Laserfiche WebLink
07/28/2017 13:15 4308304°Q8 ATI,tIELL LLC PAGE 02/02 <br />EIV <br />SAN •)OAQUIN COUNTY <br />DATE RECE4Y� ��� ENVIRONMENTAL HEALTH DEPARTMENT <br />���tji 1868 E.St Hazelton Avenue, Stockton. CA 95205-6232 <br />e ®phone: (209) 68-3424 Fax: (209) 464-0136 W®b' www_s190v.orglehd <br />PEWTPSERI-ALES PUSL-IC RECORDS RELEASE APPLICATION <br />END LOC NUMBER <br />60S7 <br />GLC <br />BUSINFSSIAGENCY: S oi0 <br />G e CITYISTATElZIP: t1e� !� �� I%ry�o�,a• cn"`t <br />APPLICANT: �� v� <br />ADQRESS: C � � PHONE {2): d 7' iI3 FAX OR E-MAIL: <br />PHONE (1): 490 - °� b a from date of appFication submittal for tie records to tbedrereclloarbd <br />Please allow 10 business days a an a t date and time to reviewe <br />staff wilt contact you to arrang PP�n <br />E $139 FEE (CASH OR CHECK ONLY) REQUEST FRAC DATE 1T4 3 <br />'� BUSINESS DAYS <br />[] CHECK BOX TO EXPEDITE R _ ro Aisle <br />�f-- checking the ePP p <br />SIGNATURE OF APPLICANT e s of hies from the lust beloved b s v Address <br />s 9 In the space below. Select the tyP () 3 0 0 <br />1 igt u to t®n adt fl a MUST be selected- a m will be processed the next business day. <br />box(es). At least on®tHe typo Ilgtions received after 3:00 p <br />es will not be accepted. App lease contact EHD at the number noted above. en 10 <br />ran® approximately ( ) <br />EHD files exist. An appointment for review will be confirmed <br />APPointmenta <br />z• For assistance In Identifying the nature and content of EWD records, P <br />the applicant If any <br />3. The EHD will notify T flies will he held for a maximum of five business aYs applicant. � <br />days after recOipt of application• anFzed by EHD staff at the expense of the app [' <br />should be scheduled accordingly. <br />4. Any applicant may require a 5139 deposit prior to review. <br />file net returned in the same condition - released will ere CLIJD1t�fG HOLIDAYS) <br />Future file reviews by the same apP MONDAY -FRIDAY B N AM-S:WM (� <br />WELL AND SEPTIC PERMfT RECORDS ARE AVAILABLE FOR REVIEW. <br />ElActronlc Information: r1 List ❑ map <br />Description'gg <br />C j <br />cni►rifiC .Dabs Range of <br />HEALTH DEPARTMENT <br />U NDERgRm Nu TANK (LIST) <br />OLEANUP <br />Sm (L(W) <br />�oT,CLGAMLM SrM (No ih L <br />(ER HAuaoovs MM <br />C] Ti_REo PEl WM- FACILM <br />earEaroL+nfl Tkmt <br />WST IMOwTORrMa t FMVC1# .) <br />p MA7/tRD�U9 rMTEUALE <br />r7 dPRLrWLjA0E MSPOReE <br />Sero WASTE FAC+LM 1 V¢111/Lt <br />�] Foos rnnjv <br />P= f SPA <br />DAIRY <br />Q LANoUSEAPPLICAT10u SRES <br />$EPT1C PUMPER TRUCK I <br />YARD ! C"tc nCA L TOILETS <br />Q wAsTmTErt TKATvt- PLANT <br />Q Hovma AaATE1AEMT N V <br />I] MOTEUHaTSL <br />CNra In RANCH I Dao KENNEL <br />MIMAL WANE FoeCKln' <br />F7 TATTOMMMT PIEMMU <br />p WASTE TIRE NO <br />p ca,API,,I11T <br />OTWEMPLEAHE 5PCC")! <br />tion Regr.+ested: From <br />3o I�, C�, �« Q& <br />a `5ct jD S. A j rp ra ,rJ-• <br />EHD USE ONLY <br />�� <br />A n <br />CA <br />!+YI L-y"'S�'p'0 0/ <br />, <br />' . �5 � <br />C <br />Ib c_ t<�� <br />i <br />195 �`o( . Cly.. <br />Io 103 A 5- S�At <br />Arora <br />LqM <br />1113 Records provided by staff -PPR Complete. staff rraRre: <br />Received 11,ne�'-Jul, 28.=2C17=11:00AM[_—fJo, 1991 <br />—6I'IA? VA'iIa191I <br />n I l n.L <br />FILE ADDRESS <br />Street <br />Street <br />I J�� <br />�• <br />1Name <br />' 1 <br />��o� '[!f WO` <br />flys <br />3o I�, C�, �« Q& <br />a `5ct jD S. A j rp ra ,rJ-• <br />EHD USE ONLY <br />�� <br />A n <br />CA <br />!+YI L-y"'S�'p'0 0/ <br />, <br />' . �5 � <br />C <br />Ib c_ t<�� <br />i <br />195 �`o( . Cly.. <br />Io 103 A 5- S�At <br />Arora <br />LqM <br />1113 Records provided by staff -PPR Complete. staff rraRre: <br />Received 11,ne�'-Jul, 28.=2C17=11:00AM[_—fJo, 1991 <br />—6I'IA? VA'iIa191I <br />n I l n.L <br />