Laserfiche WebLink
a <br /> s�Q �� ,� SAN JOAQUIN COUNTY FILE <br /> DL��1� <br /> tl�e ` �1 �� i ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB � � 2015 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.org1ehd391 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES 0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Yukad Hirayama BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br /> PHONE (1): 818-486-2150 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Plaase allow 10 businass days from data of application Gubmiitai-•Tentative only-must be confirmed) <br /> ❑ CHECI<BOX TO EXPEDITE REQUEST-S125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/10/2015 <br /> Electronic Information: ❑ List❑ Map—Descrlptlon: <br /> FIRE ADDRESS EHD USE ONLY <br /> r <br /> 0 Stmot Name City �' Unit 1 <br /> 3 Bourbon Street Stockton <br /> 5 West Lane Stockton 5 West Lane Stockton ~, <br /> 4. �� <br /> 1]-Unit 3 �•I y l <br /> 6 <br /> _E1-Unit 4 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. I ]O�j <br /> E] Unit 6 <br /> Specific Data Range of information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT El SOLID WASTE FACILITYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY x❑WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITORINrfREMOVAL) ❑DOG KENNEL 0 DAIRY <br /> X❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Xj TIERED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses 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(208)464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EMD. 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 Me 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 /> r+o USE:ONLY <br /> Received Time Feb. 10. 2015 11 :45AM No, 8087 a""' <br />