Laserfiche WebLink
5 2012 2: 20PMRSERJET FRX P. 1 <br /> FIVEHF EHD LOG NUMBER <br /> SAN ,1OAQUIN COUNTY <br /> mAKO 5 2012 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202.3029 <br /> ENVIRONMENT,ALHEATTfW' phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 9-7 It1sac6ei1•- Se_tAAm� BUSINESS/AGENCY: �L <br /> ADDRESS: (P SZ- 11,�2-"— Ir-_It2 CITY/STATE/ZIP: A 14tap7 <br /> PHONE (1): 5jQ- s'',�4— 9 d`t9 PHONE l!112): FACSIMILE: Sf0^ if- pqp <br /> TENTATIVE"APPOINTMENT DATE; '3 Time: 2 A <br /> (Please allow 10 nuelneea days from date app cation submittal-*rant■tive only-must be confirm& )- <br /> ❑ CHECK BOX TO EXPEDITE:REQUES--$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT '- DATE_ LS= 12_ <br /> Electronic Information: ❑ List❑ Map- Description: <br /> FILE ADDRESS EHO USE ON LY <br /> Street 0 Street Name City I Unit 1 <br /> 1. Lj CJ S V v, l�G�I Il l.0 Nf <br /> 2' O Unit 2 <br /> 3. <br /> 4' Unit 3 <br /> 5. F I e 1- <br /> B 7�1� Unit 4 <br /> 7, <br /> B. <br /> Unit 5 <br /> 9. <br /> 10. ❑ Unit e <br /> SpeolftG Date Range of Inforrnatlon Requested: From to <br /> �• ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I9UNDERCROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NOH-LOP) ❑1000 FACILRY ❑WASTE TIRE <br /> tUNDERGROUND TANK(MONITORING/REMOVAL) ❑ D00 KENNEL `❑�1AIRY <br /> HAZARDOUS WAVE GENERATOR ❑ CHICKEN RANCH ASTEWATER TREATMENT PLANT <br /> EKED PERMITTED FACILITY ❑ MOTEL/HOTEL ElPUMPER TRUCKIYAROICHEMICAL TOILETS <br /> 11 <br /> TATTOO/BODY PIERCING ❑ POOLISPA ❑LAND USE APPLICATION BITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5t00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addressee In the apace above. Select the type(s) of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to!208!4640138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assiatance with file addressee,contact the EHD. Applications received atter <br /> 3:00 pm wll I 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 attar receipt of application. The flies will behold for a maximum of flva business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A flle that Is actively being worked on by EHD staff may not be Immediately available for revlew. A now application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as raieasad will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to revlew. <br /> P.HOVI F,ONLY <br /> EHD 44-06 <br /> S!ilil ill <br />