Laserfiche WebLink
07/16 16:08 ALLWEST ENVIRONMENTAL (415)391-2008 Page 1 <br /> •: DECEIVE® <br /> • • DATE RECEIVED <br /> •• SEP Z 8 2016 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • ENVIRONMENTAL HEALTHTelephone:1East Hazelton Avenue) Stockton, CA 95205- Sq6`35(2(tog)468-3420 Fax: (209)464-0138 Web:v✓ww.sjig cov.otglehdPERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: A«west EnvironmentaCZnc. BUSINESSIAGENCY: Env fronmentaCConsui(tant <br /> ADDRESS: 2141 ;Mission Street, Ste 100 CITYISTATEOP: San,Francisco, CA-04110 <br /> PHONE(1): 415-391-2510 PHONE(2): 3-0-322-9-234 _FAX OR E-MAIL: Sara@aCC9yestl.com <br /> Please allow 10 business days from date of application submittal far the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE RpEOUE TT-SI3�ASH OR CHECK.ONLY).REQUEST PROCESSED IN JBUSI ESS DAYS <br /> SIGNATURE OF APPLICANT /, DATE <br /> 4 124 1 LL <br /> 1. List uo to ten addresses in the space low. ae ct the type(s)of files from the list below by checki g the appropriate <br /> box(es). At least one file type MUST be selected. fax to(209)464-0138 OT mail to the address indicated above Address <br /> ranges will not be accepted.Applications received after 3.00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <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 flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any Tile 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$139 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 to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDERGROUND TANK JUST) Street S Street Name city <br /> CLEANUP SUE(LOP) 10 <br /> T CJYWIM[P. <br /> ®OTNFR CLPANUP SITE(MOH-1,OP) 1488 ?iiiie Lewis Dr Stockton <br /> ®HAZARDOUS WASTE <br /> o<x, <br /> ®Tm <br /> IERED PERIaeU FACILITY 2 1$05 ?iCCie Lewis Dr Stockton <br /> ©ADOVFCRoDND TANK <br /> ®UST(MoNUoRiNO I REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERVUS ' 1604 Tiate Lewis Dr Stockton <br /> [�SPILLIREI.EASE RESPONSF <br /> SOUDWASYE FACILITY/VEHICLE < 1625 7'i0e Lewis Dr Stockton walEP oJALRT <br /> FOOD FACILITY <br /> POOL SPA <br /> ® <br /> OARY S S�Mma:urcN <br /> ®LAND USE APPLMAWN STrE..S <br /> SEPTIC PUMPER TRUCK RCVuua <br /> e <br /> YARD/GNEYICAL TOILETS <br /> WASTEWATER TREATMENT PLANT <br /> DURA <br /> �HCUSwG AEwTEMENT T <br /> MOTEIIHOTEL j <br /> ❑CHICKEN RANCH I DOG KENNEL CUPA-UST <br /> 0 Mk DA.t WA'M FA of a <br /> ❑TATTO:MBUDY PIERCING <br /> i]WAST E TINE' SG:a)ViaSYu <br /> 8 <br /> LOMPIAtNT <br /> OTHER(PLEASF SPECIFY): <br /> ❑A:v�uxrmc <br /> 10 <br /> —STOKED AREA-EHD USE ONLr" <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time—Sep. 21. '2016= 3: 16PWNo. 0061 <br />