Laserfiche WebLink
RECENED 0 <br /> SAN 0 EHD LOG NUMBER <br /> .10AQUlN COUNTY <br /> aEEC 15 2016 ENVIRONMENTAL HEALTH DEPARTMENT 15199 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HE, LTVephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Ryan Ahrling BUSINESS/AGENCY:Basics Environmental Inc. <br /> ADDRESS: 655 12th Street Suite 126 CITYfSTAT12IP:Oakland, CA 9460 <br /> PHONE (1): 510.834.9099 PHONE (2): 650.284.6276 FACSIMILE: ryanahrling.basics <br /> Cm i[[. o <br /> Please allow 10 business days from date of application submittal for the records to be vale ab e. <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 R.D.A DATE 12.16.2016 <br /> Electronic information: ❑ List 0 Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name p City i Unit 1 I �Z <br /> 1. 235 West Scotts Avenue - - Stockton <br /> 2. ;�u <br /> tlnrt �� <br /> APN 147-110-03- nit 2 <br /> 3• 147-110-19 and <br /> 4. 147-120-09) <br /> ( Unit 3 <br /> 5. <br /> 6. [] tUFA_USr <br /> 7. <br /> 8. iUnit 5 <br /> 9. <br /> 10. 15� I FiI��L�i <br /> Specific Date Range of Information Requested: From to L�1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY Q SOLID WASTE FACILITYIVEHIC E <br /> Q OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE I- V'-2-C '"} I'D - / <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) FOOD FACILITY DAIRY EN I -z�-I f 7i <br /> +/❑ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL ❑+J WASTEWATER TREATMPLANT- .. l`� <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ®MOTELIHOTEL Q PUMPER TRUCKIYARDICHEMICAL 1 OILETS`�' <br /> Q TIERED PERMITTED FACILITY PDOUSPA ❑✓ LAND USE APPLICATION SITES <br /> ©TATTOOIBODY PIERCING ©COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-b:OOPM(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). 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 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 /> 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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 08/01/14 <br />