Laserfiche WebLink
DAT a i N E EHD LOG NUMBER <br />SAN aJOAQUIN COUNTY <br />SEP 2 6 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br />C 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />0MRONMENTAL HEALMlephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 024(07q <br />RMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Jessica Korte <br />ADDRESS: <br />PHONE (1) <br />17731 Mitchell N. <br />BUSINESS/AGENCY: The Vertex Co. <br />CITY/STATE/ZIP: <br />Irvine, CA 92614 <br />949 407-8459 PHONE (2): 714 240-6086 FAX OR E-MAIL: jkorte@vertexeng.com <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 />❑ CHECK BOX TO EXPED TE REQUEST - $139 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT 9-I& DATE w9fion1A <br />1. List up to ten addresses i Ohe space below. Select the type(s) of files from the list below by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or 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 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 $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 1950's to Present <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />FILES <br />n UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />[] CONSUMER <br />CLEANUP SITE (LOP) <br />® OTHER CLEANUP SITE (NON -LOP) <br />2346 <br />Holly Drive <br />Tracy <br />HAZARDOUS <br />n•HAZARDOUS WASTE <br />DAIRY <br />`TIERED PERMITTED FACILITY <br />® ABOVEGROUND TANK <br />2421 <br />Holly Drive <br />Trac <br />T <br />❑ PWS <br />r] UST (MONITORING /REMOVAL) <br />HAZARDOUS MATERIALS <br />r� SPILURELEASE RESPONSE <br />WATER QUALITY <br />® SOLID WASTE FACILITY / VEHICLE <br />4 <br />IJ FOOD FACILITY <br />fifSITE MITIGATION <br />POOL / SPA <br />DAIRY <br />6 <br />`'' ' ' " �� <br />LAND USE APPLICATION SITES <br />HOUSING <br />F1 SEPTIC PUMPER TRUCK/ <br />YARD / CHEMICAL TOILETS <br />6 <br />❑ WASTEWATER TREATMENT PLANT <br />CUPA <br />❑ HOUSING ABATEMENT <br />T <br />❑ MOTEL/HOTEL <br />CUPA - UST <br />CHICKEN RANCH / DOG KENNEL <br />IJ MEDICAL WASTE FACILrfY <br />6 <br />❑ TATTOO/BODY PIERCING <br />SOLID WASTE <br />WASTE TIRE <br />R COMPLAINT <br />9 <br />OTHER(PLEASE SPECIFY): <br />AcCOuN TING <br />10 <br />—BOXED AREA - EHD USE ONLY'** <br />❑ Records provided by Staff -PPR Complete. Staff Name: J <br />EHD 48-06 `"� <br />Ioly <br />