Laserfiche WebLink
Ex EO hHI1 1_111;NUM111-K <br /> SAN JOAQUIN COUNTY iqx <br /> ENVIRONMENTAL HEALTH DEPARTMENT iM <br /> r) LUIIJ 600 East Main St. Stockton, CA 95202 rA <br /> Tq�Thone: (209) 468-3420 Fax: (209) 464-0138W j;'j rg/eh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1-64LATYCIo BUSINESS/AGENCY: f= C M 9 Z(p Z(0 <br /> ADDRESS: 35-Z'S) �� JjyA Auo- . .5�c Z00 crryiswuzip: ap=*ZMt PF'rS4 ' <br /> PHONE(1): 6fjo-q 64-q69 ) PHONE�(2): 51 FACSIMILE:510-295- 26 <br /> TENTATIVE*APPOINTMENT DATE V-(-'jj&_xA -Lo ioTime: 'gAvv-\ <br /> (Please allow 10 business days from date of applicatigr'submittaL.-PTerlItidive onivy-must be confirmed) <br /> SIGXCHECK BOX TO EXPEDIT;!!QU d� $115�Flj OR CHECK ONLY)-REQUEST PROCESSED 4ESS)DAYS <br /> TURE OF A'PPLICA I& DATE <br /> Electronic Information: IK List 0 1111ap-b"Criptkn: MtM�\(Liroyvmen- ICE <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name city ar-I unit I <br /> 1. Z 3 c) 1Y) cA"s4yic,_I AL)e- TV/ <br /> 2. 21 IR po PA lf�t/��Df\ C�_A Lin A h-;k,�0*F Unite <br /> 3. q4 <br /> 4. <br /> P�Mc'lo'.A ve_ ( IN 19 A.CD14 Idunit3 <br /> 5. 32-0 'S A-nr 1< 4-ny-\ Ave, 115 _r L 0-1." PO copy P <br /> 6. 21 C�-) M 1",r) --allti'It <br /> T. 1-L I (-) Vp,rCk A�Ve <br /> 8. 22-100 =_;&i 14-W-) 9 lip Unit 5 ' <br /> 9. v--\ 1 NO wl�lr <br /> 10. 10 (c e2!;i <':�+' k)p P &I nit J6 � <br /> Specific Date Range of Information Requested: From P a Y_I I lr�ese r)A_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES P <br /> UNDERGROUND TANK(UST)CLEANUP SffE(LOP) n HOUSINGABATHER CLEANUP SITE(NONLOP) EFOOD FACILITY <br /> WASTE TIRE <br /> NOERGROUND TANK(MomtTopiNGIREMOVAL)Q'- EIDOG KENNEL DAIRY <br /> HAZARDOUS WASTE JE <br /> ❑ <br /> a' ASTE <br /> WATERTREATMENT PLANT � <br /> �IERED PERMUTED FACILITY EMOTELIHOTEL MPERTRUCKIYARDICHERCALTOILE <br /> ❑TATTOO/BODY PIERCING El POOLISPA 0 LAND USE APPLICATION SITES <br /> [1 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <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 /> E g�__ <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD77LA 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 ton(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 app.,.,,,,,, vz' <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 6. If you need further assistance, please contact Diane Martinez,at(209)468-3425. <br /> LD 1 D 0 UPA-11 Lk i <br /> 4264 co <br /> kA6 <br /> EHD 4846 W IIC81;1! Av <br /> . a <br /> at MI/VWA_LOW11POW- i y% pwqtlimotile" <br />