Laserfiche WebLink
•��� EHD LOG NUMBER <br /> DATE RECEIVED L— SAN JOAQUIN COUNTY <br /> 7 _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> - ''3. •-1 K w• <br /> Telephone: (209) 468-3420 Fax; (209)464-0138 Web: yyYyWsjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:David Schlotterbeck BUSINESS/AGENCY:Haley&Aldrich Inc. <br /> ADDRESS: 3187 Redhill Ave.,#155 CITYISTATE/ZIP:Costa Mesa,CA 92626 <br /> PHONE(1): (714) 371-1812 PHONE(2):(714) 944-4021 FACSIMILE:(714)371-1862 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submitral--Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT j-? DATE 22 August 2012 <br /> Electronic Information: ❑ List❑ Map—Description:Complaint#C00003088 <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city _ . El Unit 1 <br /> 1. 31130 S.Corral Hollow Road Tracy 0 I /C2 <br /> ❑Unit 2 <br /> 2 <br /> 3. <br /> 4. _ '6nit3 <br /> 5. <br /> 6. _ "lfnit 4 <br /> 7. <br /> 8 ❑Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From 1985 to Present Day <br /> ENvIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACKfTYNEHI E r 3- <br /> FOOD FACILITY ❑WASTE TIRE i_h I(5 l I l <br /> ®OTHER CLEANUP SITE(NON-LOP) F1 <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)� ❑DOG KENNEL ❑DAIRY P.• k-97-1'Z <br /> ®HAZARDOUS WASTE GENERATOR'S ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY` ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). %t least one file type MUST be selected. Fax to(2091464-0138 or mail 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 /> EHD USE ONLY <br /> �3 <br /> aizanz <br /> EHO U-06 <br />