Laserfiche WebLink
�0 04/10/2014 10:55 fFt""- P.0011001 <br /> MQRT7' E D EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> APR 10 2014 ENVIRONMENTAL HEALTH DEPARTMENT 71-3 <br /> � <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTALHEkMP""e: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> PERMIT/SERVICES <br /> �i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert Marty BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 2_09-969-3239 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE:_ ASAP Time: <br /> (Please allow 10 businoss days from dela of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 F CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU INESS DAYS <br /> SIGNATURE OF APPLICANT DATE O <br /> Electronic Information: ❑ List❑Map—.Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street It Street Namo City '45unit 1 <br /> 1. 171. ' '5'?Veyk� 'a�2 <br /> 2. 5,?T1 l S "?"d -912j[% ?�`�►� Unit2 / <br /> 3. 3 o e"r ILA �D�� ' t <br /> 4•' "5/3�IW7 Nor* w- OORq� s �ff� unit s <br /> 6. 52— yo r > /rrZ i <br /> 6. z 4 r Lo I- — �� (�a �— �p unit 4 <br /> 7. i <br /> 8. I "4/tVjk-j Unit a <br /> 9. %el <br /> 10. <br /> Unit t3 <br /> Specific Dam Range of Information Roquosted: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT E❑SOLID WASTE FACILTTYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> Q UNDERGROUND TANK(MONRORINWREMOvAL) ❑DOG KENNEL Efl DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMIcALTOILETS <br /> ❑TATT00/BODY PIERCING ❑POOIISPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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(20014§4-0138 or mall to the address Indtrgted 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 H any END 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 /> 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 /> d. Any His 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 mama applicant may require a$126 deposit prior to review. <br /> ••�L�UBL Orli.. <br /> EMD 40-06 t <br /> Received Time Ap00. 2014 10:45AM No. 5747 <br />