Laserfiche WebLink
From:James Robinson Fax:+1(209)7404303 To:Environmental Health Fax: +1 (209)464-0138 7/23/2009 4:08 <br /> DATE RECEIVED 91_ SAN JOAQUIN COUNTY - EHD LOG NUM <br /> ifi"{�5�: ;7�7h����c�� ENVIRONMENTAL HEALTH DEPARTME T <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> JUL 2 3 2009 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e <br /> ENVIRONMENT HEAL114 PUBLIC RECORDS RELEASE APPLICA ION <br /> APPLICANT: ar110S Robinson _ BUSINESS/AGENCY: JR Squared CO1TSllIttn$ Tt�1C. <br /> ADDRESS: _PO BOX 1744 _ City/State/Zip Valle v Springs, CA 95252 <br /> PHONE(11: 209-772-3541 PHONE(2): Cell - 209-642-5445_ F.CSIMILE: 209-740-4303 <br /> TENTATIVE`APPOINTMENT DATE: Ann11St 6, 2009 Time: 9 am <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-S105 FEE(CASH OR CHECK ONLY)-REQUEST P OCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 07/23/09 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# I Street Name city ❑ Unit 1 <br /> 1. 1531 El Pinal Drive Stockton <br /> 2 __133OCKLOi1 ❑ unit 2 <br /> 3. 2801 Nordi West Lane Stockton <br /> c�G) Stockton Unit 3 <br /> 4• 1624 E. Al pine Avenue � ( <br /> 5. <br /> nit 4 <br /> 6. <br /> 7• ❑ Unit 5 <br /> 8. <br /> 8• _ ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 10 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSING ABATEMENT In SOLD WASTE FACILITYNEHICLE <br /> X�yOTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY M WANE TIRE <br /> XUNDERGROUND TANK(MOMMORING/REMOVAL) 71 DOG KENNEL r7l DAIRY <br /> X HAZARDOUS WASTE GENERATOR 73 CHICKEN RANCH 173 WASTEWATER TREATMENT PLANT <br /> SY TIERED PERMITTED FACILITY M MOTELMOTEL 171 PUMPER TRUCKNARD/CHEM TOILER <br /> TATTOO/BODY PIERCING 0 POOL/SPA El LAN)USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5: OPM - 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 address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD. Applications received after <br /> 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 will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business Jays for review. Appointments <br /> should be scheduled accordingly. <br /> S. A file that is actively being worked on by EHD staff may not be immediately available f r review. A new 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 EHD stall at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />