Laserfiche WebLink
03/30/2010 09:19 2093338303 LODI DOWNSTAIRS PAGE 02/02 <br /> EHO LOG NUMBER <br /> U Uj YD SAN JOAQUIN COUNTY <br /> �1�1�11 ENVIRONMENTAL HEALTH DEPARTMENT _4 <br /> MAR 3 1 2010 600 East Main Street, Stockton, 38 Web: 3029 , d <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Vtl®b:wWAr✓.Sjgov.org/e d/� <br /> ENVIRONMENT HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> CheneyBUSINESS/AGENCY: <br /> APPLICANT: _nInIr,� A 95740 <br /> ADDRESS: If1CIUStrla Way Cltylstate(Zlp L0(j1r <br /> PHONE(1): 209-3 1-3701— PHONE(2): ,FACSIMILE; ?na-LR-4 M_ <br /> TENTATIVE"APPOINTMENT DATE: 03-31-10 -Time: gam <br /> (pleas@ allow 10 business days from date of application submittal-"Tentative only•must be confirmed) <br /> M CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 4-12-10 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> StreatR Street Name City ❑ Until <br /> 1• 50 W. Turner RoadLodi =F, <br /> 21 _ Turner Road _ _. Lodi9�U `1 -` ❑ unnz <br /> 11.0 .—. <br /> -3. <br /> _ <br /> 4. _- <br /> 5. nit 4 <br /> 7. LI Unit <br /> _9 ❑ Units <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Xt-�,UNDERGROUNP TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT Cl SOLID WASTE FACILnYIVEHICLE <br /> )y OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY El WASTE TIRE <br /> XUNDERCROUND TANK(MONITORINOIREMOVAL) O DOG KENNET. O DAIRY <br /> .XHAZARDOUS WASTE GENERATOR 0CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br /> *TIERED PERMITTED FACILffY M MOTELa1OTEL O PUMPER TRUGKNARDICHEM TOILETS <br /> TATYOOIBODY PIERCING ❑POOLISPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 11 OTHER(PLEASE SPECIFY) „ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 A41-5:00PM - EXCLUDING HOLIPAYS. <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(as). At least one file type MUST be selected. Fay to 12091464-0.1.38 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 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. 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHO 48.06 8104100 PUBLIC RECORDS RELEASE APP FORM <br />