Laserfiche WebLink
RECEIVED <br />I�I SAN , J OA Q U I N Environmental Health Department <br />UN Z 6 2038 Jr; PUBLIC RECORDS RELEASE APPLICATION <br />, :•- G r e o t n e s s g r o t%= h e fQNWF,, , � <br />• PEPWIT%7 w MAIL C/�„� <br />EHD LOG NUMBER: 64 'S <br />• <br />• <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental, Inc <br />ADDRESS: 837 Shaw Road <br />CITY/STAT E/ZIP: Stockton, CA 95215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-467-1118 FAX OR E-MAIL: Rnatal@advgeoenv.com <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT DATE 6/26/18 <br />1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to info(cDsicehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <br />3. 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 />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 $152 deposit prior to review. 1p <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />FILE ADDRESS <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />(P <br />only, address ranges will not <br />y 9 <br />be accepted) <br />p <br />EHD USE ONLY <br />0 Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />16888 <br />S McKinley <br />Lathrop <br />❑ CONSUMER <br />Cleanup Site (LOP) <br />❑X Other Cleanup Site (Non -LOP) <br />❑ Hazardous Waste <br />11 DAIRY <br />Tiered Permitted Facility <br />2 <br />^ <br />Aboveground Tank <br />❑ PWS <br />nX UST (Monitoring / Removal) <br />Hazardous Materials <br />3 <br />I cll; <br />❑X Spill / Release Response <br />j <br />Q COO t &37'_ LZ <br />ATER QUALITY <br />Solid Waste Facility / Vehicle <br />p <br />Food Facility <br />019 <br />MITIGATION <br />❑ Pool 1 Spa$ITE <br />❑ Dairy <br />5 <br />Land Use Application Sites <br />6 <br />HOUSING <br />F] Septic Pumper Truck 1 <br />Yard / Chemical Toilets <br />F] Wastewater Treatment Plant <br />® UPA <br />n Housing Abatement <br />7 <br />AST / HM I HW <br />❑ Motel/Hotel <br />p�CUPA <br />❑ Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />8 <br />UST <br />n Tattoo/Body Piercing <br />❑ SOLID WASTE <br />Waste Tire <br />g <br />E] Complaint <br />❑ AccouNTING <br />Other (Please Specify): <br />10 <br />***BOXED AREA - EHD USE ONLY*** <br />III` <br />A L �-'v4 '. h. fp"� r`{ -:.y G CI'✓'�- � i.�- r!� �1T4 � -'.: (".. tj 1. ,,; t ,� a .:..... ... .. .. <br />❑ Records provided by Staff -PPR Complete. staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />