Laserfiche WebLink
0712612013 13:58 P.0011002 <br /> ■ DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> T ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> iolophone: (209)468-3420 Fax: (209) 464-0138 Web: wvvw.sjgov.org/ohd qA' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT., Rebecca Natal BUSINESS/AGENCY: Advanced GooEnvironmental <br /> ADDRESS: 837 Show Road CITYISTATE/ZIP; Stockton /CA/95215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-*Tenfaflve only-must bacon rmod) <br /> ❑ CHECK BOX TO EXPEDITE R_ UqST-$125 FEE A OR CHECK ONLY)-REQUEST <br /> EST PROCEsSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT a ,A-� DATE 13 <br /> Electronir, Information: 0 List F] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City <br /> �/U-lt 1 /11 <br /> _U_1 Q W )Aamm& LY) kv <br /> y , 2. _77 p 2 H A mmey I V1 4% shi 14 'km M 146W m4nit 2 <br /> 3. -71 q W , to � j <br /> & 19!jQ3Ck_At*) 10-,1W L19f �J <br /> 4. ( <br /> L <br /> Unit 3 <br /> :750 �0' �aMMQ Ln !AWLA0f) 0.) (ml 3A� Aj o In..I CJI <br /> '7 q_H W. "=Mu Ln UAW t 'SIO (1) <br /> QJ)1114 V 5 60/W, rll'*'unit <br /> 7. <br /> —wav, sauwnwA-6 P-CI 2r�DuAiyn <br /> k, . 0 Unit 5 <br /> 8. 901� Akam mcy L--a ae <br /> 10. 0--1"Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HouSlNo ABATEMENT 0 SOLID WASTE FACILITYNEHICLf <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY [EWASTE TIRE /,f, /�,Cl,--�J./)I t �, <br /> 71 UNDERGROUND TANK(MONITORINWREMOVAL),-/ ❑DOG KENNEL ❑DAIRY 16p—, 7("-1 ­Z' <br /> FX1 HAZARDOUS WASTE GENERATCR, CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 7x❑TIERED PERMITTED FACILITY MOTELIHO-1 EL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA LAND LISP APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR(REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addreeeen in the space above. Select the type(a)of Mee from the list above by checking the appropriate <br /> box(es). At least one file tYPO MUST ba Ralactod. Fax to(209)464-0138 or mail to the address Indlocktod above. Address <br /> ranges will not be 2Ccaptad-for additional asolst2nca with file addresses,contact the EHD. Applic-atlons received <br /> after <br /> 3,.00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approylmately ton(10) <br /> days after receipt of application. The flies will be held for a maximum of five busInssa days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. A file that is natively being worked on by EHD Staff may not be Immediately available for review. A now application may be <br /> submitted when the file 13 available. <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 02MG applicant may require a$125 deposit prlor to review. <br /> CHE)USE ONLY <br /> t7 <br /> -7 C1 V'p k) 114 (14"'?1 �la'7 i if/-,Z)'tq/ 0 <br /> EMD40-06 <br /> Received Time Ju1, 26, 2013 1 : 54PM No. 3696 <br />