Laserfiche WebLink
DAT _ o F�aLU ir,r; P A I a a <br />SAN JOAQUIN COISSA ' N WdS6 :0l S IN '6l ' W 1 P a <br />MAY 19 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br />1858 East Hazelton Avenue, Stockton, CA 95205-6232 <br />1 <br />ENVIRf?NNIENTAI-Teme..phone: (209) 468-3420 Fax: (209) 464-01.8 Web:'www,sjgov.org/ehd <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Sarah Swee <br />BUSINESS/AGENCY: EMG <br />ADDRESS: 222 Schilling Circle, Suite 275 CITY/STATE/ZIP: Hunt Valley, MD 21031 <br />PHONE (1): 410-785-6200 <br />PHONE (2):., <br />FACSIMILE: 410-785-6220 <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 - $13n cr=F OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE May 19, 2015 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE_A_D_D_RESSEHD <br />USE ONLY <br />El Unit 1 <br />�^ <br />F <br />Street if <br />Street Name <br />city <br />1° <br />10858 <br />Trinity Parkway <br />Stockton <br />M ❑ Unit 2 <br />2, <br />3. <br />Unit 3 <br />4. <br />S. <br />SITE MITIGATION <br />- g, <br />.- <br />_ _ ❑ Unit 4 <br />Unit 5 <br />8. <br />-- <br />_ <br />❑ Unit 6 <br />10. <br />5peclfla Date Range of Information Requested: From 2004 to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYIVEHICLE <br />❑ OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING A13ATEMENT ❑ WASTE TIRE <br />UNDERGROUND TANK (MONrrORINGIREMOVAL) ❑ FOOD FACILITY ❑DAIRY <br />ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARDICHEMICAL TOILETS <br />© TIERED PERMITTED FACILITY ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS [] OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 5:00 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 $125 deposit prior to review. *1 BOXED ARI=A - EMD USE ONI-Y*1` <br />l�79.1j.fs� lA�`� �ll�� �n�l L��P�°rva$ �e � Ili ��_Yi `�Pt✓t' <br />0 Records provided by Staff -PPR Complete. Staff Name: <br />rV <br />