Laserfiche WebLink
Re <br />'5 17:08 (FAX) P.0011001 <br />EtHxD LOG NUMBER <br />SAN JOAQUIN CQUNTY a� b002 Olt <br />_j OVED ENVIRONMENTAL HEALTHDEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95206-6232 <br />OCT 05 Z015 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />--"'hi U;=&ITH PUBLIC RECORDS RELEASE R.P€ PKAT€ON <br />ADDRESS: <br />1106%r Berpkien EUSINESSIAGENCY:Advanced GeoEnvronmental <br />837 Show Road CITYISTATE/ZIP: Stockton, CA 95215 <br />PHONE (1): 209.467-1006 <br />PHONE (2):209-4e3-3401 FACSIMILE: 209-467-1118 <br />Please allow 10 business days from date of application submittal far 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 REQUEST- $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />Electronic Information: ❑ Llst ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street Pl <br />Street Name <br />city <br />1 - <br />7810 <br />Thorion <br />Stockton <br />r11� <br />�, ^ Unit 1 <br />2. <br />7676 <br />Pacific Avenue <br />Stockton <br />3. <br />7303 <br />Pacific Avenue <br />Stockton <br />5-(' Unit <br />4 <br />v(dQ Unit 2H <br />S. <br />r✓ i <br />�Jlri. DUnit3 <br />m'U//nit4 <br />6 <br />7. <br />s. <br />ILI V I'C' t L�) (' SITE MITIGATION <br />9. <br />❑ Units <br />10. <br />$;,acl.';c Dela P.arn. o! tn!c,^:atlen Reyucstrtl: t-.r^m .'" <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNEHICLE <br />OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY [j DAIRY <br />ABOVEGROUND TANK ❑ CHICKEN RANCH] DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />] HAZARDOUS WA2TEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKNARDICHEMICAL TOILETS <br />] TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />] TATTOOISODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAY$) <br />1. 1 Ist up to ten addresses In the space above. Select the Vloa(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464 0938 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 EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmQd approximately tan (10) <br />days after receipt of Application. The files will be held for a maximum of five business days for reviaw. Appointments <br />should be scheduled accordingly. <br />4. Any file not refumed In the some condition as released will be reorganized by EHD staff at the expense of the applicant. <br />ni., s.,1-- 1,,, +N. csme Annllcant may rsouir6 a $130 deposit prior to review. BOXED AREA -EHD USE ONLY <br />I°/0 <br />