Laserfiche WebLink
DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> fG4ENVIRONMENTAL HEALTH DEPARTMENT <br /> /) / 1 <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-6232 J <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Cutis Payton BUSINESS/AGENCY: ERAS Environmental <br /> ADDRESS: 121735 Street CITYISTATEIZIP: Sacramento,CA 95816 <br /> PHONE(1): 916-267-1246 PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ®CHECK BOX TO EXPEDITE REQUES 125 EE( SHOC E K ONLYF-REQUEST PROCESSED.IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 15 May 2013 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City AI <br /> q, 2735 Teepee Drive Stockton �(y <br /> 2. 2826 Teepee Drive Stockton N ❑unit 2 <br /> 3. <br /> 4. unu3 <br /> 5. <br /> 6. nit 4 <br /> 7. <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTE FACILITY ❑SOLID WASTE FACIUTYIVEHICLE <br /> ®OTHER CLEANUP SITE(Nom-LOP) El HOUSING ABATEMENT ❑WASTETIRE C ,7�((��'1(,AII. <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑ C <br /> DAIRY O j -0-.j3 <br /> ❑ABOVEGROUND TANK E-1CHICKENRANCHf DOG KENNEL [:]WASTEWATER TREATM P <br /> ®HAZARDOUS WASTEIHA7ARDOUS MATERIALS ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATroo1BODY PIERCING ❑COMPLAINTMESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5: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(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. BOXED AREA=EHO USE ONL <br /> — o` � til-utj 'IK� <br /> 9'I t h)0?)" <br /> ❑ Records_ provided by Staff-PPR Complete.Staff Name: <br /> EH0 48-(35 slut z <br />