Laserfiche WebLink
� • 021 SAX) P.001/001 <br /> DATE REIFF*0 O 2017 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> Y [! GU ® ENVIRONMENTAL HEALTH DEPARTMENT (/�► ���I w <br /> • WIIRQNM]=NTA!-W.A(31'1 1868 East Hazelton Avenue, Stockton, CA 85205-6232 <br /> PERMff/SEM1`" Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd V <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATElZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX ORE-MAIL:erottacker®advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff wlll con ou to arrange an appointment date and time to review the requested records, <br /> ❑ CHECK BOX TO EX DI EQUES - 3 E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SIN S3 DAYS <br /> SIGNATURE OF APPLICAN DATE `� <br /> 1. List u to ten addresse In a apace o . 8 lett the types)of files from the list below by checkin th approprlate <br /> box(es). At least one file pe MUST b selected, Fax to(2091464-0138 or mall 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 flies 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$138 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0DPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> • ®UNDERGROUND TANK(UST) Stmat# Stmot Name City <br /> CLEANUP SITE(LOP) ❑CORwueA <br /> X OTHER CLEANUP SITE(NON-LOP) t 321 S. Hutchins St. Lodi f <br /> ®HAZARDOUS WASTE p DAIRY <br /> ®TIERED PERMITTED FACILITY Z 305 S. Hutchins St. Lodi <br /> ®ABOVEGROUND TANK <br /> UST (MONITORING/REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS D 520 W. Lodi Ave. Lodi <br /> ®SPIWRELUSE RESPONSE / <br /> Ej$OLID WASTE FAGILRY/VEHICLE 1�WATER DUALITY <br /> ' <br /> FOOD FACILITY 501 W. Lodi Ave. Lodi <br /> � <br /> ❑POOL./SPA NJ SITE MITIDATIOM <br /> rl� DAIRY r 610 W. Lodi Ave. Lodi <br /> ICOl LAND USE APPLICATION$ITES <br /> F1 SEPTIC PUMPER TRUCK/ [)NOue1NO <br /> E <br /> YARD/CHEMICAL TOILETS <br /> El WASTEWATER TREATMENT PUNT Ly CUPA <br /> ❑HOUEINGABATEMENT T <br /> M MOTEVHOTEL <br /> e <br /> ❑CHICKEN RANCH/DOG KENNEL M COPA-UST <br /> I]MEDT. WASTE FACIUTY E <br /> TATTQ"ODY PIERCING <br /> WASTE TIRE ❑SOLID WAm <br /> B <br /> �,COMPIAMT <br /> OTH5R(PL5ASE SPEOVF ): Q AcmuNTIN(I <br /> 10 <br /> --BOXED AREA-CHP USE ONLY- <br /> ❑ Records Drovided by Staff-PPR Complete. staff Na";Received Time=Feb, 8. =2017=10 : 340PNo 0796 <br />