Laserfiche WebLink
CEIVED <br /> SRAN J O A Q Environmental Health Department <br /> -t-OU f` Ty p�R�� 8 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> " E�R ��ENTALH (�AITBYEMAIL 0(350-37 <br /> - PERMIT/SERVICE EHD LOG NUMBER: <br /> APPLICANT: KEVIN JOHNSTON BUSINESS/AGENCY: <br /> ADDRESS: 2288 BUENA VISTA AVENUE CITY/STATE/ZIP:LIVERMORE CA 94550 <br /> PHONE (1): 9254475200 PHONE(2): FAX OR E-MAIL: CAT416CIT@GMAIL.COM <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arratage---anappottkfnent date and time to review the requested records. <br /> SIGNATURE OF APPLICANT <br /> DATE 4-13-18 <br /> 1. List up to ten addresses in thi�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 infoCcDsicehd.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. L4&7 <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. <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 ALL to PRESENT <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p Y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ��� L� 2/CONSUMER <br /> Y. Other Cleanup Site(Non-LOP) 25485 E ST RT 4 HY FARMINGTON <br /> V� <br /> X Hazardous Waste haW t}tlgt f��� Fj DAIRY <br /> XQ Tiered Permitted Facility 2 4469 E ESCALON BELLOTA RD (FARMINGTON <br /> E Aboveground Tank <br /> 0 UST (Monitoring/Removal) W L e <br /> X❑Hazardous Materials3 17000 ST RT 120 HY RIFION /t <br /> Spill/Release Response <br /> XD l"ti"t,11W�ih\;SP+ir j .Jh`✓�� (p� i`-t <br /> L"A 191WATER QUALITY <br /> FX Solid Waste Facility/Vehicle 4 16636 E ST RT 120 HY RIPON <br /> 0 Food Facility <br /> XI Pool/Spa ©SITE MITIGATION <br /> FX Dairy 5 16996 E ST RT 120 RIPON <br /> X❑Land Use Application Sites <br /> 'i I,�c.1�;tF yjJ\ Houswc <br /> FX Septic Pumper Truck/ 5 21801 E ST RD 120 HY SCALON I /! u <br /> Yard/Chemical Toilets Ht t t-kI_/L1�7_`�"w' ��" oy^(p��i- 40(x() IG" G <br /> 71 Wastewater Treatment Plant RtiTt��M` t.Kt,,, CUPA <br /> X❑Housing Abatement 7 17950 S VAN ALLEN RD ESCALON AST/HM/HW <br /> ❑X Motel/Hotel R4 Wyat-tz— hTS�W4Lo <br /> Chicken Ranch/Dog Kennel J CUPA <br /> Medical Waste Facility e 11851 VALPICO ROAD TRACY UST <br /> F,,-<]Tattoo/Body Piercing <br /> SOLID WASTE <br /> QWaste Tire 9 17357S MURPHY RD RIPON <br /> 0 Complaint <br /> �.Other(Please Specify): RIPON <br /> ❑ACCOUNTING <br /> , ,� - M;�� �� 17428 S NORTH RIPON RD <br /> ***BOXED AREA-EHD USE ONLY*** <br /> -l=lW-i(O-C_C.t eta Not). co,4:1f O-1 PPAA, '��,��,�`� � .�` C"O t^�,t( ac �_. :�L�;�-,z� 04- <br /> �. '�E 1 �l e 49jI <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />