Laserfiche WebLink
05/18/2016 4 : 14 : 35 PM -0400 FAXUUM ANYWHEKE YAUE 3 UP 3 <br /> DATEECv 4� SAN JOAQUEN COUNTY <br /> EHD LOG NUMBER <br /> � NED ENVIRONMENTAL HEALTH DEPARTMENT 5 V <br /> ¢, 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAY 18 20%lephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> 0MRONMENTAL 114EALTH <br /> PERMiTISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Amanda Benbow BUSINESS/AGENCY: PPA Environmental Inc. <br /> ADDRESS: 3400 Douglas Blvd Suite 200 CITYISTATEIZIP: Roseville, CA 95661 <br /> PHONE(1): (916) 472-2870 PHO14E(2): FACSIMILE: (877) 884-6775 <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 EXPEDIT QUES - 130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> Electronic information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 760 Industrial Drive Stockton <br /> 2. & 950 Industrial Drive Stockton E7 Unit 2 <br /> 3. <br /> 4. L11 Unit 3 . I <br /> S. <br /> F_ 6. <br /> <135- <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. ❑ <br /> Specific Date Range of Information Requested: From Any and All to Any and All <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITY[VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT F]WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (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$130 deposit prior to review. '*°BOXED AREA- EHD USE ONLY'" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time May. 18. 2016 1 : 14PM No. 0810 06,01 114 <br />