Laserfiche WebLink
IVED <br />.I. E. <br />r � <br />x SA N J OAQ U I N Environmental Health Department <br />JUL 11 201 <br />COU NTY--- PUBLIC RECORDS RELEASE APPLICATION <br />C'ea'tnes5 arcs/s her y� ;{qL� '¢� 12&AJd <br />• PENMITISMAtES -PIS AA EHD LOG NUMBER: �172— <br />APPLICANT: <br />Natalie Vaughan BUSINESS/AGENCY: AE1 Consultants <br />• <br />Ll <br />ADDRESS: 515 Saratoga Ave, Unit 5 CITY/STATE/ZIP:-Santa Clara. CA 95050 <br />PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: nvallhan <br />g 4aairnncultants rnm <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange a appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT Na�aCre �a�a al7 DATE July 17, 2018 <br />1. List up to ten addresses in the space belo Address ranges WILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to info@slcehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. ,1 <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From all to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />S ecific addresses <br />(ponly, <br />FILE ADDRESS <br />address ranges will not <br />g <br />be accepted) <br />p <br />A -C 7/2_3/1P <br />EHD USE ONL <br />® Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />Cleanup Site (LOP) <br />Q Other Cleanup Site (Non -LO <br />' <br />75 <br />E Equipment Court <br />1. N4 1' WA, <br />French Camp <br />E]W CONSUMER <br />C <br />J <br />© Hazardous Waste <br />x❑ Tiered Permitted Facility <br />[] Aboveground Tank <br />z <br />120 <br />E Equipment Court <br />A,r ^ <br />Frena <br />❑ DAIRY <br />❑ PWS <br />® UST (Monitoring /Removal) <br />© Hazardous Materials <br />3 <br />® Spill / Release Response <br />Solid Waste Facility / Vehicle <br />4 <br />WATER QUALITY <br />Food Facility <br />© SITE MITIGATION <br />Pool / Spa <br />Dairy <br />5 <br />Land Use Application Sites <br />s <br />❑ HOUSING <br />® Septic Pumper Truck / <br />Yard / Chemical Toilets <br />© Wastewater Treatment Plant <br />0 CUPA <br />Housing Abatement <br />7 <br />AST / HM / HW <br />® Motel/Hotel <br />8 <br />CUPA <br />UST <br />- <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />Tattoo/Body Piercing <br />® Waste Tire <br />g <br />Q OLIO WASTE <br />® Complaint <br />❑ ACCOUNTING <br />Other (Please Specify): <br />10 <br />—BOXED AREA - EHD USE ONLY - <br />0 Records provided by Staff -PPR Complete. staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />