Laserfiche WebLink
07/16/2008 10:48 9165642222 KRAZAN PAGE 02/02 <br /> GATE RECEIVED E14.1 I OG NI IMRFR <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL IIEALTII DEPARTMENT r1 <br /> 600 East M..ain Street, Stockton, CA 95202-2708 /V5/ <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sj8ov.org/ <br /> PUBLIC RECORDS RELEASE APPLICATION J <br /> APPLICANT:C�7 r C -/B�USINESS�SIAGENNCCY: <br /> ADDRESS. SEW 1ILYFGG� ?CCICGpL�t✓i <br /> PHONE(1): /1d J /`L <br /> reT �20 PHONE(2): /�6 0?77 ;707 FACSIMILE:,�O,AIo <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$9 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BIJISINE90 DAYS• ' <br /> SIGNATURE OF APPLICANT �T-r DATE & <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit1 <br /> z. Sob Pl'NT - — <br /> 3 57loc C?'� db I Ne 9Plco <br /> S/�/G� &A _ N0 LO � ElUn1t2 <br /> .3 �q33 , K'� � Nr srr�c r <br /> 4, O <br /> /�A/ N°db��� r��, <br /> �iPu ��� 76)CY/ 510sPAoMew ori Unit3 <br /> 5• /(J / /✓/'UST/ / L OiP / STp(�!?oit/ as,cols <br /> Unit 4 <br /> 6. 0 �� .— r-U TU� vo sP/�a <br /> T' _ .. .--- ❑ Unit s <br /> S. <br /> 9. <br /> _ ❑ Unit G <br /> Specific Date Range of Infomlatlon Requested: ro I& to r <br /> ENVIRONMENTAL DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING BATEMENT O SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> 5kPlIDERGROUND TANK(MONnORINGIREMOVAL)�« 0DOG KENNEL 173 DAIRY <br /> 5p6wARDOUS WASTE GENERATOW O CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> ERED PERMITTED FACILITY D{ ❑MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> In TATTOOIBOOY PIERCING 0 POOL/SPA Q LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY 173 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW • MONDAY-FRIDAY 8:00 AM-G: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 appropriate <br /> box(es). At least one file type MUST be selocted. Fax to(209)464.0138 or mall 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 review will be Confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five buslness 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> * ' if you should need further assistance pl¢ase contact Diane Martinez @ (209)468-3425 directly. Thank You` <br /> enoneoe mt<2eac <br />