Laserfiche WebLink
Icr oul.ti .. C ED <br /> SANJOAQU Environmental Health Department <br /> I <br /> t��k , —COU N Y FEB �i PUBLIC RECORDS RELEASE APPLICATION <br /> • Greatness arot. ENVIRONMENT, 0 10S <br /> EMAIL <br /> PERMITISER EHD LOG NUMBER: <br /> APPLICANT: Michel Helou BUSINESSIAGENCY:Partner ESI <br /> ADDRESS: 1017 22nd Avenue,Suite 107 CITYISTATE/ZIP:Oakland,California 94606 <br /> PHONE(1): 508-858-5583 PHONE(2):774-721-3007 FAX OR E-MAIL: mhelou@partneresi.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 -/'//g°, DATE 2/27/2018 <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 infota')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. <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. z� <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 1940 to Present <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 /> ❑x Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) <br /> • ❑X ' 14749 North Thornton Road Lodi <br /> 7]CoesumsR <br /> Other Cleanup � �5 ( <br /> Q Hazardous Waste ^ ❑DAIRY <br /> --1 Tiered Permitted Facility P 14659 North Pennant Road Lodi til lts <br /> ❑X Aboveground Tank <br /> Q UST (Monitoring I Removal) PWS <br /> ❑X Hazardous Materials 1 <br /> ❑X Spill/Release Response I� 671 <br /> ATER aIIALITY <br /> ❑Solid Waste Facility/Vehicle 4 <br /> ❑Food Facility <br /> SITE MITIGATION <br /> ❑Pool/Spa <br /> ❑Dairy 5 <br /> ❑Land Use Application Sites HOUSING <br /> ❑Septic Pumper Truck/ 5 ❑ <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant CUPA <br /> ❑ Housing Abatement T AST/HM IHW <br /> ❑ Matel/Hotel <br /> ❑Chicken Ranch I Dog Kennel CUPA <br /> a USE <br /> ❑Medical Waste Facility <br /> ❑Taftoo/Body Piercing ❑SOLID WASTE <br /> ❑Waste Tire 9 <br /> ❑Complaint <br /> ❑Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY•'* <br /> • '�-�1-1ib-EK41ANC044rnel &7Z,5 OT W1yrs pie . tn� — <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: teHo4s-oa <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />