Laserfiche WebLink
EHD LOG NUMBER: <br />APPLICANT: BUSINESS/AGENCY: <br />ADDRESS: CITY/STATE/ZIP: <br />PHONE (1): PHONE (2): FAX OR E-MAIL: <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 DATE <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 ehdfilereview@sjgov.org. Applications received after 3:00 pm will be processed the <br />next 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. <br />SEPTIC AND WELL PERMITS ARE AVAILABLE FOR REVIEW ONLINE AT: https://www.sjgov.org/department/envhealth/public-records <br />Electronic Information: List Map – Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />(Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> Underground Tank <br />(UST) Cleanup Site <br />(LOP) <br /> Other Cleanup Site <br />(Non-LOP) <br /> Hazardous Waste <br /> Tiered Permitted Facility <br /> Aboveground Tank <br /> UST (Monitoring / <br />Removal) <br /> Hazardous Materials <br /> Spill / Release <br />Response <br /> Solid Waste Facility / <br />Vehicle <br /> Food Facility <br /> Pool / Spa <br /> Dairy <br /> Land Use Application <br />Sites <br /> Septic Pumper Truck / <br />Yard / Chemical Toilets <br /> Wastewater Treatment <br />Plant <br /> Housing Abatement <br /> Motel/Hotel <br /> Chicken Ranch / Dog <br />Kennel <br /> Medical Waste Facility <br /> Tattoo/Body Piercing <br /> Waste Tire <br /> Complaint <br /> Other (Please Specify): <br />Street # Street Name City <br />1 <br />CONSUMER <br />2 <br />DAIRY <br />3 <br />PWS <br />4 <br /> WATER QUALITY <br />5 <br />SITE MITIGATION <br />6 <br />HOUSING <br />7 <br />CUPA <br />AST / HM / HW <br />8 <br />CUPA <br />UST <br />9 <br />SOLID WASTE <br />10 <br />ACCOUNTING <br />***BOXED AREA - EHD USE ONLY*** <br /> Records provided by Staff-PPR Complete. Staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />Environmental Health Department <br />PUBLIC RECORDS RELEASE APPLICATION