Laserfiche WebLink
SAN JOAQUINOECEIVE <br /> nvironmental Health Department <br /> —COUNTY— 3 J 18 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> • -Fccr,_>ss nr�r,< :If, <br /> EMMIPoIRKWALFIG'M G1 "((' 00 <br /> 11111FIVArrAEMAt ER EHD LOG NUMBER: <br /> APPLICANT: Jane Xiao BUSINESS/AGENCY: Partner Engineering and Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 CITY/STATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415-934-9043 ext. 3357 PHONE(2): 628-233-7258 FAX OR E-MAIL: jxiao(&partneresi.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact yq�{to arra�lge an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT_ 1MA„o / � DATE June 14, 2018 <br /> 1. List up to ten addresses in the ace below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appri6priate 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(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 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. j/1 <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. Wl/i0 <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 FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific y 9 p ) EHD USE ONLY <br /> FILES addresses only, address ran es will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) 0 CO LS E= <br /> 1 <br /> • ®Other Cleanup Site(Nan-LOP) 5757 Pacific Avenue Stockton <br /> ❑Hazardous Waste 0 DAIRY <br /> Tiered Permitted Facility 2 _ <br /> Aboveground Tank L`vf LA t <br /> ® UST (Monitoring I Removal) 0 PWS <br /> . Q Hazardous Materials 3 <br /> ®Spill/Release Response �r <br /> Solid Waste Facility/Vehicle 4 I O (q f� ATea Oua ITY <br /> ❑ Food Facility 1{ -1 I "✓ <br /> Pool I Spa SnE MITIGATION <br /> Dairy 6 <br /> ❑ Land Use Application Sites <br /> F]Septic Pumper Truck/ ❑Hooswc <br /> 6 <br /> Yard I Chemical Toilets <br /> wastewater Treatment Plant 0 CUPA <br /> Housing Abatement T AST I HM I HW <br /> ❑Motel/Hotel i <br /> Chicken Ranch/Dag Kennel CUPA <br /> Medical Waste Facility a UST <br /> Tattoo/Body Piercing 0 SOLID WASTE <br /> Waste Tire 6 <br /> Complaint <br /> Other(Please Specify): ❑Accouunec <br /> to <br /> A'ABOXED AREA-EHD USE ONLY"' <br /> • 6 I� 14� Crtitlt �4-vornt <br /> 0 Records provided by Staff-PPR Complete. staff Name: EHD 46-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />