Laserfiche WebLink
i <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> /} �w 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> J Telephone: (209)468-3420 Fax: (209)464-0138 Web: wvvw.sigov.org/ehd <br /> PUBLIC RECORDS <br /> RECORDS RELEASE APPLICATION/�1��� �ry <br /> APPLICANT: 5T„J �Evr BUSINESSIAGENCY: LE1.1T12AL- \/aLmy CZwkuAA•ry &Q)tT <br /> ADDRESS: (.-A,1 CITYISTATE/ZIP: 5-rcxg'r0�) CA '16211Gt <br /> I <br /> PHONE(1): PHONE(2): ,:2!0 .•,,_WTFACSIMILE: <br /> TENTATWE'APPOINTMENT D Time: <br /> (Please allow 10 business d fr m date of appi cation submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQ ST- E AS CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINES DAYS <br /> SIGNATURE OF APPLICANT DATE 1,7-//7//3 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> �UJ79_(� JT, rOCKYj� <br /> 2. /35 M10;f” avoc -01. F AAj �l� ❑Unit 2 <br /> 3. <br /> 4. <br /> S• - <br /> Unit 3 <br /> Z i <br /> 5- -J4 /tel y• <br /> Unit 4 <br /> T n <br /> B. AICA � <br /> g• J Unit 6 <br /> 10. <br /> ❑units <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SDE(LOP) ❑MEDICAL WASTE FACILnY ❑SOLID WASTEFAC - <br /> OTHERCLEANUPSRE(NON-LOP) ❑HOUSINGABATEMENT ❑WASTETIRE 7�S"l <br /> UNDERGROUND TANK(M ONITORINGIREMOYAL) ❑FOOD FACILITY ❑DAIRY 17 zb-l� <br /> ABDVEGROUNDTANK ❑CHICKEN RANCH)DOG KENNEL ❑WAMVATERTREATMENT LANT <br /> HA7ARDOUS WASTEIHAZARDOUS MATERUIL6� ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDiCHEMICALTOILETS <br /> TIERED PERMUTED FAC It" ❑POOLiSPA ❑LAND USE APPLICATION SrTES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Lia'uo'oh' <br /> addresses In Ile space above. Select the type(s)of Ries from the list above by checking the appropriate <br /> box(es)• At least one file type MUST be selected. Fax to(208)464-0138 or mail 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 nein 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 END 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 file reviews by the same applicant may require a$125 deposit prior to review. "..00)[10'AR '..I MH ONLY <br /> 14 - r <br /> _TIq <br /> Ir -1 sF40 AVIJP�; <br /> END4a:os <br /> 1`:� ,.i {uL ST 17142 i 3Y2 1 rnr', pl;�a�Y tf57hJe�(�� 13(12 <br /> 4Y)6• to lia,�e ;n n -W � uliriple �t• b{c0 <br /> 14 T i 13. P�a,rV qjP(:(4,fl QLD w,l usz {Ties (- 130 0" tJz hJu�fer <br />