Laserfiche WebLink
-r— f�001/001 <br /> 07/02/2007 10: 111 FAX <br /> DATF RECEIVED EHD LOC NUMBER <br /> SAN.IOAQUIN COUNTY <br /> ENVIRONMliNTnLHEALTII DEPARTMENT <br /> 600 L.Main Street, Stockton, CA 95202-3029 Q� <br /> S <br /> c i/ <br /> ��© Telephone: (209)466-3430 Fax:(209)464-0 LiR Web: www.SjgOv.orF/ c <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPCIGANT' <br /> T- S'VL III,i-Le BUSINESSIAGENCY: C>60W CO")514 <br /> / �� t� <br /> ADDRESS: Q3) 6 k vLP CA,4P PaIvE t12AN (yt7 Coei>oyrf °165-70 <br /> 6 <br /> PHONE(11: 503 tug PHONE(2)): 11 (, '34.6 �tq.3ol FACSIMILE:: giA 63PSM5I <br /> TENTATIVE APPOINTMENT DATE: &5!9-P r�-FM$E Time:. 4N / <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be Confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.--S-aSS-0000 F�E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ,_ `"v r DATE — "-O 7 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY _.. <br /> SMeeca Street Name City ❑ unit <br /> E Mr)2 114- W Ay Tocf=%�IJ <br /> -72. 15soo S z S — ---- c-/4�t2vP a El undz <br /> 3- IbyPO GEFMt32fofn� _ iMQtl(' <br /> A. 55-i -.-J . Ft_ .. sr. - /O Unit3•. <br /> a� 5 i ac �u� �5a T <br /> 5. 1bu6 'TF1uar�n au, STz�ucrorS C>2 /ssa Unit <br /> -� s. 2335- T�,�cY 13Lvta. rJ. T2l�C 3S <br /> �. <br /> ❑ unit <br /> 8. <br /> 9. <br /> unit IS <br /> 10. d <br /> Specific Date Range of Information Requested From '7 L1- to 4LQ <br /> ,,//// ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ui11NDERGROUND TANK(UST)CLEANUP SITE(LOP) Il HOWING ABATEMENT ❑SOLID WASTE FACILLWIVEHMI-9 <br /> 9:�TNER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY f-I WASTE TIRE <br /> VN 81TOROUNO TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> I&EARDOUS WASTE GENERATOR O CHICKEN RANCH O WAg WATER TREATMENT PANT <br /> Rf TIERED PERMITTED FACILITY O MOTELMOTEL ❑PUMPER TRUCK1YARD/CHEM TORErs <br /> 0 TATtOOIBODY PIERCING ❑POOLISPA 1`1 LAND USE APPt1CATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Review- MONDAY-FRIDAY 6:00 AM-S:DOPM - 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). AL least one file type MUST be selected. Fax 09 464-0138 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 atter <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 maybe <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$95.00 deposit prior to review. <br /> EHD USE ONLY <br />