Laserfiche WebLink
-5717/REGIECA11 tl "9 367 6997 PATRICK RIDDLE 0002/002 <br /> 7 DATE RECEIV& 2011 RhISH EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH DEPARTMENT <br /> PERMIT/SERVICES 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCY: W P 6 <br /> ADDRESS: 'IF; (�7,,,Lkj JCITYISTATEIZIP: <br /> PHONE(1): '_1 CP I-) PHONE(2): FACSIMILE: -3b' 7 b'Ei 4' 7 <br /> 4- TENTATIVE*APPOINTMENT DATE: Time: <br /> {Please .- <br /> allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ' <br /> HECK BOX TO EXPEDITE REQUEST 2 FEE{CASH PR_Q�ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> CHECK <br /> CURE OF APPLICANT DATE <br /> Electronic Information: Ej List[]Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city0 unit I <br /> 2. 0 Unit 2 <br /> 3. <br /> 4. Jc ­J41t,3 ✓ <br /> 5. X5?j43 <br /> 6. dUnit 4 <br /> 7. <br /> 8. El Unit 5 <br /> 9. <br /> 10. El Unit 6 <br /> Specific Date Range of Information Requested: From 6T'1�4 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES -1 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACuTYNEHICLE <br /> El <br /> OTHER CLEANUP SITE(NON-LOP) Fool)FACILITY ❑WASTE TIRE <br /> 'UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL El DAIRY <br /> HAZARDOUS WASTE GENERATOR C�, EICHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 'UNDERGROUND <br /> PERMUTED FACILITY M MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> F1 TATTOCIIBODY PIERCINGOLISPA El LAND USE APPLICATION SITES <br /> [] MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY)(Se�p_ a)OC'O'e–) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6'.00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(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 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 now 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$122 deposit prior to review. 44 <br /> END USF ONLY <br /> 3- Or) I q e f-b U;de A-W &'[,e 1V(AA4,0 tj'W 1'5, 41,71-4 1— fArl-, to <br /> 11 a <br /> rlLil 12 g_a�'(e /71 #- cor)o 0 q nZ i n th C-� 4W L-14, a- <br /> �'jt <br /> EHD 48-06 07129/10 <br />