Laserfiche WebLink
DATE RECEIVED {{�� U� EHD LOG NUMBER <br />rECEIV D.) ENVIRONMENTAL HEALTH DEPARTMENT <br />�� <br />rr``'' 600 East Main St. Stockton, CA 95202-3029 <br />MAY 29 4 Z` eZlephone: (209) 468-3420 Fax: (2 09) 464-0138 Web: www.sjgov.org/ehd <br />F-NrP RMtTEJIC <br />NTAEALTH <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT:- BUSINESS/AGENCY: PCO L'TuCL <br />ADDRESS: 32_7_(�,( �P-P�C_e> l O>P, C -9_F_ ' 0NT—CITY/STATE/ZIP: C6 7 Ste' <br />PHONE (1): PHONE (2): FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT_ / / DATE k� 12_— <br />Electronic <br />Z— <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />Street # Street Name <br />1. 4 Wf ST LN <br />2. <br />.......aj. <br />....................................... <br />Rinder"Raj" Brar <br />B.S. Engineering <br />Commercial Real Estate Specialist <br />Commercial Real Estate <br />Residential Real Estate <br />320 South Abbott Ave <br />Milpitas, CA 95035 <br />Cell : (510)610-4661 <br />Fax :(510)441-2082 <br />Rajbrar4l@gmail.com <br />Raj—realestate@yahoo.com <br />City <br />EHD USE O <br />I fi'� te_ L�PIe L� <br />sl��( la <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />to <br />10' -pp <br />❑ Unit 2 <br />DvIll"t 3 <br />CU'nit 4 <br />❑ Unit 5 <br />F-1 Unit 6 <br />R UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />❑ SOLID WASTE FACILITYIVEHICLE <br />M OTHER CLEANUP SITE (NON -LOP) <br />� FOOD FACILITY <br />❑ WASTE TIRE <br />M UNDERGROUND TANK (MONITORINGIREMOVAL) <br />DOG KENNEL <br />❑ DAIRY <br />M HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />❑ WASTEWATER TREATMENT PLANT <br />M TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ PUMPER TRUCKIYARD/CHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING <br />❑ POOUSPA <br />[:]LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ COMPLAINT RECORDS <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: 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) 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 $125 deposit prior to review. <br />ASE <br />Eet <br />EHD 48-06 8/1/11 <br />