Laserfiche WebLink
SAN ]O A Q U I N RECEIVE4vironmental Health Department <br /> -----COUNTY-- APR 3 Q 2018 PUBLIC <br /> BLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL HEALTH <br /> EHD LUG NUMBER: 8 8 6 3 3 <br /> APPLICANT: SCOTT BITTINGER BUSINESSIAGENCY: STRATUS ENVIRONMENTAL <br /> ADDRESS: 3330 CAMERON PARK OR, STE 550 CITYISTATEIz1P: CAMERON PARK, CA 95682 <br /> PHONE (1): 530-676-2062 PHONE (2): 916-601-9756 FAX OR E-MAIL: <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 /> SIGNATURE OF APPLICANT PROCESSED VIA PHONE BY STAFF. DOM M DATE APRIL 30, 2018 <br /> 1. List up to ten addresses in the space 'below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138, mail to the <br /> address indicated below, or email to info(d?sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y accepted) EHD USE ONLY <br /> FILES (Specific addresses and address ranges will not be acts ted <br /> ® Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ❑CON9uMER <br /> t 2070 S EL DORADO ST STOCKTON ;y, 1r <br /> ® Other Cleanup Site(Non-LOP) <br /> Hazardous Waste 1 V <br /> ❑DAIRY <br /> ®Tiered Permitted Facility 2 UST, HW,CO <br /> ®Aboveground Tank <br /> UST (Monitoring 1 Removal) ❑PWS <br /> 3 <br /> Hazardous Materials <br /> Spill 1 Release Response ®wnrea QUALITYF]Solid Waste Facility 1 Vehicle 4 <br /> Q Food Facility <br /> Pool 1 Spa ®SITE WIGATION <br /> Dairy 5 <br /> Land Use Application Sites y Jill <br /> F1 Septic Pumper Truck! 6 11HousiNc <br /> Yard!Chemical Toilets <br /> F1 Wastewater Treatment Plant [D COPA <br /> ❑ Housing Abatement 7 AST1 HM 1 H5v <br /> F] Motel/Hotel <br /> R Chicken Ranch I Dog Kennel CUPA <br /> [] Medical Wase Facility <br /> $ UST <br /> Tattoolsody Piercing <br /> ❑Sorio WASTE <br /> ❑Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): ❑AccouNTiNo <br /> 1Q <br /> ***BOXED AREA-EHD USE ONLY*** <br /> vnT6--1 IIA0 -�1\s <br /> ❑ Records pravi ed by Staff-PPR Complete. Staff Name: FHD0-os <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 20 464-0138 1 www.sicehd.com <br />