAIRY <br /> Cl HAZARDOUS WASTE GENERATOR 00"CKEN RANCH O WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMIT®FACILITY 0MCTEI.fHOTEL ❑PUMPER TRUCK(YARDICHNIT01LErs <br /> C3 TATYoomoOY FTERomo 0 POOLISPA O LAND USE APPLICATION SITES <br /> MEDICAL WASTE,FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPnc PERMIT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FRIDAY 5:00 AM-S:ODFM - EXCLUDING HOLIDAYS. <br /> 1. Llsj Up to ten addresses in the space above. Select the 4pe(s)of flies from the Ilet above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(20g)400-i30 or mal(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 /> 7:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist, An appointment for reviewwill be confirmed approximately ten(10) <br /> days after receipt of applicatlon. 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 now application may be <br /> submitted when the file Is available, <br /> C 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$105.00 deposit prior to review. <br /> EHD USE ONLY <br /> ***If you need further assistance please contact Diane Martinez @ (209 68-3426 directly. Thank You""" <br /> erw arae armee <br />