Laserfiche WebLink
Q- U/1L11ZU14 1/:11 (FAX) P.0011001 <br /> IF <br /> D <br /> 011a U->,L GENE) EHD LOG NUMBER <br /> U SAN JOAQUIN COUNTY I' <br /> ❑ JUL 2 2 201 ENVIRONMENTAL HEALTH DEPARTMENT ,� - .� j� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 J <br /> ENVIRONMENTAL HE/JL�Aphone: (209) 468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd �. <br /> PERMIT/SERVICES <br /> F J7 <br /> PUBLIC RECORDS RELEASE APPLICATION > <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA /95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-11.18 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of applleatlon submittal-•Tenferfva 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 Information: 0 List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name city Unit 1 <br /> 1 2360-K __ East Streeta % Trac t GAJ <br /> 2 3 1 East Grant Line Road �' � 5 R �rb" unite f� <br /> 3. 275 3�Ia3r 2 b_ <br /> 4. ,� , � � Wi t. '1i I �_ y1 _1(_k 1 i-� ��016nft 3 <br /> 6. 242, Holly Drive ?) 2�5- g Tracynft4 <br /> 7. West Grant Line Roa� TrarV <br /> 8. El <br /> Unit 5 <br /> 9. A- ` <br /> r_.� ! '� "AL4%, �G�t�.l.i �v(J1-1I�f1 fi 1� <br /> Cc10. 1 till 7t -1(: �nit6 <br /> Specific rate Range of Information Requested: From all l to <br /> (.S Sr ENVIRONMENTAL HEALTH DEPARTMENT-FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SIT E(LOP) ❑HOUSINGA13ATEMMY OSOLID WASTE FACI[mNEHICLE <br /> x OTHER CLEANUP SfTE(NON-LDP) El FOODFAGLrrY ❑X WASTETWE 4 001 i <br /> UNDERGROUND TANK(MONITORINGIR EPAOVAL) [A DOG DOG KENNEL -XDAIRY <br /> ' Q HAZARDOUS WASTE GENERATOR 4 CN-L) 'I"- ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> n <br /> r___1 TIERED PERMITTED FACILITY k cr"t 1i I C1MOTELIHOTEL L]PLWERTRUCK/YARDICHEN➢GALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA -40 LAND USE APPLICATION SITES*12n11)V <br /> ❑ MEDICAL WASTE FACILITY -*❑COMPLAINT RECORDS x On\y t�( ❑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 addre5e;w in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or marl to thea Address <br /> ranges wltl 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 file 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 /> ENO 48-00 b11 > <br /> Received Time Jul, 21. 2014 5: 10PM No. 6658 <br />