Laserfiche WebLink
DATE REECCEIVED`/ a SAN JOAQUIN COUNTY �.J EHD LOG NUMBER <br /> RECEIVED ED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JUL 2 3 2012 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH ` 'v <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: NI S ha, V A-Ao m, BUSINESS/AGENCY: ENVW AI <br /> ADDRESS: ZZOO 62VJ?i1.1 6f S+e- OJ"OO CITY/STATE/ZIP: .n 0. ('A� CI 4 b bs-� <br /> PHONE(1):4Q160.-q?0.-X6b PHONE(2): FACSIMILE: 610.6 r-S-e?? l � <br /> TENTATIVE*APPOINTMENT DATE: -j-& Time: <br /> pplicat <br /> (Please allow 10 business days from date of aion subentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 F-E(CA H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7 -191 - 1?- <br /> Electronic <br /> 2Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unit 1 <br /> MWV13U 2 <br /> 2. Unit 2 <br /> 3. <br /> 4. <br /> Unit 3 <br /> 6. <br /> 6. <br /> Unit 4 <br /> 7. <br /> 8. <br /> Unit 5 <br /> 9. <br /> 10. � � //Z �AUnit6 <br /> Specific Date Range of Information Requested: From to <br /> �_.,� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ViUNbERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILIjYPICL ., b4 <br /> UTHER CLEANUP SITE(NON•LOP) El FOOD FACILITY 'WASTE TI f�F,`d r 3 <br /> NDERGROUND TANK(MONrrORINGIREMOVAL)OL El DOG KENNEL 9)DAIRY yam '-ZS-('L <br /> RDOUS WASTE GENERATO� ❑CHICKEN RANCH !`rJf WASTEWATER TREATMENTPLANT <br /> TIERED PERMITTED FACILITYoA. ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑T TTOOIBODY PIERCING ElPOOLISPA [-]LAND USE APPLICATION SITES <br /> �ZMEDICAL WASTE FACILITY COMPLAINT RECORDS F-1OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL BLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(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(2091464-0136 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recelved.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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 46-06 Willi <br />