Laserfiche WebLink
To: Page 2 of 2 2017-03-16 22:35:04 (GMT) 14155205858 From: Carrie Locke <br /> RECEIVEC) SAN .JOAOUIN COUNTY EHD LOG NUMBER <br /> MAN t 7 2016 ENVIRONMENTAL HEALTH DEPARTMENT ��/� h <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 (n/ yv� <br /> �%PtONWENTALF.fglephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PEmmrr/SuT PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Came Locke BUSINESS/AGENCY: BBG <br /> ADDRESS: 1819 Jackson Street, Apt, 4 CITY/STATE/ZIP: San Francisco, CA 94109 <br /> PHONE (1): (415) 505-8090 PHONE (2): FACSIMILE: (415)520-5858 <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-$130 FEE(C "R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03-16-17 <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1, 2449 West Kettleman Lane LodiLo/{'�, IfjrAn _f,A 3�2-t <br /> 2, 2447 West Kettleman Lane Lodi I V <br /> __ Unit 2 <br /> 3, 2445 West Kettleman Lane Lodi <br /> 4. 2443 West Kettleman Lane Lodi <br /> Frv��Ql C& Unit 3 <br /> S. 2441 West Kettleman Lane Lodi 19f SITEMITIG TION <br /> 6. 2439 West Kettleman Lane Lodi 2� US <br /> 7. 2437 West Kettleman Lane Lodi <br /> 8. 2435 I West Kettleman Lane Lodi <br /> Unit 5 <br /> y, 2433 West Kettleman Lane Lodi <br /> 10. 2431 West Kettleman Lane Lodi <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILI YNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT 0 WASTE TIRE <br /> ®UNDERGROUND TANK(MONFORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTFJHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> X❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑X COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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 1209)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 appointmentfor 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 5)11[15 <br /> Received Time Mar. 16, 2017 3 , 31P No, 1044 <br />