Laserfiche WebLink
SAN JaQQUfN COUNTY EHD LOG'NUMBER <br /> L& 3 0 2009 ENVIRONMENTAL, HEALTH DEPARTMENT <br /> ENVIROWLf THEALq3 <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> H Telephone. (209) 468-3420 Fax: (209) 464-0138 Web: www.Sj9Ov.0r9/e d ' <br /> PERMIPSERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MAST SMALLE'Y <br /> BUSINESS/AGENCY: DELTA <br /> ADDRESS:• 724 VALLE,70 WAY <br /> CITY/STATE/7-IP: SACRAMENTO <br /> PHONE(1): 916 446 3803 PHONE2 : I <br /> { � - FACSIMILE: 916 638 8385 <br /> TEIVTATIVe APPOINTMENT DATE: <br /> (Please allow 10 bUTIness days from date ar a Time: <br /> ppliaation 6ubmittal-'Ten[aUve only.musttb <br /> be confirmed) <br /> CHECK"BOX 70 EJ(PEDlTE REQUEST-$11 EE,(C . H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DA' <br /> S <br /> Y <br /> SIGNATURE OF APPLICANT � DATE 12_-30-0q <br /> s <br /> Electronic Information: 7 List E) (yap—Description, <br /> FILE ADDRESS EHD Use ONLY <br /> Street 0 Street!Jame City <br /> 1. 6100 HWY 99 NTH STOCKTON ....._.__..____- _ _._ \ <br /> 2, 1617 FREMONT W STOCKTON \ <br /> 3, 3 212 ., CALIFORNIA ST STOCKTON _ ❑unit 2 (4 <br /> 4. 16470 : CAMBRIDGE DRIVE , LAT'HROP <br /> ,unit s' <br /> 5. 397$ HWX 99 STH STOCKTON <br /> 6. }a : <br /> nit 4:' <br /> T. _ so- <br /> r 8. <br /> Unfl 6 <br /> Specific Date Range or Information Requested: From ALL to 'PRESENT <br /> `.. ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0NDEROROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYfVEHICLE <br /> ❑OTHER CLEANUP SITE(NOWLOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> Ej UNUERGRQUNO TANK(MONITORINGIREMOYAL) Q Doo KENNEL ❑bAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ®TIERED PERWTTEU FACILITY ❑MOTEL(HOTEL Q PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOIISPA <br /> 315:4tCAl WA6 tL�AG1lITY0 LAND UsE APPLICATION.SITES <br /> OTHER(PLEA'SESPECffY) <br /> ❑ <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. Select the type(S)of files from the list above by checking the a pp.ropriate <br /> box(es). At least one file type MUST be selected. Fax to 4§4&1or 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 be held 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. Anyflle not returned inthesame condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future the reviews by the same applicant may require a$115'deposit prior to review. <br /> S. If you need further assistance, please contact Diane Martinez;at(209)468-3425. <br /> EHD U3f-0N1_Y <br /> l <br /> k <br /> IHO t$-O6 9fX7io5 <br /> r • <br />