Laserfiche WebLink
„ -��z ua vroy � ,� � I'fllIYIL]Lll <br /> 4,1�C En <br /> ��n��, DSAN JOAQUIN COUNTY <br /> -NVIRONMENTAL HEARTH QEPAR <br /> 1�/East Hazelton Avenue,Stockton, CA 6 <br /> � z I d l' hs <br /> - 20 Fax: 209 464-0138 We v s v.ar /ef�d <br /> Telephone: (209)468 34 ( ) g !`.. <br /> PUBLICS RECORDS RELEASE APPLICATION - <br /> APPLf1 1� v . E3US[NESSI�,GECtCY: IrtVV4V e-e <br /> ADDRESS:` ' CiTYISTd4TE12IP: wu. `fi <br /> PHONE (1): PHONE(2): FAX OR E-M IL: <br /> Please allow 10 business days from date of application submittal fol•the records to be available. <br /> Staff will contact you to arrange an appointment bate and time to review the requested records. <br /> ,CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE g_,9d--1 <br /> 1. List up to ten addresses in the space below. Select the type(s)of fifes from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next buslness 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 applicant if any EHD files exist. An appointment for review wi(I be conflrrried approximately fen(10) <br /> days after receipt of aupiicatlan. The files will be held for a maximum of five busino6s 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MOKIIDAY-FRIDAY 8:00 AM-S:OOP{ (EXCLU0WG HOLIDAYS)• <br /> Electronic Information: 0 List❑ Mals Description: <br /> .Specific pate Flange of Information Requested: From kil to <br /> ENVIRONMENTAL Ia I-, e5 / ani <br /> HEALTH DEPARTMENT FILE ADDRESS �.t�j <br /> FILE=S EHD USE 0NLY5;. <br /> NDeAGROUNOTMK(UST) Street# Sfreat Narna city <br /> CLI AMUP SITE(LOP) 1 ! !' ( (;y';-- 1� �---- t I G. t M 1 /, 1 Cah�urr,�rt <br /> OTHER CLEANUP SITE(NoN-LOP) 1 `^•�tJ LJ 'S— (FJ �] ! vl% V vJ - <br /> M_Ms:AnaDtZ L^Ia31e ! �DAfRY <br /> pTIeaED PERMITTED FAGLITY <br /> I - <br /> ZASCVEGROUND TANK _ �NID. <br /> LIST T <br /> HAZARDA SMATERIAL3 vaLi % , +\a�i (}., f <br /> SPILL/RgLEA.Sr RESPONSE <br /> ( WATEA ANALITY 1 <br /> SOLID WASTE FACILITY f VEHICLE E <br /> U rotaD FACILITY <br /> ❑POOL I SPA [sra MITIGATION <br /> C]DAIRY 6 <br /> [—]IANB U=E APPLICATION SITE. - <br /> SEPTIC PUMPER TRUCK El MOUSING <br /> 6 <br /> y76�.,�YARD I CHEMICAL TQII.ETS <br /> 1WASTEWATER TP•EATMENT Pu+NT / <br /> /F'� QCUPA <br /> HOUSING ABATEMENT 7 <br /> MOTELIHDTFL <br /> CHICKEN RANCH I Doe KENNEL Ij CUPA-HA2-MAT <br /> 9 <br /> MEDICAL WASTE FACILITY <br /> Fj TAT OGIAODY RIERRCINQ <br /> SOLID WA57E <br /> Q WASTE TIRE g <br /> F1 COmPLAINT <br /> F]OTHER(PLEA$:e SFECIFY): Q ACCOUNTINC <br /> 1D <br /> *"BOXED AREA-EHD USE ONLY— <br /> "j D oak,. <br /> 40 — — <br /> ReeeiveTirei . 2 tin, .108P No, 0814Staff Name: <br />