Laserfiche WebLink
©n 0210512016 14:50041 P.0011001 <br />�� • <br />I <br />a DATE; RECEIVED EHD LCG NUMBER <br />FEB 05 '(2016SAN�� COUNTY <br />E►dVRONMENTAL HEALTH DEPARTMENTFA <br />EW RON MEWAL I-EALTH 1668 Fast Hazelton Avenue, Stockton, CA 952058232 <br />`uris Em2 -0138 liiieb• www.sjgov.org/shd <br />�l phone: (208) 4683420 Fox: ( 09) 464 �gov.org/shd <br />Re <br />PUBLIC <br />. T RECORDS <br />- Cita. a'.i. APPLICATION <br />APPLICANT: Jennifer Berjlklan Et1SINES S/AGENCY:Advanced GeoEnvironmental <br />ADDRESS, 837 Shaw Road CI'TYfSTATEIZIp:Stod ton, CA 55215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-483-3401 FAX OR E-MAIL: 209-457-1118 <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 a3pDir.�tmerlt date and time to review the requested records. <br />�] CHECK BOX TO EXPEDITE t�UES l FEE (CASH CKF-CK ONLY) - REQUEST PROCESSED IFI 3 <br />SIGNATURE OF APPLICANT( DATE r <br />Elactronle Information: ❑ List Map — DeQcreption. <br />JDAW <br />FILE ADDRESS <br />EHD USE ONLY <br />Street t/ <br />Street Kama <br />city <br />1• <br />2426 <br />South California Street - <br />Stockton <br />El 1 <br />2. <br />2422 <br />South California Street <br />Stockton <br />`. <br />2402 <br />South California Street -e��j� `�" <br />Stockton <br />L7 Unit 2 <br />4. <br />2647 <br />South California Street �. <br />Stockton <br />❑ Unit 2H <br />5. <br />plUn[t 3 <br />6' <br />FJ'Unit 3HM <br />7. <br />Lj'Unit 4 <br />Pr. <br />SITE MITIGATION <br />9. <br />10. <br />Specific Date Range of Information Requesled: From to <br />tMRONMENTAL HEALTH IDEPA€iTMEN'T"FILES <br />® UNDERGROUND TALK (LIST) CLEANUP SITE (LOP) ❑ MOT EL/HOTEL ❑ SOLID WASTE FACILT, MENCLE <br />❑x OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ FOOD FACILITY <br />® <br />UNDERGROUND TANK (MONITORING/REMOVAL) ® WASTE TIRE 0 DAIRY, POOUSPA <br />® <br />ABOVEGROUND TANK ❑ CHICKEN RANCW DOG KENNEL ❑ WASTEWATER TREATMUff PLANT <br />® HAZARDOUS WASTE ❑ MEDICAL WASTE FACILITY ❑ PUMPER TRUCWYARDICHEMCAL TOILETS <br />® HAZARDOUS MATERIALS ❑ TATTODIBODY PIERCING ❑ LAND USE APPLICATION SITES <br />❑ TIERED PERMITTED FACILITY ❑Q COMPLARMESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AAD SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY S:00 AN�-5:00PM (EXCLUDING HOUDAYS) <br />1. List ut) 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 4r mall to the address Ind! -ted above, Address <br />ranges will not be acceptsd. Applications received after 3:00 pm will be procss5ed the next business day. <br />2. For asslstance 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 F -HO isles exist. An appointment for review will be confirmed approximately ten (10) <br />(lays after recelpt 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 $130 deposit prior to review. <br />-BOXED AREA - EHD USE QNL_Y"' <br />