Laserfiche WebLink
DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY _- <br /> �I�' ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` G 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Terry Nephew nephew@kleinfelder.com BUSINESS/AGENCY: Kleinfelder <br /> ADDRESS: 5125 N. Gates Av ., Ste 102 CITY/STATE/ZIP: Fresno, CA 93722 <br /> PHONE (1): 559-577-1459 PHONE (2):559-647-3842 FACSIMILE:559-442-5081 <br /> TENTATIVE*APPOIN MENT DATE: Time: <br /> (Please allow 10 b sines days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDIT REQUEST-$125.FEE.(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN ���( ��;)� / i ., ., '�'' ' <br /> �' �-.`_"- �� r/.��� �%'�%J�r=-����;.�-DATE <br /> Electronic Information: ❑ List❑ Map-- Description: <br /> FI E ADDRESS EHD USE ONLY <br /> Street# treet Name City 1 /l <br /> 1. 400 East Main St. ! Stockton Al <br /> 9 <br /> 2. 47 South SEan uin St. Stockton f�iL+,�� V ❑ Unit 2 <br /> 3. 236 East Miner Ave Stockton Nv tP� <br /> 4. 700 East Market St. Stockton <br /> -(1'V1 JI/11 V ❑'Unit 3 I!)J <br /> 5. 400 South Aurora Stockton01 <br /> 6. 521 East Main Stockton A);i o c-O EJ-Unit 4 <br /> 632 South EI DoraO Street Stockton ,Vf'� _j lr(G p Jit U) <br /> 8. 423 North Madison Stockton o - / l ❑ Unit 5 <br /> 9. 402 West Weber Av Stockton UG/ D� N D CAP/5Q <br /> 10. 1 40 Lincoln Street 0 s Iv Q���� ❑ Unit 6 <br /> Specific Date Range of Information Re uested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP ITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> E] E] / <br /> 3 <br /> ®OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE h�P 5 Ill�'1 <br /> ®UNDERGROUND TANK(MONITORINGIRE OVAL) ❑FOOD FACILITY ❑DAIRY �? ILe, 10- -7--19 <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATE IALSpL ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PF /vc/ �- to(go pgvq (rot 5106 -n tf-W f',le . (CLUDING HOLIDAYS) <br /> 1. List up to ten addr Q00 w603,0713(ProPb 5,5'01II pt, -7/Zy/du oiQ 0,L99024ec6y 1 the appropriate <br /> box(es). At least( CNIr—L O (�ra, to few'P'4- r-yoM L4P) i n U'�-T A-L ad above. Address <br /> ranges will not beAfir. rq_ 3530 ({� 5 IO�o) coo 35 a 05 ,, -t­5106 d ons received after <br /> 3:00 pm will be pr, �� 10/1 D10 0j GD/;c4Pned Etta fill. // 11 <br /> P <br /> 2. The EHD will notif 51p(o d CDvfl�ufl�r1 s��/ approximately ten (10) <br /> days after receipt �3� I r ddo u��2�8 `� , p3�57�inpPlD�at Q��� r. Appointments <br /> should be schedu f41e for JOR S/�Ul s' <br /> ��U�'� <br /> ZO/$7 O <br /> 3. A file that is active GD 0036iDb-7 �OtS ID a3/ <br /> ;w application may be <br /> submitted when tl Pp X12017 iii 3 " Cj1d C&UNle " <br /> d� n- W60rRU5S q r Sl0ia� n �'' `7� se of the applicant. <br /> 4. Any file not returr �, /0 0 ( PP <br /> Future file review: - X17 l I.e• icant may require a$125 deposit prior to review, ***BOXED AREA-EHD USE ONLY— <br /> _2 f l v T� J- 5 �' -Zo� A -h 1 '{-6r y- �� ^qu;►i <br /> can da-nr 1 <br /> 12119112 <br />