Laserfiche WebLink
U p49tiEWG0./ E© - EHOLOG NUMBER_ <br /> SAN .JOAQUIN COUNTY <br /> APP 0 7 2010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENViNQNMENT HEAY& 600 East Main St. Stockton, CA 95202-3029 <br /> t±fephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.o1.01 1 <br /> PENMITJSENViCE� //✓ <br /> 3 <br /> PUBLIC RECORDS RELEASE APPLICATION . <br /> APPLICANT: 2 nC,, BUSINESS/AGENCY: <br /> ADDRESS: �� �,] • alb �•,hry,e.t- CITYISTATEIZIP: 90,,&t7j1,) T, t n2 onS <br /> PHONE(1): L( L�k3(PHONE(2):` 13-07to=Vs�Y Y':WFACSIMILE:-IIS-q-73IP-'j-)". <br /> TENTATIVE"APPOINTMENT DATE: '- /�-//7 Time: <br /> (Please allow 1D business days from data of applicafisn submittal-•Tentaffn only-must be confirmed) .. <br /> ❑CHECK BOX TO EXPEDITE REQU 15 FEE ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS _ <br /> SIGNATURE OF APPLICANT 12 DATE <br /> Electronic Information: Ll List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City Unitl <br /> 1. 5 (rc),ND <br /> 2. <br /> ❑Unit 2 <br /> 3. <br /> 4. 1 <br /> Unit 3 <br /> 6. <br /> 6. <br /> nit b <br /> 7. <br /> 8. <br /> ❑Unit 6 <br /> 9. <br /> 10. <br /> ❑units <br /> Spectric Date Range of Information Requested: From _ t 9 DO to ay I D / <br /> �/ - ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> L/T UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILRYNEHICLE <br /> ❑OWER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE i I yij <br /> 01UNDERGROUNO TANK(MONfrORINGIREMOVALV,1( ❑DOG KENNEL ❑DAIRY Wr <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT �I,NIIO <br /> ❑TIERED PERMTrrED FAcam ❑MOTELIHmrL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATrooftDY PIERCING ❑Poousm ❑LAND USE APPUCATKIN SREs <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIM <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses in the space above. Select the type($)of files from the list above by chacking.the,appropriate <br /> — <br /> box(es). At least oils file type MUST be selected. Faxto(209)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received.after.... <br /> 3:00 pm will be processed the nein business day. <br /> 2. The EHD willnotifythe applicant If any EHD files exist. An appointment for review will be confirmed.approxlmately.ten(10) - <br /> days after receipt of application. The}Iles 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 END staff may not be immediately available for review. A nowapplication 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 file reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)4685426. <br /> ��lEND U9EDNLV <br /> EXD X6.8@ <br /> 8/2710@ <br /> LO 'd ZO:SL OLOZ L JdV L6L6-9LV-CLL:Xed ONIH33NION3 3SVHd <br />