Laserfiche WebLink
� �'ED EHD LOG NunnaEa <br /> ,� " lSAN JOAQM COUNI"Sl' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> U c L. 304 East Weber Avenue,3`d Floor, Stockton, CA 95202-2708 <br /> Telephone,(209)468-3420 Fax:(209)464=0138 Web:www.sjgov.org/ebd ., <br /> 5 <br /> ' PEF, t�r15ERVICES . <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: i n',(, BUSINESSIAGENCY. LJc�NaSU�T�f��.3 <br /> ADDRESS; �/, 7U���i,{�ll,S, ,� 1� 1 + <br /> PHONE(1). LO�(PJ T�(02� PGH NE(2): '." ! ---Q_?L (P � CSIMILE: ��( Q f ' <br /> TENTATIVE*APPOINTMENT DATE:_ �aadd ut Time: Q <br /> (Please allow 10 business days from data of application Stubtnittal-*Tentuave only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDIM RE QU T•$93.00 FEE(CAS R CHECK ONLY)•REQUEST PROCESSED IN 3 BU5INESS DAYS F <br /> SIGNATURE OF APPLICANT DATE ( [ <br /> {UNIT DISTRIBUTION E3 Unit 1 13 Unit 2 0 Unit 3 O Unit 4 173 Unit 5 17 Unit e ❑ Other(eleabronle/llsts/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> l>I�' Street 0 Stroot Name city <br /> 1. fA .- <br /> B� 2. <br /> 5: C1\ <br /> 7: <br /> Specific Date Range of Information Requested:From to <br /> I <br /> �p ENVIRONMENTAL HEALTH DEPARTMENT FILES � f <br /> LSA UNDERGROUND TANK(UST)CLEANuP SITE(LOP) Q HOUSING ABATEMENT CI SOLID WASTE FACILITYIYEH_ICLS <br /> XOTHER CLEANUP srm(NON-LOP) ❑FOOb FACILITY d WASTE TIRE Lp <br /> V UNDERGROUND TANK(MONITORINWREMOVAL) EI DOG KENNEL DAIRY <br /> AHAYARDOUS WASTE GENERATOR 13 CHICKEN RANCH l"1 WASTEWATERTREATMENT PLANT g <br /> 0 TIERED PERMITTED FACILIYY ©MOTELIHGTEL '. 13 PUMPER TRUCKIYARDICHEM TOILETS <br /> 11 TATTOoBoDY PIERCING 0 P000sPA EO LAND USE APPLICATION SITES <br /> IAEDICAL WASTE FACILITY Q OTHrFt(PLEASE SPECIFY)_+, <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE POR REvtew- MoNoAY•FRIDAY 8:00 Am-5-00m - EXCLUDING HOLIDAYS. <br /> i. List up to ten addresses In the space above. Select the type(s)of files from the list above by che eking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to 2A9 464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3.00 pm will be processed the next business day. <br /> 2. The I;HD will notify the applicant if any EHD flies exist. An appointment for review will be confli ed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments should be scheduled accordingly. i <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> EHD aeas� - <br /> 1f1�los - <br /> ZOOi�j Qid�I�EdO %I2LIYHI08� T6T1' C99 OT9 %dd 90:Vi .LVS 20/6T/TT <br />