Laserfiche WebLink
L . / <br /> r <br /> Q menti�.l Health Department <br /> SAN, JOA <br /> —COUNTY-- XF f_` LIC RECORDS RELEASE APPLICATION <br /> +c _ <br /> (�r@Qtne55 Jr;?4V$ Cir'. <br /> ENVIROMMEN TAl'�h""AIL pr EHD LOG NUMBER: <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP:Stockton/CA/95242 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FAX OR E-MAIL: matal@advgeoenv.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 requested records. <br /> SIGNATURE OF APPLICANT a—�'� �°"""°"°�""" ""°' DATE 4-9-2018 <br /> Dm°:xoie n�as umxoa.orov <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the464-0138, mail to the <br /> address indicated below,or email to indicated below.or email to info�sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. -� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> 0 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) 1-1M CONSUMER <br /> Q Other Cleanup Site(Non-LOP) 1 3001 Navone Rd Stockton <br /> )< Hazardous Waste Hr`+ DAIRY <br /> QX Tiered Permitted Facility 2908Bozzano Rd Stockton <br /> X❑Aboveground Tank L� <br /> QX UST (Monitoring/Removal) ❑PWS <br /> QHazardous Materials 3 2881 Navone Rd Stockton <br /> ❑X Spill/Release Response <br /> Solid Waste Facility/Vehicle 4 3301 �, ATER QUAL17Y <br /> �Food Facility <br /> Navone Rd Stockton ,rte <br /> n Pool/Spa SITE MITIGATION <br /> F]Dairy s r A <br /> X Land Use Application Sites <br /> HOUSING <br /> Septic Pumper Truck I 6 <br /> Yard/Chemical Toilets �t. <br /> X❑Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST!HM/HW <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel CUPA <br /> a UST <br /> Medical Waste Facility <br /> Tattoo/Body Piercing <br /> SOLID WASTE <br /> 0 Waste Tire 9 <br /> nx complaint <br /> ❑Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY <br /> r I � <br /> ��"� ., :.�t"`�I�E'v J� tfi`` Cr 1� V�t`�1.. 'h :t"'L(?\C�' 4 �i�� � � t-t�(,�y �./r✓``^�'C.7".^-^- <br /> ❑ Records provided by Staff-PPR Complete, staff Name: EHD48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />