Laserfiche WebLink
---------- <br /> DATE RECEIVED EHD LOG NUMBER <br /> G 7 f>t� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT D <br /> +��- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Tele ione: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ABBY PEPPER BUSINESS/AGENCY: ARCADIS <br /> ADDRESS: 10559 CITATION DRIVE, SUITE 100 CITY/STATE/ZIP: BRIGHTON, MI 48116 <br /> PHONE (1): (810) 225-1944 PHONE (2): (810) 229-8594 FACSIMILE: (810) 229-8837 <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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ?, et FOR APPLICANT DATE 718/14 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1.° 2979 AUTO CENTER STOCKTON }1N1N1 Nc �P <br /> 2, �� - Unit 2 <br /> 3. <br /> 4, Unit 3 <br /> 5. <br /> 6, Unit 4 <br /> 7. <br /> 8_ ❑ Unit 5 <br /> 9. <br /> 10. Jnit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F]MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE a i, <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> `UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> &BOVEGROUND TANK F]CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT CT3� <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> T1TIERED PERMITTED FACILITY F]POOL/SPA El LAND USE APPLICATION SITES <br /> F]TATTOOIBODY PIERCING WCOMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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 END 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. ***BOXED AREA-EHD USE ONLY*** <br /> 2-7—A - c <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> 4128/14 <br /> EHD 48-06 <br />