Laserfiche WebLink
DATE RECEIVED <br /> i-,,EHD LOG NUMBER <br /> &A SAN JOAQUIN COUNTY' <br /> LE <br /> p7 7 <br /> Lj E�NVIRONMENTAL HEALTH DEPARTrAtENT <br /> RECEIVE"` 4�� I <br /> 1868 East Hazelton Avenue, Stockton, CA 96205-6232 <br /> SEP. 03 2015 Telephone: (209)468'-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL <br /> ARRIVIMMMOEg Racco <br /> ADDRESS�. 467 N_ Oak St. BUSINESSIAGENCY: Live Oak GeoEnvi�ronmeq!jj_ <br /> CITY/STATE/ZIP;�g�jj CA 9540 <br /> PHONE(1): <br /> 1209l3-69=075 PHONE(2): (209) 3.66-3222 FACSIMILE: 369-0377 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to <br /> i <br /> ($0 1 . . review the requested records, <br /> CH�CK BOX TO EXPEDITE REQUEST-$ FEEC H OR CHECK ONLY)-REQUEST PROCESSEQ IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 61 <br /> DATE <br /> FElectronic Information: [71 List L] Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City <br /> ',ee, Street <br /> 5 0 g. d IV El unit 1 <br /> -50 ' W. Frewert Rd. <br /> 2, <br /> r <br /> ell <br /> 14 1 6PPtvit 2 <br /> 3. <br /> 1 61 <br /> 5. war�41k 41 <br /> 4. — —!F:::i1 S, <br /> 1419 orl <br /> El unit <br /> T�Ag, M a",_n",-ezA. Lk <br /> Ax-IUnita <br /> 7. <br /> 4- El Unit 5 <br /> 10. <br /> Specific Date Range of Information R4quosted: Frcm <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> F_ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) QMEDICAL WASTE FACILITY E]SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) El HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUNIn TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY El DAIRY <br /> A9OVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL [71 WASTEWATER TREATMENT PLANT <br /> HAZAkDOLISWA,R-TE/H-A'-7ARDC)LISMATEn <br /> ,I A F❑I"OTELIHOTEL 0 PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> LS L M <br /> TIERED PERMITTED FACILITY ❑PCOUSPA El LAND USE APPLICATION SITES <br /> ITATTOO/BODY PIERCING COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY'8:00 Am- <br /> 5!00pm(EXCLUDING HOLIDAYS <br /> 1. 1-ist un to ten addresses in the spare 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 addrbss indicated above. Address <br /> ranges will not be accepted.Applications received after 3:0.0 pm will be processed the next business day, <br /> 2. For assistance'In Identifying the nature and content of EHD records, please contact EHD.at the number noted above. <br /> 3. The EHD will notify the appilcant 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 /> 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, —BOXED AREA-EHD USE.ONLY"* <br /> _0C0V-9e'0;'10G k,4 (7T_P, tof C0P <br /> QQIAG504of 1*451 q1. V00W4 CLO" iT4- <br /> El Records_provlded by Staff-PPR Complete. staff N.9mo: <br /> EH0 43-08 <br /> 4128/14 <br /> Received Time Sep, 3. 2015 10: 51AM No. 9483 <br />