Laserfiche WebLink
I <br /> ED <br /> SAN JOAQUIN COUNTY EHD LOG'NUMBER <br /> 3 0 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> EI���I�Q�fL1�T Hof 600 East Main St. Stockton, CA 95202-3029 <br /> HEALTH Telephone: (209) 468-3420 Fax: (20g) 464-a13$ Web: www,sjgov.or'Id <br /> PERMITiSERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MATT SMALLEY. <br /> BUSWtwSSIAGFNCY; PELTA <br /> ADDRESS: 724 VALLEJO WAY <br /> l CITY/STATE/ZIP; SACRAMENTO <br /> PHONE(t): 916 446 3803 PHONE (2): FACSIMILE; 916 638 8385 <br /> TENTATIVE"APPOIN MENT DATE: <br /> (Pltrasrallow 14 business days from hate of appiicafian submittal Tentatve only-Mustrnbe�.c <br /> onfirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$11 EE(G H OR CHECK ONLY)-REQUEST pROGEgSEQ IN 3 BUSINE $$DAY$ <br /> SIGNATURE OF APPLICANT �2 <br /> DATE ( )� <br /> Electronic Information: ❑ List❑ Map_Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name Gity <br /> 'f 6100 _-.... . .__�_... <br /> —- ----�_..,.... .__ ._.._ <br /> HWY 99 NTH � STOCFCTON - ._----• .--- ------ \ <br /> 2. 1617 FREMONT .W STocr,- 'QN <br /> 3. 3 212 CAI,I PORN ��- Ej Unit 2 <br /> IA ST STOCKTON <br /> 4. 16470 CAMBRIDGE DRIVE LATHROP <br /> 5, 3978 HWY 99 STH nil+ <br /> STOC�{TOtV ar. ` - - <br /> 6. <br /> 7. <br /> I - <br /> Specific Date flange or information Requested: From ALL to PRESENT <br /> ENVIRONMFNTAL HEALTHDEPARTMENTFILES -" <br /> L UNDERGROUND TANK(UST)CLEANUP SITE(LOP) - ❑HoIISING ABATEMENT ❑SOLID WAsTEFACILITYNEHICLE <br /> ❑OTHER Ct,FANUP SITE(NON-LOP) ❑FooD FACILITY <br /> I ®UNDERGROUND TANK(MONITORINUREMOVAL ❑WASTE TfRE <br />[ ) ❑DoCt KERNEL®IIA2ARDOUS WASTE GENERATOR El DAIRY <br /> -{]CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER TRtJCI(�ARpICHEMIICAL TOILETS <br /> ❑TATToo/BODY PIERCING ❑POOLISPA <br /> ❑ MEDICAL WASTE FACILITYE]LAND Us APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REcoROS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pI (EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses In the SpAce above. Select the type($)of flies from the list above by checking the appropriate <br /> DOX(es). At least one file type MUST be selected. FaX to(209k 4 1 „$or mail to the address f dicated above, Address <br />' ranges will not be acceptect-for additional assistance.wilm the addresses,Gontact the EHD, ApPllcations received after <br /> 3:00 pm will be.processed the next business day. <br /> 2. the EHD will notify the applicant If any EHD fifes exist An appointment for review wlll'be confirmed approximately ten (ID) <br /> days atter receipt of application, The files will be held for a maximum of five business days for review. A ointments <br /> should be scheduled accordingly, pP <br /> i 3. A Tile 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 ffle is available. <br /> 4. Any file not returned in the same condition as releaseq w(II be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$t 15 deposit prior to review. <br /> i 5. If you need further Assistance, please contact Diane Martinez,at(209)468.3425. <br /> EFIb US@ ONLY - <br />� EHD 46.pg - <br /> y y <br />