Laserfiche WebLink
09/29/2010 12:52 1510*59 STELLAR ENV SOL41N PAGE 01 <br /> D _ ._, @ E���� EHD LOG NUmeER <br /> SAN JOAQUIN COUNTY <br /> SEP 2 9 .2010 ENVIRONMENTAL HEALTH DEPARTMENT VI <br /> NVIRNNMEN���g��T,, 600 East Main St. Stockton, CA 95202-3029 <br /> �il MQNME�Yitlim��°ne: (209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.orglehd <br /> YRitltl����II PUBLIC RECORDS RELEASE APPLICATION / <br /> APPLICANT: �11 t SJ BUSINESSbNGENCY: t 1V, <br /> ADDRESS: c 1 � Q i ,4 � p_ �� CITYISTATI IZIP / <br /> r L 1�o <br /> PHONE(1): awl -,�oU�l � �a PHONE(2): FACSIMILE: f2)Q <br /> TENTATIVE'"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of appllcatlon suhmittal-*TanGtive only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQ �ST-P22 f-Eb,{ S ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT // DATE <br /> Electronic Information: ❑List❑ Map—Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street Street Name nciry._L,., r $ Unit <br /> 2- 3 00, , t Q. ;t o.. � Unit 2 <br /> 3. lDa 2 I_u� <br /> 4-... Il�l O - �.1. . V N y P unit3 <br /> Tart Y OCA f AM GLS/61 <br /> 6. i _ ...Unit4 <br /> 7. <br /> ❑Unit 5 <br /> 9. <br /> 10. nit 0 <br /> Specific Dale Range of Information Requested: FromI to f <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOusiNG ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIREr <br /> NDERGROUND TANK(MONITORINOIREMOVAL) ❑D00 KENNEL ❑DAIRY ) <br /> AZAROOUS WASTE GENERATORPI ❑CHICKEN RANCH y��yy'�•�ASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY('h E]MOTFLIHOTEL UPUMPER TRucKIYARDICHEMICAL TOP FTy' <br /> n TATTOOBODY PIERCING [_1POOLISPA ❑LAND USE APPLIGATIONSRES <br /> W-M- EDICAL WASTE FACILITY ❑DTHER(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 en addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> bex(es). At least one file type MUST be selected. to 209 460.-0138 or mall tQ Iliq address indicated above Address <br /> ranges will not be accepted-for additional assistance with Nle 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 Nle is available. <br /> 4. Any file not returned in the some condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$122 deposit prior to review. <br /> No USE ONLY <br /> -I-jo3 n <br /> n <br /> aTrsw+a <br /> ENO 48.06 <br />