Laserfiche WebLink
RECEIVED <br /> SAN J OAQ U I N MAR 2 3 2018 Environmental Health Department <br /> -- <br /> COUNT l'--- PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENT <br /> .; PERMIT/SE6jZ8 qX?47(4 <br /> BY EMAIL <br /> EHD LOG NUMBER: <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,California 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 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 arrang n ppoin yt date a time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 3/23/2018 <br /> 1. List up to ten addresses in the space below. Address ran es W L'C NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one fild type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below,or email to info(a)sicehd.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 b cF&i <br /> dmpr (10) <br /> days after receipt of application. The files will be held for a maximum of five business da so A r <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. LI <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 FELE ADDRESS -� <br /> HEALTH DEPARTMENT ( p y 9 accepted) EHD E ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> Q Underground Tank(UST) Street# Street Name City �{J <br /> Cleanup Site(LOP) �/�/ <br /> 1 3865 West Lane Stockton "w ❑CONSUMER <br /> ®Other Cleanup Site(Non-LOP) <br /> ®Hazardous Waste W 1 �� ( <br /> i c�. ❑DAIRY <br /> Q Tiered Permitted Facility , 1621 N Broadway Ave Stockton CV ��� <br /> QX Aboveground Tank <br /> ® UST (Monitoring/Removal) ❑PWS ° <br /> FR Hazardous Materials 3 <br /> Q Spill/Release Response <br /> Solid Waste Facility/Vehicle 4 WATER QUALITY <br /> Food Facility <br /> F]Pool/Spa NKSITE MITIGATION <br /> E] Dairy 5 <br /> Q Land Use Application Sites <br /> Septic Pumper Truck/ 6 E]HOUSING <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST/HM/HW <br /> Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel nwcUPA <br /> Medical Waste Facility 8 UST <br /> ❑Tattoo/Body Piercing <br /> SOLID W.4STF <br /> FX Waste Tire g <br /> 0 Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> p <br /> .,) Cvr G3✓1 `[rw,e ,' v <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-26 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />