Laserfiche WebLink
09/16/2014 10:11 5307562 S DEVEREL le PAGE 02 <br /> DATE-RfC'EV EHD LOG NUMBER <br /> ` SAN JOAQUIN COUNTY G <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c�Fe none: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehd <br /> Adr�p� ��`�� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ChristinaLUCero BUSINESSIAGENCY:HydroFocu$,Inc. <br /> ADDRESS: 2827 Spalford Street CITY/STATE/ZIP:Davis,CA 95618 <br /> PHONE(1): (530)759-2484 PHONE (2):(ala)605-2505 FACSIMILE:(630)756-2667 <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 /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH CHECK ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT�� , o�� DATE /d <br /> Electronic Information: ❑ Llst[] Map—Description: <br /> FILE ADDRESS EHU USE ONLY <br /> stmet K Street Name city ❑unit 1 <br /> 1. 18601 Christopher Way Lathrop 1 rOi <br /> 2. 18551 Christopher Way Lathrop Unit 2 j <br /> 3. 700 D'ArcyParkway Lathrop <br /> 4. 1501 D'Arcy Parkway Lathrop [-]Unit 3 <br /> 6. 701 D'Arcy Parkway Lathrop <br /> 6. 18800 Christopher Way Lathrop F2Unit 4 <br /> 7. 18300 S. Harlan Rd Lathrop <br /> a. 601 Nestle Parkway _ Lathrop ❑Unit s <br /> S. 19100 Christopher Way Lathrop <br /> 10. 19104 Christopher Way Lathrop ❑ units <br /> Speclflc Date Range of Information Requested: From 1996 to arrant <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORINOIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WAST04AZARDOUS MATERIALS ❑MOTELNOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) a <br /> WELL AMC)SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) t <br /> VG <br /> 1. List up to ten addresses In the space above- Select the type(o)of flies from the list above by checking the approprutwut S' r__� <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mall to the address Indicated above. Address 6116 ' <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 at 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$126 deposit prior to review. —BOXED AREA-EHD USE ONLY-1 <br /> ❑ Records provided by Staff-PPR Complete. staff Name-- <br /> EHD <br /> ame:END 48-06 azen 4 <br /> Received Time Sep. 16. 2014 11 :20AM No. 1060 <br />