Laserfiche WebLink
-q- U/1L1/ZU14 1/:21 (FAX) P.0011001 <br /> I ��© EHD LOG NUMBER <br /> a© In SAN JOAQUIN COUNTY t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> CJ] <br /> JUL TMENT 2�1� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL Hj&p hone; (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA 195215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE=: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE; ASAP Time: <br /> (please allow 10 business days from date of application submittal-'Tentative only-must be co rmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CA R CHECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 DATE <br /> Electronic Inform atlon: ❑ List❑ Map—description: <br /> FILE ADDRESS EHD USE ONLY <br /> street A Street Namo city Unit 1 <br /> 1• 2360-C E as t 5 t r e e t 'u' ��' ' T ra cy Co <br /> 2- 3()l avast Grant Line Road ' rQ unite sJ <br /> 3. 275 1.vlj3 Tracy <br /> 4. � . q _as I � .�.�._ l /Tracy ' I An <br /> (� Unit 3 <br /> 6. - <br /> 3k,1 1 42i �a xL+r�J i , .5 <br /> a- cad- <br /> 6. 2421 Holly Driv � 71/Tracy nh 4 <br /> Dad <br /> 8 Unit 5 <br /> L <br /> �\:"Z ' 1 a.. �Ij H "7�E iK+l' PA-rn[t <br /> Specific Date Ranga of Information Requested: From all (k•-r 1 to <br /> S17' ENVIRONMENTAL HEALTH DEPARTMENT-FILES <br /> bl ❑x UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HMSING ABATEMENTx❑SOLID WASTE FACILITY/VEHICLE <br /> �b x OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY QWASTE TIRE <br /> x UNDERGROUND TANK(MONITORING/RUIOVAL) ❑DOG KENNEL -Xnxx DAIRY 'F I <br /> ' �(0 HAZARDOUS WASTE GENERATOR 4 Ch-t-1) � � ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY k "3t I (IMOTELIHOTEL ❑PLWER TRUCK/YARDICHENACALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA _ x❑LAND USE APPLICATION SITES+R t.)AL)Vt I <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS>t Only 40:1 ❑OTHER(PLEASE SPECIFY) <br /> WELL ANP SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW/: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDINQ HOLIDAYS) <br /> 1. List un to ton addresses in the space above. Select the type(s)or files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)484-0138 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 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 /> 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 filo Is available. <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$125 deposit prior to review. <br /> 7/,' - -(✓tx" P , <br /> END 4" <br /> Received Time Jui. 21. 2014 5: 10PM No. 6658 <br />