Laserfiche WebLink
Advanced GeoEnviro&ax:(707)570-1461 �0:2094640138@rcfax.wn Fax: +12094640138 1 of 1 10/16/2014 12:33 <br /> M <br /> ID EHD LOG NUMBER <br /> ■m {/ L� SAN JOAQUIN COUNTY <br /> rENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 16 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATErZIP: Stockton/CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMI=NT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> []CHECK BOXTO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [_] List❑ Map—Description: <br /> FILEADDRESS _ EHDUSEONLY <br /> Street# Street Name City <br /> 1 <br /> 1. 1155 West Center Street , * , Manteca NO (111;-t3,A/O UYI; r <br /> 2. 1110 Eucalyptus Street Manteca Norl b <br /> Unit 2 <br /> 3233 Lance Drive Stockton ,k <br /> f4. 1631 East Louise Avenue Lathrop �jz) (� <br /> U <br /> 5. 2449 West Kettlemnit 3 <br /> an Lane Lodi l(4u1 HN1+n f JM UAIT <br /> 6. rt 0 <br /> 7. Unit 4 <br /> $ late <br /> 9 ❑Unit 5 <br /> ❑Unit 8 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) - ❑HOUSING ABATEMENT ❑SOLID WASTE FACIUTy1V CL <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY `� <br /> x❑ <br /> UNDERGROUND TANK(MOMTORINGIREmovAL ❑Doe KENNEL - ❑WASTE TIRE Fi I1 (�-r���'r <br /> ❑HAZARDOUS WASTE GENERATOR ❑DAIRY UE`TM 3, Yom' II-q-0 <br /> ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL <br /> ❑ _ F-1 PUMPER TRUCKICATION SI <br /> MICAL,TOILETS <br /> TATTOOIBODY PIERCING El LAND USE APPLIC <br /> ❑ TES <br /> MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS APPLICATION <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REvi Ew: MONDAY-FRIDAY 8:00AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List unto ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, Fax to(2091464-0138 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 flie 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 priorto review. <br /> EHD USE ONLY <br /> I 1U: <br /> YOv' t <br /> ReC'eived Time Oct. ID. 2014 12: 9 M No. 7343 ei1i71 <br />