Laserfiche WebLink
OAT 7�- <br /> rtf, <br /> �� SAN,TOAQUIN BOUNTY CND LOG NUMBER <br /> �' .ENV IRONMITMAL HEALTH DEPARTMENT <br /> ,)UN Q 1 2007 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov-org c <br /> EP�ViF?JP���E��T HEALTH <br /> EERIiT NT HEAL PUBLIC RECORDS RELEASE APPLICATION 4 <br /> APPUCANT: Tammy Woods BUSINESSIAGENCY: Neil 0.Anderson &Associates <br /> ADDRESS: 902 Industrial Way, Lodi, CA 95240 <br /> PHONE(1): (209)367-3701 PHONE(2): FACSIMILE: 209 369-4228 <br /> TENTATIVE"APPOINTMENT DATE: June 7, 2007 Tlmo: 9-00 AM <br /> (Please allow 10 business days from date of application submittal-"Tontotive only-must bo confi <br /> (a CHECK BOX TO EXPEDITE REQUEST-$11E,00 PEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN A <br /> SIGNATURE OF APPLICANT DATE June , <br /> Electronlc Information: M List Ej Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY _ <br /> _ Street v -- w _ Street Name Clty — I� Unit 1 <br /> 1. 1141 S. Anteros Avenue Stockton <br /> 2. 1011 Broadway Stockton_ -7 3D a a ❑ unit 2 <br /> 3. 4010 E. Main Street Stockton <br /> - --.. Unit 3 <br /> 4. 4075 E. Main Street Stockton <br /> Xk=5. 4125 E. Main Street _ Stockton <br /> pax <br /> 7- 1] unit 5 <br /> 8. <br /> Unitr. <br /> 10. <br /> Specific Date Range of Information Requested:From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> *UNDERGROUND TANK(UST)CLEANUP SITE(LO;) &HOUSING ABATEMENT 0 SOLID WASTE FAC14TYNEHICLE <br /> *OTHER CLEANUP SITE(NON-LOP) : 0 FOOD FACILITY Q WASTE TIRE <br /> UNDERGROUND TANK(MON(TORINOikEMOVAL) CI Dqp KENNEL M DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY (3 MOTEUHOTEL E3 PUMPER TRUCKIYARD/CHEM TOILETS <br /> 13 TATTOOIBODY PIERCING 0 POOLISPA El LAND USE APPLICATION SITES <br /> 13 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 the applicant If any FHD 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> FHD4B•06 Oi1a00W wob <br />