Laserfiche WebLink
09/26/2008 14:49 FAX 559 44? '*081 KLEINFELDER amwk R002/002 <br /> WKPAn -6011 <br /> L ESAN JOAQUIN COUNTY EHD LOG NUMBER <br /> SEP 2 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENV1R0[NMr'__NT HEALI%Iephone: (209)468-3420 Fax: (209)464-0138 Web: vvWW.sj9ov.org/ehd <br /> PF81"11-ris'EAVICES PUBLIC RECORDS RELEASE APPLICATION <br /> '�v <br /> APPLICANT: c� � <br /> BUSINESSIAGENCY: <br /> L.L 1,C,) ".- ' ...-6�1":\C,\\ �e'� <br /> ADDRESS: <br /> !Y <br /> PHONE(1): <br /> L 1 f x L1 PHONE'(2):,t" 7 I—FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATEr, Time: <br /> (Please allow ten business days from date of application submittal-'Tentative only-must be�confirmed) <br /> 7 CHECK BOX TO EXPEDITE REQUEST-$98.60FE�(CASH:OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> Electronic Information: ❑ List E] Map-Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street Name <br /> city <br /> 0 Unit 1 <br /> A, <br /> /U0 eo/'Oy CD Unit 2 <br /> 3. 1 J. Vv <br /> J(u w Ao(fop <br /> " '- <br /> Av <br /> qq j, <br /> ST 7 - <br /> nit 4 <br /> 8. <br /> nit 5 <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Z<UIDERGROUND TANK(UST)CLEANUP SITE(LOP) '�nHOUSING ABATEMENT CI SOLID WASTE FACILITY/VEHICLE <br /> THER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY C1 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL)V, 0 DOG KENNEL 0 DAIRY <br /> 10-d'AZARDOUS WASTE GENERATOR 11 CHICKEN RANCH Cl WASTEWATER TREATMENT PLANT <br /> ;a'TIERED PERMITTED FACILIT'!K 13 MOTELIHOTEL 0 PUMPER TRUCKfYARDICHEm TOILETS <br /> 0 TATTOOIBODY PIERCING POOL/SPA 0 LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> WELL AND 5'.FPT1?'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 appropriate <br /> box(es). At least one file type MUST be selected. fax to(209)464-0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will <br /> 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 approximately ten <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 the EHD staff may not be immediately available for review. A new application <br /> 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 applicant. <br /> Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br /> — <br /> EHD USE ONLY <br /> 5' & 0 <br /> A <br /> .Aim 0;It V Am <br /> EHD 48.06 I0/29/07 <br /> PUBLIC RECORDS RELEASE APP FORtA <br />