Laserfiche WebLink
EHD LOG NUMBER <br /> 0 <br /> SAN JOAQUIN COUNTY <br /> 1 ENVIRONMENTAL HEALTH DEPART"4 1 <br /> tui 10 600 East Main St. Stockton, CA 9520 09 > <br /> ,Te -3420 Fax: (209)464-0e138 W �YYWW Sjgov.orglehd <br /> Phone: {209} 468 <br /> Ht; PUBLIC RECORDS RELEASE APPLICATION /1 <br /> APPLICANT: BUSINESSIAGENCY: C_ " <br /> ADDRESS: 4'l S�(.Z(f) CITYISTATEIZIP:_C1,)5'I (1 Me,5 C\ <br /> PHQNE(1); D�' tP °I PHONE(2�1J: -�P FACSIMILE: Jj0-�Z� 5- Z��( <br /> TENTATIVE"APPOINTMENT DATE: �Ir'i+J1� Z Z O (.7 Time: �Yv1 <br /> (Please allow 10 business days from date of app ca ion sub l-'Tentative only must be confirmed) <br /> HECK BOX TO EXPEDITE REQ T-$115 SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUST ESS D YS <br /> SIGNATURE OF APPLICA DATE <br /> Electronic Information: 0 LiStI,Map— scription: 4/ IL <br /> FILE ADDRESS 'EHD USE ONLY <br /> Street# Street Name city El Unit 1 <br /> �^ .kc,, Unit 2 <br /> 2. L D <br /> Unit 3 <br /> 5. <br /> 6. �Z�jG� �v � Unit4 <br /> 8. 0722, 1� Pro n e d , U '� Ld ly Unit 5 <br /> 9. <br /> � 0 5 0 wry <br /> 10. Unit 6 <br /> Specific Date Range of information Requested: From 4r i e to <br /> LIQ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> II SflL16 WASTE FACILrI1fNEHICLE <br /> ZfUNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT <br /> E <br /> OTHER CLEANUP SITE(NOW LOP) ©FOOD FACILITY WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL DAIRY <br /> AZARDOU5 WASTE GENERATOR C]CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY F-1MOTELIHOTEL [:]PUMPER TRUCKMARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ©POOtISPA [j LAND USE APPLICATION SITES <br /> © MEDICAL WASTE FACILITY 'OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVI€VV: MONDAY-FRIDAY 8:00 AM-5:OOPM(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)4640138 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$115 deposit prior to review. <br /> 5. if you need further assistance, please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> e f�1J n <br /> -I(" C.Igo �lJ , <br /> I 1: I ` -e 0 -UX I-5qZ lA <br />