Laserfiche WebLink
SAN OAQUiN 96vJ <br />C U1"JT �r ......._._ $ 28� <br />6'1376 <br />Environmental Health Department <br />PUBLIC RECORDS RELEASE APPLICATION <br />SUBMIT BY EMAIL <br />EHD LOG NUMBER <br />APPLICANT: saratl Boyd BUSINESS/AGENCY: EMG <br />ADDRESS: 10461 Mill Run Circle, Suite 1100 CITY/STATE/ZIP: Owings Mills, MD 21117 <br />PHONE (1): 70-INe.9-,7 PHONE (2): FAX OR E-MAIL: sboyd@erngcorp.corn <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 Sarah Boyd 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 infoPsicehd.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. <br />Future file reviews by the same applicant may require a $152 deposit prior to review. <br />I,NELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM•5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTALFILE <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />ADDRESS <br />only, address ranges will not <br />Avg <br />��►► <br />be ac �0-kov- <br />EHD USE ONLY <br />❑ Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />0858 <br />Trinity Parkway <br />Stockton <br />. 1 p CONSUMER <br />M <br />Cleanup Site (LOP) <br />❑ Other Cleanup Site (Non -LOP <br />F] Hazardous Waste <br />Tiered Permitted Facility <br />2 <br />DAIRY <br />Aboveground Tank <br />❑ PWS <br />fX UST (Monitoring / Removal) <br />❑ Hazardous Materials <br />3 <br />❑ Spill / Release Response <br />4 <br />❑ WATER QUALITY <br />❑ Solid Waste Facility / Vehicle <br />❑ Food Facility <br />❑ SITE MITIGATION <br />F] Pool / Spa <br />Dairy <br />5 <br />n Land Use Application Sites <br />6 <br />E]HOUSING <br />❑ Septic Pumper Truck / <br />Yard / Chemical Toilets <br />Wastewater Treatment Plant <br />CUPA <br />Housing Abatement <br />7 <br />AST / HM / HW <br />Motel/Hotel <br />'CUPA <br />Chicken Ranch / Dog Kennel <br />❑ Medical Waste Facility <br />$ <br />UST <br />Tattoo/Body Piercing <br />Waste Tire <br />g <br />SOLID WASTE <br />Complaint <br />Other (Please Specify): <br />10 <br />E] ACCOUNTING <br />DUAr-U JAMt:A - CrtU UJt UNLY­ <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.corn <br />I <br />