Laserfiche WebLink
u <br />• <br />• <br />I o A Q II ! Nr�i ri Lo Environmental Health Department <br />-- C O U N T Y -- PUBLIC RECORDS RELEASE APPLICATION <br />;,.J f c it i r, L- S S q C V"f7 f f 1l5'1'IIT/87I�h/ 3*7 <br />ET BY EMAIL 1 <br />EHD LOG NUMBER: <br />APPLICANT: Heather Hodgetts BUSINESSIAGENCY: Partner Engineering & Science Inc. <br />ADDRESS: 5454 Caminito Bayo CITY/STATE/ZIP: La Jolla , (q ty <br />PHONE (1): 858-790-9327 PHONE (2): FAX OR E-MAIL: hhodgetts@partneresi.com <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 />SIGNATURE OF APPLICANT DATE 07/09/18 <br />1. List up to ten addresses in the space 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)sicehd.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. l� <br />Future file reviews by the same applicant may require a $152 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: Zx List ❑ Map — Description: <br />Specific Date Range of Information Requested: From 0 to a!] If <br />ENVIRONMENTAL <br />FILE ADDRESS <br />a -GO . <br />HEALTH DEPARTMENT <br />(Specific addresses <br />only, address ranges will not <br />be accepted) <br />EHD USE ONLY <br />❑X Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />14800 <br />W. Schulte Rd.- <br />Tracy <br />C, P ❑ CONSUMER <br />--r1 <br />Cleanup Site (LOP) <br />❑X Other Cleanup Site (Non -LOP <br />A5 cul R F, 9 . W$ <br />0 Hazardous Waste <br />DAIRY <br />Q Tiered Permitted Facility <br />2 <br />Q Aboveground Tank <br />PWS <br />Q UST (Monitoring / Removal) <br />Q Hazardous Materials <br />3 <br />Q Spill / Release Response <br />ATER QUALITY <br />Q Solid Waste Facility / Vehicle <br />4 <br />Food Facility <br />SITE MITIGATION <br />Pool / Spa <br />Dairy <br />5 <br />Land Use Application Sites <br />HOUSING <br />Q Septic Pumper Truck / <br />5 <br />Yard / Chemical Toilets <br />FRI Wastewater Treatment Plant <br />CUPA <br />F] Housing Abatement <br />7 <br />AST I HM I HW <br />❑ Motel/Hotel <br />— <br />UPA <br />171 Chicken Ranch /Dog Kennel <br />Medical Waste Facility <br />g <br />UST <br />❑ Tattoo/Body Piercing <br />SOLID WASTE <br />n Waste Tire <br />9 <br />Q Complaint <br />❑ AccouNTING <br />Other (Please Specify): <br />10 <br />***BOXED AREA - EHD USE ONLY*** <br />' } FiIR PRn 5 <br />❑ Records provided by Staff -PPR Complete. staff Name: U EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />