Laserfiche WebLink
N-W <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> _?p1 p 1 ENVIRONMENTAL HEALTH DEPARTMENT A �� <br /> V Y!" 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> j �j <br /> s N�j m Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> P�?, <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Curtis Payton BUSINESS/AGENCY: ERAS Environmental <br /> ADDRESS: 1217 35'Street CITYISTATE/ZIP: Sacramento, CA 95816 <br /> PHONE (1): 916-267-1246 PHONE(2): FACSIMILE: <br /> TENTAT/VE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES 125 EE( SHO C E K ONLY -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 21 March 2013 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 446 N. Aurora Street Stockton <br /> 2, 422 N. Aurora Street Stockton ❑Unit2 <br /> 3. 945 E. Lindsay Street Stockton <br /> 4. 700 E. Market Street ��(/ Stockton unit3 <br /> 5. 308 N. Grant Street SlAp Stockton `a <br /> 3TT�7e /? v2 e <br /> 6. 647 E.Miner Avenue 'ij5& Stockton /�,SI< Cir/ 3 I fUnR4 II/ <br /> 7. 601 E. Main Street S2� Stockton lY )� <br /> 8. 731 E. Miner Avenue 70o?i$ Stockton ❑Unit 5 <br /> 9. 345-1 N. San Joaquin Street .V Stockton <br /> 110- 1730 E. Channel Street 35 Stockton I ❑unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT-FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTE FACILITY ❑SOLID WASTE FACILrrYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONnoRINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK - ❑CHICKEN RANCH/Doe KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 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 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 same condition as released will be reorganized by EHD staff atthe expense of the applicant, <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. ['y`BOXED AREA EHD USE ONLY <br /> n Rnrnrric nrovided by Staff-PPR Complete. Staff Name: ___ <br />