Laserfiche WebLink
To: 12094640138 F 19164BOO603 Date: 02/01/16 _�4 42-?`PM Page: 01/01 <br /> 12Df EHD LOG NUMBER <br /> .j <br /> �P: C <br /> $1 �W SAN JOAQUIN COUNTY <br /> EVEFE)" " <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEBui-L2016 __18_6_a_E_aS_t_H Z 2. <br /> azeltom-Ayanup.,-Sto-ckto-o.-C-A-9-52a5--62-32— <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/fdlLl UU [rl <br /> VERONIAENTAL HEAVITH <br /> F -AITISER�M- 13 PUBLIC RECORDS RELE1'ISE APPLICATION <br /> APPLICANT: Kristin Stout BUSINESS/AGENCY: Enercon Services <br /> ADDRESS: 1451 River Park Drive, Suite 100 CITY/STATE/ZIP: Sacramento, CA 95816 <br /> PHONE (1): 916-480-0228 PHONE(2); FAX OR E-MAIL. I<stout@enercon.com <br /> Please,allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange, an appointment date and time to review the reques ted records. <br /> ...................... <br /> �Y§ <br /> IX TO XPFhltE� RE FFE:(CASH OR CHECK ONILY)-'REQUEST PRO SE S.B_: ,... <br /> PF X B01 - F� <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: 0 List El Map -Description: <br /> FILE ADDRESS <br /> EHD'-ISE ONLY <br /> Street# Street Name City <br /> 2610 Lycoming Court, Stockton, CA 0 Unit 1 <br /> 1928 Boeing Way,Stockton, CA <br /> 3. 4336 Pock Lane,Stockton, CA ET'U"nit 2 <br /> 4, 4360 Pock Lane,Stockton, CA 0 Unit 2H <br /> 5. 4274 Pock Lane, Stockton, CA On it 3 <br /> S. 2001 Arch Airport Road, Stockton, CA ref 31 '1 <br /> 7. 2.109 Arch Airport Road, Stockton, CA 0"t n It 4 <br /> B. 2385 Arch Airport Road, Stock-ton, CA p TE Wiff iGATiO N <br /> 9. ©Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> E N V1 RO N'TO ENTAL--.';HEALT.. TMENTFII-ES <br /> ............ <br /> [21 UNDERGROUND TANK(LIST)CLEANUP STM(LOP) 1NbTEtJHo'rEL ❑SOLID WASTE;.FAciLrry/vEFucLE <br /> ERo,nrER CLEANUP SIM(NON-LOP) ❑Ho Us wo AB ATE WE Nr ❑FOOD FAcuN <br /> R1 UNDERGROUND TANK(MoNrmRiNG/REmovAL) WASTE TIRE ❑DAIRY,POCLJSPA <br /> F9 ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL WASTEWATER TREATNswr PLANT <br /> HAZARDOUS WASTE H MEDICAL WASTE FAcILrrY El PUhJPFR TRUCKfYARD/CHEMICAL TOMETS <br /> ❑HAZARDOUS MATERIALS Q TATT0o/B0'DY PIERCING LAND USE APPLICATION srrEs <br /> TIERED PERmr=FACILITY Q CowLAiN71RFsPoNsE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERmrrREcoRDs ARE Av.jk][LABLE FOR REvmw: WNDAY-FRiDAY8:DOAji-5:00pm(E.xcLTiDiNGHOLIDAYS) <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 ti le reviews by the same applicant may require a$130 deposit prior to review. <br /> 'BOXED AREA-EHD USE ONLY' <br /> �ReceIved4Time°Feb. <br /> 4 1~=201 =6�901 +4_3 2staff Name: <br />