Laserfiche WebLink
06/01/2005 17:35 53067r 05 STRATUS NO CAL?" PAGE 01/0 <br /> DATE RECENED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT � F <br /> 304 East Weber Avenue, 3d Floor, Stockton,CA 95200$,I d2 PH Tll <br /> wwwrt <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web: .s o <br /> OAOU" COUNTY <br /> PUBLIC RECORDS RELEASE APPLICAly, <br /> Tf4ENT <br /> APPLICANT: ewr Y.oW�N - BUSINESS/AGENCY: <br /> ADDRESS: 33 <br /> PHONE(1): PHONE(2): 530 - FACSIMAIL, <br /> TENTATIVE`APPOINTMENT DAT <br /> f (Please allow V business day r t p n sub -'T ' e only-must be confirmed) <br /> L� CHECK BOX TO EXPEDITE REQUEST 93.00 F CASH O CHEC 0 Y). QUEST PROCESSED IN 3 BUStN SS DAYS <br /> SIGNATURE OF APPLICANT DATE G y O lL <br /> Ufl <br /> NITDISTRIBUTION ❑ Unitt � Unit2 ❑ Unit3 O Unit4 Clunits ❑ Unil6 ❑ other(electmnicAlstsimaW <br /> FILE ADDRESS EHD USE ONLY <br /> Street o Street Name city <br /> 1. 2 L <br /> 2. <br /> 3. 2 <br /> 4. -L <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10, <br /> Specific Date Range of Information Requested:From to Fra s o n-I' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> U NDEI3GROUND TANK(UST)CLEANUP$ITE(LOP) 0 HOUSING AmTEMENT ❑SOLID WASTE FACIUITYrVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> RY <br /> "01INDERGROUND TANK(MONITORINGIRENOVA.L) RDOG KENNEL 0DA❑WAST <br /> WASTEWATER TREATMENT PLANT <br /> W'HAZARDOUS WASTE GENERATOR ❑COCKER RANCH <br /> ❑TIERED PERMITTED FACILr1 Y El Mon]JHOTEL 0 PUMPER TRUCK/YARDICHEII TOILETS <br /> ❑TA.YTOOIBODY PIERCING 0 PDOUSPA M LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL ANO SEPTIC PERMIT RECORDS ARE AVAILARLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:ODPM - 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 <br /> appropriate box(es). At least one file type MUST be selected. Fay to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be submitted when the file is available. <br /> 4. Any rile not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$91.00 deposit prior to review. <br /> QID t8-0I006 <br /> 1114U5 <br />