Laserfiche WebLink
RECEIVED <br /> AN A Q l� N Environmental Health Department <br /> I F <br /> COUNTY <br /> "WIN 1 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> 1, <br /> RJSIi <br /> C.�sf�lMWWAL �NJ <br /> • PI MITISM4 s .. �I�A EHD LOG NUMBER: <br /> APPLICANT: <br /> TI <br /> APPLICANT: Jane Xiao BUSINESS/AGENCY: Partner Engineering and Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 CITY/STATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415-934-9043 ext. 3357 PHONE(2): 628-233-7258 FAX OR E-MAIL: jxiao@partneresi.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact yotoarrange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT `` A,tac DATE June 14, 2018 <br /> 1. List up to ten addresses in these,ace below. 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 a-)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. <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 to <br /> ENVIRONMENTAL FILE ADDRESS Alco :TILOI16 <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONL <br /> FILES (Specific addresses onlyaddress ran es will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ;-1v1 ^57,(: P ��—��— ❑CONSUMER <br /> ®Other Cleanup Site(Non-LOP) 1 5606 Pacific Avenue Stockton <br /> COno�ty�-Iy—5►b�e Rar <br /> • Hazardous Waste SMtNYIi�HW �`� E]DAIRY <br /> ®Tiered Permitted Facility 2 `� <br /> ®Aboveground Tank 5756 Pacific Avenue Stockton Wb(e1D_-7--5k0LeF4T <br /> ® UST (Monitoring/Removal) PA0S7-).00 Ct J'lbw,_q✓ ❑PWS <br /> 3 <br /> ®Hazardous Materials PIZZ S3,04Ot- L�6A_� <br /> ®Spill/Release Response �1 <br /> AAwT�1w��%_ k�_(n ATERQUALITY <br /> ®Solid Waste Facility/Vehicle 4 �J f 1(rAA/• (K�7 <br /> Food Facility �5� _1v,-4W_"�• <br /> F]Pool/Spa Pflosyivii-Rw AT SITE MITIGATION <br /> ❑ Dairy 6 <br /> ® Land Use Application Sites HOUSING <br /> Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> FX Wastewater Treatment Plant CUPA <br /> F]Housing Abatement 7 AST/HM I HW <br /> ❑ Motel/Hotel <br /> CUPA <br /> F]Chicken Ranch/Dog Kennel <br /> g UST <br /> ❑Medical Waste Facility <br /> Tattoo/Body Piercing E2rSOLID WASTE <br /> ®Waste Tire 9 <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> '`BOXED AREA-EHD USE ONLY <br /> AOL �"� ���C) F~1h�.1 2� Z'I_ 1^��� (� '' i C H V- I�'UTA . t;i AAIVw, <br /> 00`l <br /> °I <br /> ❑ 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 />