Laserfiche WebLink
CX rw_a� t!_ <br /> DATE RECEIVED EHD LOG NUMBER <br /> c' [[ ; 1 �,h ti( SAN JOAQUIN COUNTY J r <br /> ?/� ENVIRONMENTAL HEALTH PARTMENT <br /> U j C2 4/ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSSELL PATERSON BUSINESS/AGENCY: AECOM <br /> ADDRESS: TWO CITY CENTER,SUITE 200 CITY/STATE/ZIP: PORTLAND, ME 04101 <br /> PHONE (1): 207-613-5110 PHONE(2): FACSIMILE: 207-761-0963 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `x'111=AeirC� �/ �� �/ fi rl r/'7 ° t'' DATE <br /> n <br /> Electronic Information: ❑ List❑ Map-/Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 3131,2901 ARCH AIRPORT STOCKTON <br /> 2. 27501E ARCH AIRPORT I✓rl= ❑Unit <br /> 2 <br /> 'Mm G 1 A A5'T- VtGL CO <br /> 3. 4728,4805 QANTAS ��y� <br /> 4. 47331S HWY 99 FR t W 5 UAJ-AI& nit 3 <br /> r77. <br /> 4812,48741S HWY 99FR ITE MITIGATION49091S HWY99FR nF1' N-t7nit4 <br /> 2922 TRANSWORLD 3012 TRANSWORLD k/FF fVVM �aeS rnno�l 1� Unit5 3066 TRANSWORLD vF(= %vim L <br /> 10. 3104 TRANSWORLD �Y (7-N-1� ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ® UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY ❑DAIRY <br /> ® ABOVEGROUND TANK ❑CHICKEN RANCH]DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑LANDPUMPU E APPLICATION <br /> SITES <br /> TIERED <br /> ® TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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 appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. 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 /> 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY' <br /> Aeo Q_ <br /> S11 Co SI' aanrC i 7)6 122wn4.i Ple- (lyn <br /> rovidel kkti V F M C 31 f 31 1 Ar R ,r� CO• Coy ktk.-k i5 in <br /> 14LJ Plc 4,r IA73 R °l°1. pto,` eJ- PIP Li- LOA Qw J. CID for Nl3 l:� <br /> ❑ Records provided by taff-PPR Complete. Staff Name: U1rgL <br /> 6111175 <br /> EHD 48-06 <br />