Laserfiche WebLink
r <br /> 8� <br /> ®W EHD LOG NUMBER <br /> m ��EIVE SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 0439 <br /> Telephone: (209) 468-3420 Fax: (209) 464.0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Yukari Hiravama BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton/CA/95215 <br /> PHONE(1): 818-486-2150 PHONE (2):209-623-7200 FACSIMILE: 209-457-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal--Tentativa only-mutt be confirmed) . <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN a BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/10/2015 <br /> Electronic Information: ❑ List❑Map—DescrlptlOn: <br /> FIJ-E ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit1 <br /> 1• 1413 Bourbon Street Stockton IASA - <br /> LO <br /> 2. 3755 West Lane Stockton - Unit 2 <br /> 3. 3805 West Lane Stockton <br /> 4. rk 0,14t' <br /> 6. <br /> 6. Q >t4 <br /> T. A7UAQe� I�Ff(�y kul� I(� <br /> 6• EI Unit 5 <br /> 10. <br /> Q Uplt 6 <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X❑UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑x SOLID WASTE FACIUTYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY (]WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNELx❑DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARO/CHEMICAL TOILET$ <br /> ❑-1 TATTOoIBODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> IJ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) - <br /> 1. List up to ten addresses in the space above. Select the type(s)of files front the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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. <br /> nj"4e, w It O6) repkki 6, a.( v Fs, a7-X 441- SUS <br /> ov drJ (� Uig UST Y c 6-n 5k 3 vies-k �• <br /> Received Time Feb. 10. 2015 11 :45AM No, 8087 a""' <br />