Laserfiche WebLink
01/-0/2006 09:49 FAX 1 209 234 7727 STOCKTON 4002 <br /> 01/10/2006 09:34 464013-' ENVIRONMENTAL H PAGE 01 <br /> UA Iytuenu�tny evumoe�e <br /> SAN JOA,QU N COUNTY t <br /> ENVERONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, Y4 Floor,Stockton,CA.952022708 <br /> 0 `Z..Of lephone;(209)469-3420 Fax:(209)464-0138 Web: www.sjgov.org/obd <br /> ` USLIC RECORDS RELEASE APPLICATION <br /> APPUC Lk ` , - 'S BUSINESSiAGENCY: 0.t[ ,, I <br /> ADDRESS: 3ti10 w.k-ie�wwler t, �u�{"e F_ ci1Y � �svt sTATe C _ <br /> PHONE(1): 2-3q-772Z. PHONE(2): FACSIMILE: `2.3N 7 7 27 <br /> TENTATIVE"APPOINTWIENT DATE. Tim®: <br /> (Pleaso allow 40 business days fmm dace of cation submaw-"rwwdfm only-m mat be <br /> CHECK BOX TO EXPEDITE REQ 3.0A H OR CHECK ONLY)-REQUEST PROCESSES i B <br /> SIGNATURE OF APPLICANT DATE i to <br /> Elidi5n a L'1 Ust 0 Map-DeGodpdon_ <br /> Information <br /> FiLE ADDRESS EHD USE ONLY <br /> street 0 Strost Name C <br /> •1. 0 Mnit 9 S <br /> 2. 70C/ i"• ft. <br /> 3. C ""Unit <br /> 4. <br /> 6. Untt 4: <br /> 7. <br /> s. Unit 5 <br /> 9. <br /> 10, Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I1 UNDSW=ND TANK(UST)CLIMUP SIVE(LOP) A HMzMIa MAT131M PZSouD WASTE FACTLIi WERI:LE <br /> Ji OTIM CLEANUP SITE(NON-LOP) 0 FOOD(=ACNAT WASTE TIRE <br /> 119..UNDERGROUNT]TANK(M i 0 DOG KENNEL A DAIRY <br /> K HmmDOus WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TMATmENY PLANT <br /> 1QTiERwP6tT@ mm FACILITY 0 MOTELIHOTEL ❑pUMpgRTftucWARa1CHe=ALToiL0TS <br /> Y•TATTOOfBODY PIERCING 0 POOIJSPA 0 LAND USE APPLICATION SITES <br /> r sPMALWASTEFACKM 13OTHEER(PL.11AS8SPECrY) A t <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RM11W-MONDAY-FIWAY 00 Z&00pM - EXCLUM6 HOLIDAYS. <br /> 1.. List up to ten addresses In the space above. Select the types)of files from the list above by checking the <br /> appropriate box(es). At ieast one file type MUST be selected. Fax to(2091.464-0138®r mail to the address <br /> Indicated a 2, 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 win 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 Immed lY avallabie for review. Anew <br /> application may be submltted when the file is available. <br /> 4. Any file not returned in the sante 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 593.00 deposit prior to review. <br /> l,•y,�•,til, ,•''��,�` : <br /> CHO <br /> �otst>aws <br />