SITE INFORMATION AND CORRESPONDENCE

Home Browse Search

r07/11/2012 12:59 9163711809 RANEY GEOTECHNICAL PAGE 01/01 r DATE RECEIVED EHD LOG NUMBER SAN JOAG2UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 JEJL 1, Zftlephone: (209) 468-3420 Fax: (209) 464-0136 Web: www.sjgov.org/eh(4 ENVIRONMENTAL HEALT#-i q. PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Taj --r showal t er BUSINESS/AGENCY: anh„�r Op-tpr}-ln; cal , Tnc. ADDRESS: 314-0 BQaGozl Bev _ CITY/STATE/ZIP: e�G� Sacramento CA�,95691 PHONE (1): .916-371-0434 PHONE (2): FACSIMILE: 916-371-1809 TENTATIVE' APPOINTMENT DATE: July 20, 2 012 Time: (Please allow 10 business days from date of application submittal - `Tentative only - must be confirmed) ❑ CHECK BOX TO EXPF_DtTE REQUEs•T - $125 FEE SIGNATURE OF APPLICANT `' Electronic Information: ❑ List ❑ ONLY) - REQUEST PROCESSED IN 3 BUSINf SS DA' DATE -9 /I 110. 1 1�.� 1 Specific Dato Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES Unit I ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLF ® OTHER CLEANUP SITE. (NoN-LOP) ❑ FOOD FACILITY ❑ WASTE TIRE UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ® TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS ❑ TATTOO/BODY PIERCING POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RevIEw: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) 1. t ist 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 feast one file type MUST be selected. Fax to (2091464-0138 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 new 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. F FILL USC ONLY PHO 48.06 Blt It t Received Time Ju1.11. 2012 1:26PM No.0524 FILE ADDRESS FHD USE ONLY ❑ Unit 1 Stroot # _ Street Name city 1 2.~5475 11440 6603 T769 ( PERFORMANCE DR S AIRPORT WAY S AIRPORT WAY S AIRPORT WAY �SZ - STOCKTON STOCKTON STOCKTON STOCKTON _ I visic CNtJ 712,12 F1 Unit 2 'Unit 3 r1'Unit4 ❑ Unit 6 3. 4. S. 6. 7. 8. 110. 1 1�.� 1 Specific Dato Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES Unit I ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLF ® OTHER CLEANUP SITE. (NoN-LOP) ❑ FOOD FACILITY ❑ WASTE TIRE UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ® TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS ❑ TATTOO/BODY PIERCING POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RevIEw: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) 1. t ist 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 feast one file type MUST be selected. Fax to (2091464-0138 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 new 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. F FILL USC ONLY PHO 48.06 Blt It t Received Time Ju1.11. 2012 1:26PM No.0524