Laserfiche WebLink
Mar 03 08 11 :48a Apex_ 209 6.C7-9668 F4p. 1 <br /> DA'TR CIVED I,iLI ii - ) EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> Vrjq ENVIRONI NTALHEALTHDEPARTMENT 2 3 � � � <br /> 600 Last MainStreet) Stockton, CA 95202-2708 J <br /> `�glephone: (209) 468-3420I+ax: (209) 464-0135 Web; w)aw.,Sjgov. orgJehd <br /> i' <br /> V PUBLIC RECORDS RELEASE APPLICATION <br /> T <br /> APPLICANT: ✓ fCL``j Oryx Q^ I BUSINESSfAGENCY: $X <br /> ADDRESS: 3 �`� (0 /v - GaIdP.✓� Sapfd. * c. TuAQtk :0, 15382, <br /> PHONE (1): �(n�' ' �$'�'l PHONE (2): 209 (a�48 ^: 27.5 Z FACSIMILE: 1407 6 61 - <br /> TENTATIVE` APPOINTMENT [) Time: QYco <br /> (Please allow 10 business days from date of application submittal - `Tentative only - must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST - $98.00FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED INWR SINESS DAYS <br /> SIGNATURE OF APPLICANT /l " V'4-A DATE 3 OS <br /> Electronic Information : ❑ List ❑ Map - Description: <br /> 777 <br /> FILE ADDRESS EHD USE ONLY <br /> Street M Street Name City <br /> 1 . ILA � &a54- C)nc4 rte- l>-�r _ _ ❑ Unit 1 <br /> — _ SiccK }4� <br /> 2. ❑ Unitz <br /> 4 , ❑ Unit 3 <br /> 1 1 Unit4I ' ! <br /> 6. �l �- 1 <br /> 7. <br /> 8 —� -- — - ❑ Unit 5 <br /> 9. <br /> 10, ❑ Unit6 <br /> Specific Date Range of Information Requested: From Ql l to <br /> , ,J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> <-/ >i UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSINGAEATEMENT ❑ SOLID WASTE FACILITYfVEHICLE <br /> ❑ OTHER CLEANUP SITE (NON-LOP) � ❑ FOOD FACILITY ❑ WASTE TIRE <br /> —� UNDERGROUND TANK (MONITORING/REMOVAL) // �� __LTbOGKENNEL _ Z ❑ DAIRY <br /> -5 ❑ I'IAZARDOUS WASTE GENERATOR IF E] CHICKEN RANCH _ MWA3TEWATERTREATMENT PLANT <br /> J 11 TIERED PERMITTED FACILITY _�BMOTEUHOTEL O ?LIMPER TRUCK/YARD(CHEM TOILETS <br /> ❑ TATTOO/BODYPIERCING �00L/SPA ❑ LAND USE APPLICATION SITES <br /> 171MEDICALWASTE FACILITY ❑ OTH ER (PLEASE SPECIFY) <br /> W ELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - 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 notifythe 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 offive 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 $98.00 deposit prior to review, <br /> EHD USE ONLY <br /> *" If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br /> EHD 4946 9141W06 <br />