Laserfiche WebLink
CUM- <br /> DATE <br /> UMDATE REJV?tp1 # 20% �'4 <br /> SAN.fOAOUIN COUNTY EHD LOG NUfi18C-R <br /> ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH DEPARTMENT p <br /> ' <br /> 205-6232 <br /> PERMIT/SERVICES Telephone8(0)468-3420 Fag68 East Hazellon1:enue(209)4164 01138 WebCA s www.s gov.orgJehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �1✓ / l3USINESSIAGENCY: ' �. <br /> ADDRESS: �_+ . Q _ CITY/STATOZiP. _4 1 ­-7 <br /> PHONE(t): _? _ &f " j PHONE 121; _ FAX OR E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will co ct you to r ge ppointment date and time to review the requested records. <br /> ❑CHECK BOX TO REOU E CASH O CK ONLY)-REQUEST PROCESSED IP BU INES rDAYS <br /> SIGNATURE OF APPlIC t DATE�h'� <br /> 1. list uD to ten addres as In the sp ce b low. Select th ty (a)of files from the list below try checking the a proprlate <br /> ox(es). At least one file type MU selected. Fax. - 09 464.0138.ar all to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of EHD records,please contact EHO at the number noted above. <br /> 3. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5t00PM(EXCLUDING HOLIDAYS) <br /> Electranicinformation: lstn Map—Description: <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTHDEPARTMENT FILE ADDRESS 1 3 EH�f�SE ®fa@�Y I — � <br /> FILES <br /> UNDERGROUND TANK(UST) Street 4 Street Name city <br /> EmUP SPE(LOP) <br /> 'H EA CLEANUP SITE(NON-LOP ' 1100 N. IY)t M � NOcp/S �T4tR <br /> HA RDOUs WASTE <br /> IVIED PERMITTED FALiUIY R <br /> ASWEGROUND TANK <br /> US (Mp RORMOIREMOYAL) I PhG <br /> DOUs WnRIRS D %7/ <br /> PIES RESPONSESOLILDO WASTE FACIIT'/VExcLE 4 <br /> EkWAIER pUeLRY <br /> FOOD FAGLLm, I <br /> 13 PDX/SPA sRE MRKdMN <br /> DNRY s <br /> F1 WJo USE APKnATKIN SITES <br /> 1 Il SEPTIC PUMPER TkUCK/ E ❑HouU. <br /> YPPD/CHEmY TOLETS <br /> WAST MTEA TREATMENT PLANt yNPA <br /> HOUSING ABATEMENT T <br /> ❑MCTvUlloTEL <br /> n CHICKEN RANCH)DOG KENNEL ell`CUPA-H WAT <br /> s <br /> MEOIGL WASTE FACKIrr <br /> TATTOOMOOY PMRCINO <br /> o DW SE <br /> WASTE TIRE E <br /> ❑COMPLAINT <br /> OTNERIPLFASf$PCCI[VII ❑AccnUMlKa <br /> 1B <br /> —BOXED AREA-EHD USE ONLY.. <br /> 0 Records provided by Staff-PPR Complete.staff Name: <br /> EHD N-0e <br />