COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

01-10-'13 15:26 FROM -Geological Technics T-877 P0001/0001 F-328 r. DATE RECEIVED EHO LOG NUMBER SAN JOAQUIN COUNTY % � VE ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ,IAN 10 2013 Telephone: (209) 468-3420 Fax: (209) 4640138 Web., www_sjgov.org/ehd ENVIRONMENTALH-EALTH PUBLIC RECORDS RELEASE APPLICATION e� D17� 4-U, APPLICANT: ADDRESS: Jenny Weese 1172 Kansas Avenue 13USINESSIAGENCY: Geological Technics CITY/STATE/ZIP: Modesto, CA 95351. PHONE(1): 209-522-411.9 PHONE (2): FACSIMILE: 209-522-4227 TEN7'AT/VE4APPOINTMENT DATE: Time: (Please allow 10 business days from dale of application submittal -'Tentative only - must be confirmed) ❑ CHECK BOX TO EXPEDITE REQ EST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 qUSINESS DAYS SIGNATURE OF APPLICANT �� DATE 11 1'0 13 Electronic Information: ❑ List ❑ Map - Description: FILE ADDRESS EHD USE ONLY Street 9 Street Name City fil Unit I. F2. 1. 2996 McHenry Avenue Escalon i�%v -1 rNJr�J �j Ej �Unit2( ❑ MEDICAL WASTE FACILITY 3000 McHenry AvenueEscalon} 3. NN ❑ WASTE TIRE } I e 5 IVr W 71 UNDERGROUND TANK (MONITORING/REMOVAL)V-" TANK p Unit 3 4. C�'� 5. HAZARDOUS WASTEIHAIARDOUS MATERIAL ❑ MOTEUHOTEL ,E1 Unit 4 To view the HMMP (Hazardous Materials Management Plan) go to the following website: www.sjoesdata.org El unit s ❑ Unit 6 6' ❑ POOLISPA ❑ LAND USE APPLICATION SITES 7, ❑ COMPLAINTIRESPONSE RECORDS OTHER (PLEASE SPECIFY) 31,,E c � S 8 8. 10. 01 Specific Date Range of Information Requested: From to ENVIRONMENTAL �7 UNDERGROUND CLEANUP HEALTH DEPARTMENT FILES TANK (UST) SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNEHICL '// OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT NN ❑ WASTE TIRE } I e 5 IVr W 71 UNDERGROUND TANK (MONITORING/REMOVAL)V-" TANK ❑ FOOD FACILITY ❑CHICKEN RANCH/ DOG KENNEL ❑ DAIRY2 1—'5ABOVEGROUND ❑WASTEWATER C�'� IREAT EM NT PLANT HAZARDOUS WASTEIHAIARDOUS MATERIAL ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS ❑ TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES TATTOOIBODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS OTHER (PLEASE SPECIFY) 31,,E c � S WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464.0138 or mail to the address indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A now application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. � ' {