Laserfiche WebLink
ERECEIVED tfiD wv NunnrstK <br />;';' �� SAN .IOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT ; <br />, 600 East Main St. Stockton <br />CA 95202-30 <br />Tolerhone: (209) 468-3420 Fax: (209) 464-0138 Web: .t rg/eh <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: 1-6tLATr--e_io BUSINESS/AGENCY: f= C q 9 2-(c 2 (o <br />ADDRESS: �2 IJQ. , c +c ZOO CITY/STATpEIZIP: C� MASA ., <br />PHONE (1):rj - (D - 3 PHONE (2): I -(o �5- % 2 % 0 FACSIMILE: <br />TENTATIVE" APPOINTMENT DATE: F(' j'_(U' 2- i -Lo ) y Time: <br />(Please allow 10 business days from date of applicatl submi `Te tadve only - must be confirmed) <br />CHECK BOX TO EXPEDIT QUE - $115 F SH OR CHECK ONLY) - REQUEST PROCESSED IN 7JAYS <br />SIG TURE OF APPLICA DATE <br />►-� " <br />. , _ ►:� .. T . � � - � -. fit.. �'i ' <br />EHD USE ONLY <br />Unit I <br />:% <br />i <br />I <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL REALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE , <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE\ <br />NDERGROUND TANK (MONITORING/REMOVAL) Ot- ❑ DOG KENNEL ❑ DAIRY n' <br />HAZARDOUS WASTE GENERATOR d' ❑ CHICKEN RANCH ASTEWATER TREATMENT PLANT % ti <br />TIERED PERMITTED FACILITY (1- ❑ MOTEL/HOTEL t1MPER TRUCKIYARD/CHEMICAL TOILET <br />❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ 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 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 mall 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 />ONLY ti 1p <br />/ � �/n /, 7 �l11 it / � � %i • / / � ♦ `��'�-- � l ,q .1�� <br />rgranf <br />