Laserfiche WebLink
SAN jOAQUIN RECEIVEDronmental Health Department <br /> gip•, - -- COUNT'r PUB IC RECORDS RELEASE APPLICATION <br /> APR 10 201b QW0 <br /> Greatness grows here. � [}�� O <br /> o <br /> 1Ei� RONMENTAIL I-MTH 10 EHD LOG NUMBER: 8 <br /> APPLICANT: BAILEY BALSHOR BUSINESSIAGENCY: PARTNER ESI <br /> ADDRESS: 1544 EUREKA RD, STE 160 CITYISTATEIZIP: ROSEVILLE, CA 95661 <br /> PHONE (1): 916-823-7555 PHONE (2): FAX OR E-MAIL: BBALSHOROPARTNERESI.COM <br /> Please alloy 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 PROCESSED VIA EMAIL BY STAFF. DOM M DATE APRIL 10, 2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the types) 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 info s'cehd.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. f�� <br /> Future file reviews by the same applicant may require a $152 deposit prior to review. r <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0©PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p Y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acts ted <br /> Z Underground Tank(UST) 7,,eettr # Street Name City <br /> Cleanup Site(LOP) C'� ❑CONSUM <br /> 36 -� E. MAIN 5T STOCKTON - n�L l 1G 1 <br /> ® Other Cleanup Site(Non-LOP) �21 13 <br /> /r� J <br /> Hazardous Waste f fie Dai <br /> Tiered Permitted Facility 2 540 E. MAIN ST STOCKTON [� T <br /> ®Aboveground Tank _ H p� <br /> ® UST (Monitoring!Removal}4 C.,nl r�� PWS <br /> 3 445 W.WEBER AVE STOCKTON C <br /> Hazardous Materials <br /> ® Spill/Release Response ®WATER QUALITY <br /> F Solid Waste Facility 1 Vehicle 4 7- / <br /> r 1 l L/1 <br /> Q Foad Facility yo <br /> 1 �L_ <br /> Pool I Spa SITE MITIGATION <br /> 5 <br /> Dairyr <br /> Land Use Application Sites ❑HOUSING <br /> Ij Septic Pumper Truck I 6 <br /> Yard!Chemical Toilets <br /> Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST/HM 1 HW <br /> Motel/Hotel ®CUPA <br /> Chicken Ranch f Dug Kennel <br /> $ UST <br /> Medical Waste Facility <br /> Ij TattoolBody Piercing []SOLID WASTE <br /> ❑Waste Tire g <br /> ❑ Complaint r <br /> Other{Please Specify): ❑AccoUNnNG <br /> to <br /> ***BOXED AREA-EHD USE ONLY*** <br /> IN I 4/10/2018—RECEIVED MULTIPLE APPLICATIONS FROM REQUESTOR. CONDENSED LIST DOWN TO ONLY THE ADDRESSES <br /> SHOWING RECORDS IN ENVISION. EMAILED APPLICANT TO CONFIRM RECEIPT OF PRRAS, INFORMED OF DELAY, AND <br /> WE HAVE FILES. DOM M <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 4s-o6 <br /> 1868 E. Hazelton Avenue ! Stockton, California 95205 1 T 209 468-3420 j E 209 464-0138 1 www.sjcehd.com <br />