Laserfiche WebLink
(2!3������= <br /> / x�r~," J ^�x�"�v� / ," --'' ' - -'—''—''--' Health Department <br /> .COUNTY---- PUBLIC RECORDS E APPLICATION <br /> ENVIRONMENTAL HEALTH EHD LOG NUMBER: <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/ZIP: Oakland, CA/94607 <br /> PHONE(1): PHONE(2): FAX ORE-wA|L: nvAijqhaD@;3eicon,.;ultant,;nom <br /> Please allow 1Obusiness days from date ofapplication submittal for the records toboavailable. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> SIGNATURE OFAPPLICANT DATE July26,2018 <br /> i. List up to ten addresses mthe space below. Address ranges WILL NOT be accepted. Select the ypv(v)". "."= """.the <br /> list below bychecking the appropriate box<es>. 4tleast one file type MUST boselected. Fa (209)464-0138, mail to the <br /> address indicated below, or email to infogsicel-id.com. Applications received afte 000 pm e <br /> 2. For assistance 'nmenum <br /> rySthe n� mrecords, u <br /> ureannco �ruor�nup/oanoxonu^ cnuatu/�JUn"=""=business day. ."�� - <br /> 3. The EHDwill notify the applicant ifany EMDfiles exist. Anappointment for review will boconfirmed approximately ten (1O) <br /> days after receipt ofapplication. The files will boheld for amaximum offive business days for review. Appointments <br /> should boscheduled accordingly. <br /> 4. Any file not returned inthe same condition osreleased will bereorganized byEMDstaff atthe expense ofthe applicant. _7 <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:0UAM-5:UUPM (EXCLUDING HOLIDAYS) , <br /> Electronic Information: E] List[_] Map— Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT pecific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> Underground Tank(UST) Street# Street Name City C]CONSUMER <br /> Cleanup Site(LOP) Newton Road, Stockton, <br /> nX Other Cleanup Site(Non-LO 4239 K L-11k <br /> n Hazardous Waste �/ El DAIRY <br /> Fq Tiered Permitted Facility 2 4301 Newton Road Stockton <br /> Aboveground Tank Ej PWS <br /> UST (Monitoring I Removal) <br /> Hazardous materials <br /> Spill/Release Response — E14ATER QUALITY <br /> Solid Waste Facility/V h' IM 4 <br /> F]Food Facility Fg�'_M[TIGATION <br /> Dairy <br /> Land use Application Sites <br /> Septic Pumper Truck/ 6 <br /> Yard I Chemical Toilets <br /> Wastewater Treatment Plant FICUIA <br /> F]Housing Abatement 7 AST/HM/HW <br /> M Motel/Hotel <br /> F-1 Chicken Ranch/Dog Kennel (0'pii UST <br /> r] Medical waste Facility <br /> F-1 Tattoo/Body Piercing VSOLID WASTE <br /> P9 Waste Tire 9 <br /> P9 Complaint <br /> Other(Please Specify): El ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY <br /> 0 Records provided by Staff-PPR Complete. Staff Name: EHD 48-06 <br /> 18SOE. Hazelton Avenue I Stockton, California 052O51 T 2D0488-342O1 F 209 464-0138 1 wvww.sjoehd.uom <br />