Laserfiche WebLink
SOIL '°N WdZZ :Z[ t[R 'ZZ AIS anvil p;AI ;o;� <br /> DATE RECEIVED EHD LOG NUMBER <br /> RIV D SAN .10AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton,'CA 95205-6232 <br /> SEP 2 2 Z014 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Diane Becker BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton/ CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2):— 2—4200 Y FACSIMILE: 209-467-1118 <br /> Z = <br /> TENTATIVE*APPOINTMENT DATASAP Time: <br /> (Please allow 10 business days14f 'm date of ap 'cati n submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUESTS 125 FEE(C SN C2 CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT is` �� . ----�"" DATE 01/2- .f;Li <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City /❑Unit 1 <br /> 2. U is1nit 2 <br /> 3. <br /> f j / <br /> 4. p unit s �� <br /> 5. <br /> 6. .. ._._..._._.._...__._._................-- f�� /I r�tr ❑Unit 4 <br /> 7. <br /> 8' — ❑Unit 5 <br /> ------— <br /> 9. <br /> 10. <br /> [1,11rit s <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x 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(209)464-0138 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 END 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 EMD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> 'HE, t_ U <br /> ■ <br /> ■ ■ <br /> EHO 45-06 <br /> 8!1/11 :■ <br /> ■ <br /> L7:7L b1n7/77/an 1. 10 L 95PA Acl.nthot+Rn71.+ 'xvi u­x-lnn-D)oc i niabMn7 :01 iof,i-nuc(in it•xa.a nnnnnnannww.nv•■.,■ <br />