Laserfiche WebLink
rM" . <br /> i tNo. 3464 P, 2 <br /> DAT <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> FEB 2 12017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205.6232 15& 159 <br /> ephone: 209 46 <br /> t�+I1fIR().l+Il",�'�`TRLF��47�1 ( ) 8-3420 Fax: (209)4640138 Wet?:www.sjgay.orglehd <br /> P'EIMM IT,EIT°`l . PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ashlen McGinnis BUSINESSIAGENCY: SJC Public Works <br /> ADDRESS: 1810 E. Hazelton Ave CITYISTATEJZIP:_StocktOn, CA 95205 <br /> PHONE(1)- 209-468-3085 PHONE(2}: FAXOR E-MAIL: 209-468-2999 <br /> Please allow tb 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 /> CHECK BOX TO EXPEDITE 4UE5 -$139/}FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B S1NE5S DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to ten addresses in the space below. Select the type(s)of flies from the list below by chackind the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications 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 END will notify the applicant If any EfHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies 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 some 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:04 AM-5:DOPM(EXCLUD(NG HOLIDAYS) <br /> Electronic Information: [I List ❑ Map-Description: 0 2 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL .} � _q_ <br /> HEALTH.DEPARTMEHT FILE ADDRESS J- <br /> FILES EHa USE ONLY <br /> F✓TuNDERGROUND TANK(UST) Street# Street Nama city <br /> CLEANUP SITL(LOP) �.. _ �� a' L(� j Ori./� <br /> OQ 2'5 L j y ❑001,S ER <br /> Ef rH-tCLEANVP SITE(NON-LOP) } 1l[IYI� i' r�1.L,/ s�" r�r i <br /> � to 11�10 <br /> HA;ARDOUs WASTE p —1 <br /> • C3 DNRY <br /> F f nERED PERMr7mD FACII.17Y 2 <br /> M/ABOVEGAOUNDTANrc. 1 LJr!/41NCJ U}�` s• NO a-` TI <br /> ,W <br /> U,ST woNrrORING I REMOVAL) 'Li[ ❑PWS <br /> .�+ RAXPADOUB MATERIALS �g 'W I'1 <br /> dSPILURELE+4E RESPONSE <br /> NO U (01'W <br /> EfSOLID WASE FACILrIY!'VEHICL`� d L/ wo.TER QunLrr+ <br /> Q FOOD i ACILm / /��J I . 2 a'27(-d r <br /> n POOL!SPA Ajp I )JD Wr� Srte Me;iun�w <br /> ij DAIRY <br /> J • V <br /> ffLNUD USE APPLICATION SrrFn - <br /> �sePnc PUMPER TRUCK! ❑MOUSMd <br /> YARD 1 CHEMICAL TOO ET5 U"I� a I • � � <br /> ©WA67EWATER TRFATMHNT PLANT' - CLIPA <br /> ❑HOUV <br /> SING ABATEMENT ° <br /> ❑ <br /> MO7WHOTEL P0 U�< <br /> CHICKEN RANCH!Doe KENNEL �} ),ry N0j,,�y(/J� COPA-UST <br /> 71 MEDICAL WASTE FACILITY ® ,J ,[� �J�J -� • �i I O COT J 1 <br /> ❑TATTOOIBODY PIERCING - <br /> WRRTE TIRE �^//��r/ fiOLID WAaSE <br /> " <br /> Ij OOMPLAINT B '" ��"f ' �KVI • ,I ) lJt�mss/` <br /> F1 OTHER(PLEALSE SPECIFY): ❑A=OVNM <br /> S No vC'�T <br /> -"BOXED AREA-E}fiD USE©NLY-'- <br /> AID <br /> 11 Records provided by Staff-PPR Cytnplete. Staff Name! <br /> Rete 'i ved T irre t- 'b. 23. 2017 3 , 04P No, 0872 <br />