Laserfiche WebLink
! <br /> sno�o��uwnsn � <br /> _ - ��A� ~ ~~����O|� COUNTY � <br /> Yy��h,.l ~~ <br /> — � � -- <br /> ENVIRONMENTAL �� � <br /> DEC �� ��1� 18G8 EastHaze�on Avenue, Stockton, CA <br /> Telephone: (209)4-68-3420 Fox: (209)4G4'0138Web: mxwvvsjgoxoro/ehd <br /> EWVIRDNViENTALHEAINH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCY: <br /> PHONE (1): PHONE FAXORE-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to 6�—available. U r�A_ <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> KCHECK BOX TO EXPEDITE REQUEST-$130 FEE( ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 7K7?�_ DATE <br /> Electronic Information: XList El Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY D <br /> El Unit.2 <br /> 31 2—S <br /> 8. <br /> E31SITE MITIGATION <br /> 9. <br /> Specific Date Range of Information Requested: From 11 7C) to _2c)15­ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Ej MOTEUHOTEL E]SOLID WASTE FACILITYN HICLE <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT F000 FACILIT ry f-(Ln -3 <br /> UNDERGROUND TANK(MONITORINGfREMOVAL)LI- E]WASTE TIRE DAIRY,POOUSPA 7-15 <br /> ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE(7- MEDICAL WASTE FACILITY PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> HAZARDOUS MATERIALS TATTOO/13ODY PIERCING LAND USE APPLICATION SITES <br /> TIERED PERMITTED FACILITY COMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PE,RMIT RECORDS ARE AvAILABLE FOR R Mo F O00A 5VO <br /> t List up to ten addresses in the u Select the type(s)of filfrom phatm <br /> box(es). *aleast one file type MUST be / ceo 4uurvnn <br /> ranges will not be accepted.Applications received after 3:00 pirn will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHDot the number noted above. <br /> 3. The EHDwill notify the applicant ifany EHID files exist. Anappointment for review will hoconfirmed approximately ten(1o) <br /> days after receipt o{application. The files will hoheld for amaximum of five business days for review. Appointments <br /> should bescheduled accordingly. <br /> 4. Any file not returned uthe same condition osreleased will bereorganized uyEHDstaff atthe expense oft�aappxuan� <br /> 5 � <br /> Fu�ure |e,e *wxbythe same applicant may require o$13Odeposit phortudM { <br /> review. /2'/_1�� � ��6V'fo/��/�/�'4�� <br />