Laserfiche WebLink
Apr-08-08 01:25pm From- T-077 P.011n1 F-381 <br /> nIIIUfI i1 1f (D� SAN JOAQ UIN COUNTY EHO LOG NUMBER <br /> J 1V/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT 359 <br /> ' <br /> 9 2008 600 East Main Street, Stockton,CA 95202-3029p Telephone:(209)468-3420 Fox; (209)464.0138 Web: www.sjgov.or h <br /> FNViF J[&'.ENT HEALTH <br /> P1.;':,";I/-SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: K liter SYt F _SUSINESSIAGENCY: Te4ra -T�gc_k <br /> ADDRESS: tormic) ldhckc; CdYL�[T/'0. Ye� QS-I.r�10 <br /> PHONE(1):(91b) EJ53—q,51 g PHONE(A2): C�I(t)1 CJ`J 3 <br /> 2-- 00 FACSIMILE: &4I b4Z <br /> S -034'7 <br /> TI <br /> TENTAVE"APPOINTMENT DATE: A <br /> _ SAN> Time: Az-Ap <br /> (Pleaao allow 10 business days from data of appllcaltlon submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQ -59 D FEE(C OR ECK LY)-REQUEST PROCESSED IN 3 B SINESS DAYS <br /> SIGNATURE OF APPLICANT • DATE R o S <br /> Electronic Information: ❑List❑ Map—Descriptio <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name City <br /> z. 2 Ncxkh C 14ro� k . . LIIIIM: <br /> 4. <br /> S. ` <br /> 6. <br /> Unita `Y\ <br /> S. © unit s <br /> __.. Unit 6 <br /> 10. <br /> L <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �FIILES i y NQS <br /> ���QQQ{{{UNOERGROUND TANK(USTI CLF_ANuP Sim(LOP) 13 HOMHNCABATEMENT �L SCUD WASTE PACILITYIVEHICLE <br /> t <br /> l}1ER CLEANUP3 (NON-LOP) AFOOD FACILITY evou ETIRENOERGRDUND TANK(MONITOPING/REMCVAQ� Q DOG KENNEL A DAIRY <br /> AZARDOUS WASTE GENERATOR 0 CHICKEN RANCH y�WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILIV9k ❑MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATTODIBODY PIERCING O POOLISPA ❑ LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FWDAY 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 appropdate <br /> box(es). At least one file type MUST be selected. Fax to f209)4674-0138 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 EMD 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 /> 9. 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 fila reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END"-"WES 8/x2007 <br />