Laserfiche WebLink
RECEIVED <br /> SAN , <br /> QN . J O Q Q U I N MAR 2 7 2018 Environmental Health Department <br /> COUNTY— PUBLIC RECORDS RELEASE APPLICATION <br /> ' (IA'" <br /> • rrk pp-a CzreotneSs Droves here. PEIIIMITIS"" MAIL •Z� <br /> EHD LOG NUMBER: � l <br /> APPLICANT: Corinne Kennah-Cohn BUSINESSIAGENCY:Partner Engineering <br /> ADDRESS: 1544 Eureka Road,Suite 180 CITY/STATE/ZIP:Roseville,CA 95661 <br /> PHONE(1): 916-237-0257 PHONE(2): FAX OR E-MAIL: ckennahcohn@partneresi.com <br /> Please allow 10 business days frHP, <br /> of application submittal for the records to be available. <br /> Staff will contact y u o arrangeointme date and time to review the requested records. <br /> SIGNATURE OF APPLICANT 1 � ti„ DATE 3/27/2018 <br /> 1. List up to ten addresses in the space be4� lo�ddress 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(rfticehd.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 ponly, 9 p ) EHD USE ONLY <br /> FILES (S ecific addresses address ranges will not be accepted) <br /> X Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ❑CONSVMEn <br /> 0 Other Cleanup Site(Non-L <br /> 14931 North Flag City Boulevard Lodi <br /> Q Hazardous Waste ❑Dunv <br /> Tiered Permitted Facility 2 <br /> Q Aboveground Tank tkh%5M R(I IAVJ <br /> FX UST (Monitoring/Removal) PWS <br /> ❑x Hazardous Materials 3 <br /> ❑x Spill/Release Response WATER QNALITY <br /> ❑Solid Waste Facility I Vehicle 4 ...) <br /> Food Facility _ <br /> Pool I Spa /rCI tC_ anEMmGATION <br /> Dairy 5 1 <br /> peir, <br /> / T <br /> ❑Land Use Application Sites <br /> I . 0HousiNc <br /> ❑Septic Pumper Truck/ a Y r �5 r <br /> Yard/Chemical Toilets <br /> ❑❑Waste 9CO <br /> ater Treatment Plant � r ��O /Oso PA <br /> HOUSIn Abatement r t/./7 AST/HM/HW <br /> ❑Motel/Hotel /1 ///��� <br /> Chicken Ranch/Dog Kennel �l/1�) I/,'55 ''1 // i O <br /> UPA <br /> 8 UST <br /> ❑Medical Waste Facility ( ( z CJt I Ct <br /> ❑Tattoo/Body Piercing 0 SOLID WASTE <br /> ❑Waste Tire 9 <br /> E]Complaint <br /> Other(Please Specify): ❑A=uKPNG <br /> 10 <br /> r� 1 '—BOXED AREA <br /> I--_EHD USE ONLY*** <br /> !, <br /> • -A7-1T1� ay..l 1 1' 0 � n� /iGe.' `h�fn 01 s4th. 71a 1r12. I VAV41_' <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />