Laserfiche WebLink
rtn. Ij. LVUI 7: IIFM ILKNA5tANCH 1NC N0. 8518 P. 1/2 <br /> l <br /> SANUOAQUTNCOUPTTYEHD LOG NUMBER <br /> .r <br /> ENviRoNmENTAL HEALTH DEPARTMENT <br /> FEB 13 2001 304 East Weber Avenue,3�'Floor, Stockton, CA 95202.2708 <br /> ENVIRONMENT HEALTH Telephone:(209)468-3420 Fax:(209)464.0138 Web:www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION �� D <br /> APPLICANT; Q,� / rte BUSINESS/AGENCY: Y <br /> ADDRESS: 'i �('Ij T� <br /> PHONE(1): 1x13�(o (r��--PHDNE(2): I�L-S �'F-' c�1. FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: c7 lYJ Time: 1(=] A,tiY1 <br /> (Please allow 106uslnesn days from da of apphDation submiffiI-"TantadVo only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE RE ST•$93.00 FEE SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSIN SS DAYS <br /> SIGNATURE OF APPUCAN DATE ) QrI <br /> Elecfronic Infortnation: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> sereetd Name sty <br /> 2 <br /> 3. <br /> 4, 3 <br /> b. <br /> ti. Unit 4 <br /> t <br /> a ❑ Unit3 <br /> 9. <br /> 10. <br /> Unh 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NOEROROUNDTANK(VST)CLEANUP SITE(LOP) 13 HMwGAaATENEw t3yo WAsm FAOILRYIVEHKY.E <br /> �nTER CLEANur SrrE(NoN1oP) C3 FOOD FAGu1v Q'WA tE TIPF <br /> _VNDEROROuNaTAKK(MONITOPMOMEMOVAL) ODOaKEratEL �Y <br /> us WASTE GENERATOR ❑CwcxEN RANCH )•t WASTEWATER TREATMENT PLANT <br /> leen^PERMITTED FACILITY ❑MOTEL/HOTEL d PUMPER TRW4YARD/CNEM TOILETS <br /> LTjkTTOOtAODY PIERCINO ❑POOLISPA E1 LAND Use APPLICATION SnES <br /> ME=AL WASTE FACILMY ❑OPU R(PLEASE SPEOGY) <br /> weL AND SEPTIC PERMIT RECORDS ARE AYAILARLE FOR REvmw. MONDAY.FRIOAY a:00 AM5:o0Pn - EXCI_uIDWO HOL1DAY6. �- <br /> 1. List up to ten addresses In the space above, Select the types)of files from Una list above by checking the appropriate <br /> box(es). At(east One file type MUST be selected. Fax to!2091 da4-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for addinonal 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 flies exist-An appointment fur review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held fora maximum of five 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br />