Laserfiche WebLink
DATE RECEIVED sxoLOG NUMBER <br /> -=` SANJOAQUIN _ _ -' - _ <br /> J L­:=`L-2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> X Ielonboom: (209)468-34Z0Fuz: (l09)464^0l3DYYob: n,,^w. | � � <br /> "w�=- � --- ~ , <br /> ' Q���' /�� jj��TH��[[�i <br /> PUBLIC RE CORDS RELEASE APPLICATION <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> [] CHECK BOX TOEXPEDITE REQUEST $98.00 FEE(CASH OR CHECK ONLY)_-� QUEST PROCESSED IN 3 BPSINgS DAYS <br /> SIGNATURE OF APPLICANT DATE W��q <br /> FILE ADDRESS EHD USE ONLY <br /> ___�treet# Street Name City El Unit I <br /> 1- ajO <br /> 2. El Unit 2 <br /> �r <br /> 6. <br /> 7. <br /> El Unit 5 <br /> 8. <br /> 9. Unit 6 <br /> 10. <br /> Specific Date RonQeofInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ���l <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) oHOUSING ABATEMENT oSOLID WASTE pAomr'wsmous <br /> OTHER CLEANUP SITE(wow'Lop) oFOOD FACILITY oWASTE TIRE <br /> #UNDERGROUNDTAwx(mownnm � o wo/msmovx�� 000sxewws� omnv <br /> oHAZARDOUS WASTE GENERATOR oCHICKEN RANCH oWASTEWATER TREATMENT PLANT <br /> oTIERED PERMITTED FACILITY oMorcuxorcL oPUMPER TnoonnAno/uxcmTOILETS <br /> orArromonovPIERCING opoouun^ oLAND USE APPLICATION SITES <br /> oMEDICAL WASTE FACILITY oOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-5:00pm ' EXCLUDING HOLIDAYS. <br /> i. List uptoten addresses inthe space above. Select the type(s)offiles from the list above bychecking the appropriate <br /> bon(es). Adleast one file type MUST beselected. us <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:0Vpmwill boprocessed the next business day. <br /> 2. The EHDwill notify the applicant ifany EHDfiles exist. Anappointment for review will boconfirmed approximately ten(10) <br /> days after receipt mfapplication. The files will baheld for omaximum o[five business days for review. Appointments <br /> should boscheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew application may bn <br /> submitted when the file isavailable. <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$98.00 deposit prior to review. <br /> EHDUSE ONLY <br />