Laserfiche WebLink
■� 07/27/2017 17: 41 408304288 ATWELL LLC PAGE 011'01 <br /> OEM E V �., <br /> :■: � Y �D EHD LOG NUMBER <br /> ■ 20 �z_ SAN TAL HEN COUNTY <br /> .A 1..i�, Z ZOfl (7v��8r 1,1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue.Stockton, CA 95205-8232 <br /> aWrRONMENTyL.W-A—I HTelephone;(209)468-3420 Fax: (209)464-0138 Web:www.$)gov.crg/ehd <br /> POWITMIRL I ES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: SZa. JAI en BUSINESS/AGENCY: LL <br /> ADDRESS: CITYISTATEIZIP: Sq 5 <br /> PHONE (1): 4rL) �S?6- a1(2 a PHONE(2):S02-g3X'ID1 J FAXORE•MAIL: C�CWa�(e-+�a <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will contact you to arrange an appointment date and time to review the requested records, <br /> ❑ CHECK Box TO EXPEDITF jRE $139 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ( DATE 7' a? 12 <br /> 1. List un to ten addresses In the space below. Select the type(s)of flies from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4S -0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD Ries 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 /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 19 ,Q to a10 1�t <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> • UNDERORGUW TANK(LIST) Strout Ok Street Name City <br /> 11 ]. 1 QJ 1- CONfiN.IER <br /> CLEANUP SM(LOP) , 1313 E • (_6rltr m T S)ock�o <br /> HZER CLEANUP SITE(NW+-LOP) <br /> DCUS W/STH I]DAIRY <br /> r ❑TIERED PERMITTED FAc41ry 2 LID 1 .I <br /> �AOOVEOROUNO TANK 11 f <br /> [rUST (MOM}ORINO l REMOVAL) ❑PWS <br /> rHAzNRnw5 MATERIALS 3 Off <br /> VSPILVRnnASE RESPONSE () 1 <br /> JJSOUM WASTE FACILITY l WHTCLE d ��(� vll ll� ^teAOunury <br /> F-1 FWD FACtU1 a33 1 1 1 <br /> ❑POOL I SPA BRE MI➢PAnpN <br /> ❑DAIT e 'a SL7AY\ 1 .11 <br /> ❑"NO LOU APPLICATION SITES <br /> ❑SEP IC PUMPER TRUCK) [I H.V Na <br /> 6 <br /> YARD/CHenICAL TOILETS <br /> ❑W0. EWATER TREATMENT PUNT CUPA <br /> ❑HOUSING AaMIEMENT Y <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH/COO FENNEL CUPA•UST <br /> Ij MEDICAL WASTE FACILITY R <br /> ❑TAT /BODY PIERCING <br /> ❑WMTE TIRE SOLID WAHIE <br /> B <br /> ❑COMPWNi <br /> ❑QiNSP(PL50.F,SPSCIpv), Ej AavuvnrvD <br /> i6 <br /> • —RQ*P AGFA-PNO USE ONLY— <br /> 7 i <br /> P .e_n .rZOZA n, <br /> ❑ Records provided by Staff-PPR Complete, amrt Nnma: <br /> Received Time=Jul 27 -2017 3 : 26PTk 1913 <br />