Laserfiche WebLink
From:Marcus H. Bole & Associates 530+633+0119 05/18/2012 10:22 #239 P.001 <br /> DAT � SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �NVlRO�MENTAVG S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: U1(7L a BUSINESSIAGENCY: e I O <br /> ADDRESS: Ll geox <br /> 119 U City/State/Zip �/(.(_I mrha_,^C� <br /> PHONE(1): Q � / PHONE(2). �30 ! 1J ✓,,//a3 6 FACSIMILE: -571/ �?-00� <br /> TENTATIVE*APPOINTMENT DATE: r�d�� /My R S I i'/Y.r�SI�IC Time: <br /> (Please allow 10 business days from date of applicationsubs*Tentative only-must be confirm <br /> ❑ CHECK BOX TO EXPEDITE REQ T•y105 FEE CAS OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINES P <br /> DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> p(� Street# Street Name CitylJnit`1,. <br /> l� s N 1:., �� <br /> �. <br /> 3. <br /> COA/ Unit 3 <br /> 5. - NIto M�KL rT P*,i4 IF 14 0 Wrl <br /> At <br /> it 4 v <br /> 7. L 1✓ a S N ilIi <br /> ? o <br /> �) ❑ Unit 5 <br /> s. GJ Q ST /V\ f <br /> M/6110 <br /> .� <br /> 9. _ _ _. P Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From /y L �P�P'A'St to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ��`S.OLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY AUVASTE TIRE <br /> ❑DOG KENNEL ❑DAIRY ��11 <br /> UNDERGROUND TANK(MONITORING/REMOVAL) WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH ❑PUMPER ATER T YA TREATMENT <br /> P TOILETS <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL <br /> ❑TATTOWBODY PIERCING ❑POOLISPA ,❑ NDD USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY IV OTHER(PLEASE SPECIFY) 1G,cija4�—�/-�A^iJf <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-6:00Ptt • 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 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$105 deposit prior to review. <br /> EHD US ONLY <br /> 5- -106Zx0 e;Pri- � — <br /> EHD48-0 6 Bl04/08 -31—IZ , PraV <br /> {pt c6) <br /> `�Wi✓ w !T Y"7 c.�.r VCJ I <br /> or g0bq EI 00coo. 6DmPlcu4} ���g35D�j�,� .n I� oke bor PG I VkTj . coml":Ieu �s <br /> Ct7Et�J�7it7rJl LD� yI 5. I rj)A-1c(J� _ r,r\.nn..enL;/_ �,w - _ .L..�I G, .- �1 i-L1-7 <br />