Laserfiche WebLink
rl,4SAN JOAQUIN COUNTY Ak EHD LOO t4UM13rR <br /> 0NAlENTAL RE ALTT1 DEPART.VI'. T <br /> 600 East Main,Street, Stockton, CA 952,02-2 <br /> 708 <br /> Telephone:.(209)468-3420 Fax- (209)46401.38 Web: wwW-,'Sjg0V. <br /> PUBLICR <br /> -ECORDS R <br /> ELEASE APPLICATION <br /> APPLICANT ]BUSINESS/AGIENCY: O,- r <br /> AID <br /> 1 <br /> PHONE ): PHONE(2); <br /> T FACSIMILE:_?Zj <br /> TENTATIVE*APPOINTMENT DATr;,- Time: <br /> (Please allow 10 business days from date of appil nmust be confirmed) <br /> SIGNATURE> OF APPLICANT 14ittal "tentative only-,0 L Rr;QUEST PROCESS F DIN$13US[�E)SS DAYS <br /> C, <br /> <C:I,ECK BOX TO EXPEDITE REQUES .00 FEE(CASH 0 <br /> DATErl�109 <br /> Electronic Information: ❑ List[j Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name <br /> 1 �_ IJ Unit I <br /> 010/ 12 601`1�4 <br /> o e;,-,IF Unit 2 <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 0 Unit 5 <br /> 9. <br /> FrUnit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALT J NT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSINGOLtD WASTE FACILTTYNEHICLF <br /> THER CLEANUP SITE(NON-LOP) ;_KA le <br /> CO3 FOOD F 13 WASTE TIRE <br /> UNDERGROUND TANK(MONITOHNCIREMOVAL)K 0 DOG KENN M DAIRY <br /> &ARDOUS WASTE GRNRRATORa�' 0 CHICKEN CH 0 WASTEWATER TREATMENT PLANT <br /> fTtERED PERMITTED FACILITY M MOTELJHOTEL EJ PUMPER TptucKNARD/CmEm TOILETS <br /> C3 TATToolBoDy PIERCING 0 POQU$PA 0 LAND USE APPLICATION SITES <br /> V5 15ill/o <br /> 1:3 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW , MONDAY-FRI b AY 8:00Am-5:00Pm - EXCLUDING HOLMAYS. <br /> 1. List up to ton 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 151-10 files exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files will be hold 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 EHD staff may not be Immediately available for 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 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 /> If you should heed further assistance please contact biotic Martinez @ (209)468-3425 directly. Thank You*** <br /> CHD44-06 R/14/2006 <br />