Laserfiche WebLink
a° 01/2012015 11:03 (FAX) P.0011001 <br /> I ❑ <br /> oI� DATE RECE ,J EHD LOG NUMBER <br /> ❑ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �► p T, one: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton/CA/95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTAT/VE"APPOINTMENT DATE: Time: <br /> (Plaaso allow 10 buslnww days from date of application submittal-•Tentedve only-must bo confirmed) <br /> ❑ CHECK BOX TO EXPEDITER E T-$125 FEE( C CK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name city Unit 1 <br /> 1• 3808 West Lane Stockton <br /> 2. 4040 West Lane Stockton 2�Unit2 <br /> 3• 1146 Enterprise Street Stockton <br /> 4. Unit 3 <br /> 6. �l( (�� ©Unit4 <br /> 7. <br /> 8- El Unit 5 <br /> 9. <br /> 10. bnit 8 <br /> Specific Data Rangs of Information Rsquasted: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©HOUSING ABATEMENT SOLID WASTE FACIL ITYIVEHICLF <br /> x❑OTHER C LEANUP S ri-E(N ON-LO P) ❑FOOD FACILITY M WASTE TIRE <br /> ❑x UNDERGROUND TANK(MONrTORiNWREMOVAL) ❑DOG KENNEL x❑DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUNPERTRUCKJYARDICHEMCALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SrTES <br /> ❑ MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WEI L AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:, MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. Last un to ten addresses in the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0136 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 wil I notify the applicant if any EHD file9 exist An appointment for review will be conflrmed 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 EHD 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 some 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$125 deposit prior to review. <br /> EHU LGC ONLY <br /> ENO A9-00 eJt J� <br /> Received Time Jan, 20, 2015 10:54AM No- 7929 <br />