Laserfiche WebLink
08/21,\ Z,17 17:07 11729 P.001/001 <br /> 2094640138 _ ENVIRONMENTAL HEALTH PAGE 01/01 <br /> �\vJ LS a <br /> SAN JOAQUEHD LOG NUMBER <br /> AV COUNTY <br /> 2 2 2007 1, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 09) East Main.Street,Stockton, We 45202 �� <br /> ,tiONMEIVT HEr'�LTf�.elephone:(209)466-3420 Fax:(209)464-4138 Web:wwwsjgcry ori' <br /> ERMIT/SERVICcS . o <br /> //� - /• PUBLIC RECORDS RELEASE APPLICATION <br /> f APFUCANr L.� 'v_, 's ' 2- BUSINI8�81AGE�NyCY: 5 ,• µG <br /> ADDRESS: �. 7 _ i 1 fir. t 'Y-F PS. -?—V// <br /> PHONE(1): Z49'I 333­61Y . ): 20i X33-- Q Y 2 Z <br /> TENTATIVE`APPOINTMENT DATE' e: <br /> tPtease allow 10 business days from date of applieatlon submittal-`Tente onlTimy-must be wnfnnR <br /> SIG�CHECK BOX TO EXPEDITE RECIUES i; . 0 FEE(. H O CHECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> UI2E OF APPLICANT DATE <br /> Electronic Information: ©List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street R Street Name - city ❑ Unit 1 <br /> 029 Gk 7 <br /> 2. v qo-o Pr4-GiL�O =2957 0 unit <br /> 3. Iz I ,z Avg <br /> 4• 0 2 f7 p xi G 1 �.'t UnR 3 <br /> 5. f) ,9=rT-G r` i-c /�-V�E - •+� fljnaa# <br /> 8. b Cv5 I` to '€ ' <br /> p /t ❑ tinit5 <br /> 9. L,5-_O5 _ /01 ❑ unit <br /> tD. 67 , s <br /> Specific Date Range.of Information Requastod:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIIAS <br /> UNDERGROUND TANK(Un CLEANUP SITE(LOP) O HOVSmo ABATEMENT 0 WASTEFAOTLITYNEHICLE <br /> ;_,^DIRER CLEANUP 617E(NON-L6P) D FOOD FACILITY TE TIM <br /> SFJ LtNOEntlROUNDTANK(MONI79RINWRkTaOVAL) UOOOKENNEL 15DAIRY <br /> HAZARDOUS WASTE GENERATOR 0CHIGKEN I7 WASTEWATER TREATMENT PLANT' - <br /> OTIEREoPeKiurTEDFAcruTY - 0M01ELlH ❑PUMPER TRUCKIYARDICHEMTOaETS <br /> 13TATTOOIBODY PIERCING - 13POOLISPAS ©LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER^% SE SPECIFY) <br /> WELL AND SEPTIC PERMrrRECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY a:00 AMS;ODPM - EXCLUDING HOLIDAYS.. <br /> 1. List UP to ten addresses In the space above. Select the type(s)of filas from the list above by checking the appropriate ` <br /> box(es). At least one file type MUST be selected. fax to(2091464.0130 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END.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 flies 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 buslnoss 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 immediatelyavailable far review. A new application may <br /> submitted when the file is available. I <br /> 4. Any file not returned In the same condition as released will be reorgani2ad by EHD staff at the expense of the applicant. - <br /> Future file reviews by the same applicant mayrequira a$95.00 deposit prior to review. <br /> EHD USE ONLY <br />