Laserfiche WebLink
I N07/18/2013 THU 13:39 FAX 2094682999 SJC Public Works 0001/001 <br />�.s.. �%13AT6 REGEN' 1=D EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />201 ENVIRONMENTAL HEALTH DEPARTMENT <br />JUL 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Amy Spitzer BUSINESS/AGENCY: San Joaquin County Public Works <br />ADDRESS: 1810 East Hazelton Avenue <br />CITY/STATE/ZIP: Stockton, CA 95205 <br />PHONE (1): (209) 468-8494 PHONE (2): FACSIMILE: (209) 468-2999 <br />TENTATIVE` APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - "Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQI}T� $125 FEES({ OR CHECLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />Electronic Information: [I-Cist ❑ Ma 4±escription: <br />FILE ADDRESS <br />EHD USE ONLY <br />i] Unit 1 <br />❑■ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />Street # <br />Street Name <br />City <br />1. <br />77 <br />W. Peltier Road <br />Acampo <br />3,/ 2 <br />2. <br />22353 <br />N. Bender Road IX IF <br />Acampo <br />3. <br />350 <br />E. Peltier Road <br />Acampo <br />i <br />Unit 3 <br />4. <br />755 <br />E. Peltier Road <br />Acampo <br />5. <br />1080 <br />E. Peltier Road <br />mpo <br />. <br />Unit 4 <br />6. <br />1295 <br />E. Peltier Road <br />qPmpo . <br />.7. <br />1340 <br />E. Peltier Road <br />Acampo <br />,1d <br />units <br />8. <br />22750 <br />N. Lower Sacramento Roa <br />Acampo <br />9. <br />151 <br />E. Peltier Road <br />Acampo <br />0/unit6 <br />10. <br />1092 <br />1 E. Peltier Road <br />Acampo <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT FILES <br />❑■ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />Q HOUSING ABATEMENT <br />Q OTHER CLEANUP SITE (NON -LOP) <br />Q FOOD FACILITY <br />FEI UNDERGROUND TANK (MONITORiNGIREMOVAL),-,4 <br />❑ DOG KENNEL <br />0 HAZARDOUS WASTEGENERATOR2-- <br />CHICKEN RANCH <br />❑ TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ TATTOO/BODY PIERCING <br />❑ POOLISPA <br />❑ MEDICAL WASTE FACILITY <br />❑■ COMPLAINT RECORDS <br />to <br />[]SOLID WASTE FACIILI/T�Y,N ICLF ^ <br />[_1 WASTE TIRE 4—J 1 K" W_ W ! 1 <br />0 DAIRY Y� -7- 7 j (3 <br />❑■ WASTEWATER TREATMENT PLANT . <br />Q PUMPER TRUCKNARD/CHEMICALTOILETS <br />❑■ LAND USE APPLICATION SITES <br />❑ 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 addresses in the space above. Select the type(s) of files from the list above 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 - for additional assistance with file addresses, contact the EHD. Applications received 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 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 />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file is 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 same applicant may require a $125 deposit prior to review. <br />EHD 48.06 <br />Received Time. Jul. 18. 2013 1:31PM No. 3628 <br />i <br />811111 <br />