Laserfiche WebLink
'Nov. 5. 2008 10:34AM A, iced GeoEnvironmental No, 3530 P, 1 <br /> DATE KCL,rIVtV I to EHD LOG NUMBER <br /> t l �� 0 v SAN JOAQUIN COUNTY <br /> (?� � NVIRONIVIENTAL HEALTH DEPARTMENT - n <br /> 600 East Main Street, Stockton, CA 95202-3029 I <br /> V` Telephone: (209) 468-3420 Pax:1(209)464-0138 Web: www-sinov,org/ehd <br /> v , <br /> 05 PUBLIC RECORDS RELEASE APPLICATION <br /> A02IMNT;_ ,gIIV COIAYIT0- BUSINESS/AGENCY;� Air%Lid �OGrtVlronnTtq{al <br /> co < w <br /> oAd h s:_ �i3 81A&I, Road SfoclGloh a5yr5 <br /> L PH�AI�t): ?•�G — OO PHONE(2): FACSIMILE:LU U3 <br /> ,a t TENTATIVE`APPOINTMENT DATE! Time: <br /> e allow 10 business days fr9mf(j�data of application submittal•'Tentatiye only-must be confirmed) <br /> S� Z CHECK BOX T EXPEDITE REQUE •$StVO�EE( OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SK NA r PPI <br /> DATA - <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS _ _ EHD USE ONLY <br /> Street#—' Street Name City ❑ <br /> — Unit 1 <br /> 2. I$go ✓D�l��<tX�Ua� �t l� I�.Os31, —. Nu AM W611' ❑ Unit2 <br /> 3• —Wa ._ 5toe1z - s <br /> t, _ t' dbj k)D 66 1P .Il,s.. <br /> e Unita <br /> A)o ❑ Unitei <br /> Unit S <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> T���Q''Oy„(NDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOusINO ABATEMENT C]SOLID WASTE FACIUTYNENICLE <br /> uTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE 7J- <br /> DNDERGROUNo TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> El TIERED PERMITTED FACILITY ❑MOTEUHOTEL rl PUMPER TRUCKIYARDICHEM TOILETS <br /> El TATTOO/BooY PIERCING ❑POOL/SPA ❑ LAND USE APPLICATION SITE8 <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5;ooPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Selact 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)464.0138 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 review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold 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$98.00 deposit prior to review, <br /> EHD USE ONLY <br /> Ou'I rr lU U` �✓ <br /> it ti, Isa - r I t a.59 ;ubro oL 3a q, <br /> EHO 48-p6 WEB WWX07 -- <br />