Laserfiche WebLink
08/30/200� EE <br /> 1,,11//716:20 176`07443383 PAGE 01/01 <br /> /3n <br /> DA I�FD� VEEHD LOG NUMOER <br /> ��k, SAN JOAQUIN COUNTY <br /> AUG 3 0 201E war �T ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1: (2 East Hazelton Avenue, Stockton, W b:wNv-0237, <br /> • EWRO� �,ALt��Telephone: (7.09)465-3420 Fax:(209)464-0139 Web:www,sjgov.Orglehd ry/7 <br /> ppy�R + av+na� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Todd Jacquay / Kristen Kohls BUSINESS/AGENCY: AEC <br /> ADDRESS: 145 Va.l7.eei.'tos De Oro, 201 CITY/STATE/ZIP; San Marcos , CA <br /> PHONE 0): 760-744-3363 PHONE(2); FAXORE-MAIL: 760-744-3383 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you o ,rrange an appointment date and time to review the requested records. <br /> [I CHECK'.BOX 70 EXPEDITER U_ST;;$131i FEE'(OASIH OR CHPICK 6NLY)-REQUE§YPROdt$8ED IN i;bUSSIWE55:DAyt <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to ten addresses in the elow. Select the type(s)of Flies from the list below by checking the appropriate <br /> box(os). At least one file type b selected. Fax to(209)464-0138 or mall to the dress 1 dlcated above Address <br /> ranges will not he accepted. A Ica Ions received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In Identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten It 0) <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. „tL/// 1 <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. {� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0013101(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List[] Map-Description: <br /> Specific Date Rango of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH'D&ARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> • ®UNDERCROIND TANK(VST) Street Street Name City <br /> CLEANUP 511E(LOP) ❑CONSUMER <br /> 4,7,1 E Yosemite Ave Manteca, CA <br /> O OTHER CLCANNP SITE(NON100 <br /> lJ HA)ARDNIS WASTE: (/�(/�-�� ( ^ Ll DAIRY <br /> l]T1ITRtD PERMITTED FAC ITY 2 I L 'I <br /> MI ASOVE6RDl IND TANK Ill`/1 <br /> MU UST (MONITORING I REMOVAL) <br /> I ❑PWA <br /> 14AZARDWO MATERIALS 2 Y I�}11•- <br /> ©SPILUREI.EAAE RESPDNSF. <br /> WATER gIIALITY <br /> SOLID WASTE FACII.RY I VFHICI.E b <br /> l�FOOD FACILRY <br /> rte Mlnunrrox <br /> POOL I SPA <br /> ❑DAIRY 6 <br /> lj LAND USE APPLICATION SITES <br /> IioU!.INc <br /> SEPTIC.PUMPFR TRUCE/ <br /> E <br /> YARD/CHEMICAL TDRCrR <br /> WASTIeVATER TREATMENT PLANT ,r`ytur`A <br /> HWRINC.ARATE,NI r VW <br /> * W <br /> MT <br /> CHICKEN RANCH I DOG KENNEL CUFF-UST <br /> F1 MEDICAL WASTE FACILITY D <br /> rj 0190DY TATToPIEHDINR <br /> LI [0]SDLID WA{TE <br /> WASTE TIRE. D <br /> COMFINNT <br /> rl OTHER(PLEAEE sP[cIPYII p 4OOC61MING <br /> 10 <br /> —SPXEeD AREA-EHD USE ONLY– <br /> 7r13R!ecords <br /> 6If Qv (K,c � r! rMe,R .7 provided by Staff-PPR Complete. sten Name: <br /> Re CeIVed Time Aug, 30. 2011 4: 21PM No. 2199 <br />