Laserfiche WebLink
Ma.y, 11. 2 C9 3, 52PM ATUP SERVICES IN No, 4365 P. 1 <br /> DATE RECEIVED 46 EHD Liv NUMBER JOAQUIN COUNTY i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.o d <br /> 3/5'" I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: k,4,rvvCt BUSINESS/AGENCY: 1470- }iSsocr�t � <br /> ADDRESS: /II 7 Lo-,jC P/FLr'7 dy45I Zu,Te- Ci Clty/State2lp KOb�.S�rJ� C,40 ' <br /> PHONE(1): T79 22 2 / PHONE(2): 5-F 041 / FACSIMILE: 5'79' X a2 5 <br /> TENTATIVE"APPOINTMENT DATE: .5/3/O Time: AAOY <br /> �� (Please allow 10 business days from d to of pplication submittal-'Tentative only-must be confirmed) <br /> LTJ CHECK BOX TO EXPEDITE REQUEST- 10 FEE(C CHECK ONLY)-REQUEST PROCESSED IN 3 BU, NES$DAYS <br /> SIGNATURE OF APPLICANT � �- DATE d <br /> Electronic Information: ❑ List❑ Map-Description; <br /> FILE ADDRESS E ONLY <br /> Street# Street Name City +' <br /> p Unit 1 <br /> 1. C o<,lo fid: LAN� <br /> 2• 5/S G.J, cry t c7 4� A -C C r-rb/V [I unit 2 <br /> 4. '3 1 <br /> 6. <br /> 7 it 5. <br /> 8. : <br /> 9. ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ,fes ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> a UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> 13 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> O HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH E3 WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 13 PUMPER TRUCKNARD/CHEM TOILETS <br /> C3 TATrowBODY PIERCING CJ POOLISPA ID LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 6:00 AM-3:00PM - 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 type 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 applicatlon. 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 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$106 deposit prior to review. <br /> EHD USE ONLY <br /> eun�e w e�n��na of poi In OChllO flc OCI cn oc nnn cr�ou <br />