Laserfiche WebLink
'DATE RECEIVED EHD LOG NUMBER <br /> SAN .10AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> RECENIED 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> - AUG 2 32013 ' <br /> PUBLIC RECORDS RELEASE APPLICATIOf ILE CnPY-- <br /> -­ <br /> APPLREM I��SCE BUSINESSIAGENCY: <br /> ADDRESS: p(�j 6x 1944 CITYISTATEIZIP: <br /> PHONE(1)� 1 —OrlWa. PHONE(2): FAGS IMILE@Pq j { 57% L jG��. <br /> TENT IVE*APPOINTMENT DATE: Time: <br /> .(Please allow 10 business A's from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU -$12 EE(CASH OR CK LY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city E:1 Unit 1 <br /> ul <br /> 0 unit 2 <br /> �Ilk- a.�a� <br /> I STEPHEN R.CLARK,APPRAISERS CONSULTANT / Unit 3 <br /> 1 .4 Division ojLadnvp Realm,Inc. � <br /> STEPHEN R. CLARK ntAI <br /> j [.}'Untt4 <br /> Office: (209)932-0700 j <br /> Cell: (209)608-0742 <br /> P.O.Box 1844 FAX:(209)323-5770 lJ Unit 5 <br /> Stockton,CA 95201 f3mail:sclark(Slathroprealty.com <br /> Unit 6 <br /> Specific Date Range or lntormation requested: rrom to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES *WASTETIRE <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) � EDICAL WASTE FACILITY LID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 3100D <br /> USING ABATEMENT,: <br /> NDERGROUND TANK(MONITORINGIREMOVAL) FACILITY AIRY <br /> BOVEGROUND TANK 0 HICKEN RANCH/DOG KENNEL ASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS OTELIHOTEL UMPER TRUCKIYARDICHEMICAL TOILETS <br /> IERED PERMITTED FACILITY OOLISPA HAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING 6COMPLAINTIRESPoNsE RECORDS [OTHER(PLEASE SPECIFY) <br /> WELL 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)464-0133 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 reviewwill 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 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$125 deposit prior to review. ***BOXED AREA-END USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 9/4112 <br />