Laserfiche WebLink
SAN JOA UIN <br /> Q COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> "z,trP 1 0 0007 600 East Main Street, Stockton, CA 95202-3029 <br /> X�1114 1' r 1rA! H <br /> Telephone: (209)468-3420 Fax: (209)4640138 Web: www.sjgov.arg/ehd 3070 <br /> r-E Ri!vliT/SF-RV10ES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: JIPYk A-,y BUSINESSIA/G,ENCY::] <br /> ADDRESS: <br /> ,-� <br /> PHONE(1), PHONE(2): FACSIMILE:_. q <br /> TENTATIVE*APPOINTMENT DATE: Tlmo: <br /> (Please allow 10 busineus days from date of application submittal-"Tentativo only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST.$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street ft Street Name City AIJM10 2. � nUST » HA2. <br /> 4. - !�i M nit3 <br /> 6. <br /> Unit 4 <br /> y. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From _ to <br /> �,,,,,,ff�,//,�•�•111 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT b SOLID WASTE FACILITY/VEHICLE <br /> �rSTH R CLEANUP SITE(NON-LOP) ❑KgOD FACILITY ❑WAaTE TIRE <br /> a�.KDERGROUND TANK(MONITORINGIREMOVAL) ❑Doo KENNEL ❑DAIRY <br /> 13 HAZARDOUS WASTE QENERATOR in CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY O MOTELIHOTEL 0 PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑TATToOBODY PIERCING ❑POOLISPA ©LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 0:00 AM$: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. fjix to 209 464-0138 or mail to the address indicatgo above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the 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 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 END staff may not be Immediately available for review. A now 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 END staff at the expense of the applicant. <br /> Puture file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> END USE ONLY <br /> EHD d8-06 WEa 8l820�J <br /> TO 39Vd 1b8Z86LOT6T LO:60 EOOZ/OT/60 <br />