Laserfiche WebLink
❑nvLw rvumetK <br /> —"- -- � SAN JOAQUIN COUNTY <br /> M <br /> ENVAMENTAL HEALM DEPARTME <br /> 304 East Weber Avenue, 3`d Floor,Stockton, CA 95202-2708 147 <br /> MAR — 7 '6Welephone: (209)468-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd <br /> ENVIROhdf�ai� I"ikFS PUBLIC RECORDS RELEASE APPLICATION <br /> / <br /> APPLICANT: 1 S ©�S"el'�1 11 BUSINESSIAGENCY: M <br /> ADDRESS: ookI, CL'a�6+�tc.�- Y-L� _CITY ��� STATE lF:jj <br /> PHONE(1): FS3 ! �Z— Ff F s� _PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$93.00 FES-(CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3— <br /> Electronic ❑ List ❑ Map-Description <br /> fo <br /> Inrtnatlon <br /> FILE ADDRESS EHD USE ONLY <br /> Street R Street Name City - <br /> 1. S o acs S ❑ Unit 1 <br /> 2.3. El Unit 2 ` <br /> 4. 0,00 Unit 3 <br /> s. Unit 4 <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From k to ,ff rsAt <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1i UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br /> ❑, OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> y <br /> `UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑ DAIRY <br /> pS-WSARDOUS WASTE GENERATOR 13 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ 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-5:0OPM - 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD. Applications received after 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 <br /> approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> l-' <br /> EHD/6 06 <br /> iomJ 006 <br />