Laserfiche WebLink
RECEIVED <br /> zy= ` SAN . J OA Q U I N Environmental Health Department <br /> COUNTY - jUN 2 6 2038 PUBLIC RECORDS RELEASE APPLICATION <br /> • <br /> PEMAIL <br /> i'4MIT/.�i EHD LOG NUMBER: <br /> 010G3 <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-467-1118 FAX OR E-MAIL: Rnatal@advgecenv.com <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 u- DATE <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(a)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 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> ❑K Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) i t (^I` P CONSUMER <br /> 0 Other Cleanup Site(Non-4 1 16888 S McKinley Lathrop P6T <br /> E]Hazardous Waste 71 ❑DAIRY <br /> ❑Tiered Permitted Facility 2 L _ <br /> Aboveground Tank CU, 1t� ��(I{� w'�► <br /> ❑X UST (Monitoring/Removal) ❑PWS <br /> Hazardous Materials s <br /> ❑X Spill/Release Response <br /> WATER QUALITY <br /> Solid Waste Facility/Vehicle 4 <br /> Food Facility <br /> Pool/Spa SITE MITIGATION <br /> Dairy 5 <br /> ❑Land Use Application Sites <br /> ❑HOUSING <br /> ❑Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant IQUPA <br /> ❑Housing Abatement 7 AST/HM/HW <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel j•CUPA <br /> g UST <br /> Medical Waste Facility <br /> ❑Tattoo/Body Piercing SOLID WASTE <br /> ❑Waste Tire g <br /> Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY <br /> • � �.�� �, 'L` ��f M rr,\ ('�•� (";r. r'Zc.0 a tl+ ��v v✓�;:� � a\ l�:1� Iti, cn <br /> 9 <br /> COU)IDVi a 5 <br /> Iz 412 <br /> ❑ Records provided by Staff-PPR Complete. Starr Name: Lo 122 1 19 PrtAlgef nDV N. EHD 48-os <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />