Laserfiche WebLink
09/26/2008 14:4"A' FAX 559 44I r081 KLEINFELDER Z002/002 <br /> SAN JOAQUIN COUNTY EHD LOG NUMISER <br /> SEP 2 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENT HEAJjKlephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvwW.sjgov.org/ehd <br /> PFRt,m­rjsEAVICE <br /> -S <br /> PUBLIC RECORDSRELEASE APPLICATION <br /> APPLICANT: <br /> !V� BUSINESS/AGENCY: <br /> .-N <br /> ADDRESS: t 4t <br /> PHONE(1);. <br /> PHONE' (2): <br /> 7 FACSIMILE:..... <br /> TENTATIVE*APPOINTMENT DATEf, Time: <br /> (Please allow ten business days from date of application submittal-'Tentative only-must be�confirmed) <br /> C3 CHECK BOX TO EXPEDITE REQUEST-$98.00'FEi(CASH;OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> Electronic information: El List 0 Map-Description: <br /> FILE ADDRESS <br /> TEHD USE ONLY <br /> Street# Street Name city <br /> ks Unit I <br /> e.-*1"4-- n_�it/"I �','1;,'. I <br /> oz,S,/V'�. <br /> moA10 iol' Unit 2 <br /> A)f <br /> 74 <br /> U <br /> 6. PO MIA- <br /> Y., 4. <br /> A <br /> e nit WOF <br /> 4 <br /> 7. <br /> 8. <br /> nit 5 <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> � UNDERGROUND TANK(UST)CLEANUP SITE(LOP) <br /> THEIR CLEANUP SITE(NON 1,Z HOUSING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> -LOP) 13 FOOD FACILITY 0 WASTE TIRE <br /> �:02UNDERGROUND TANK(MONITORING/REMOVAL)P, 13 DOG KENNEL 0 DAIRY <br /> AZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY C3 MOTELJHOTEL <br /> M TATTOO/BODY PIERCING ❑ <br /> 0 PUMPFRTRUCKfYARD/CHEm TOILETS <br /> 13 MEDICAL WASTE FACILITY C)POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 OTHER(PLEASE SPECIFY)._.. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-5-,O0pm - 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 /> EHD USE ONLY <br /> N 14 of v-5 > 5ee U4 <br /> EHD4E-0610129107 <br /> PUBLIC RECORDS RELEASE APP FORM <br />