Laserfiche WebLink
RECEIVED 0 0 <br /> DATEJ f 1 A IVfq 2017 SAN,JOAQUIN COUNTY EHD LOO NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> LslrllfiRONMENTAL.MALTH 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> pFMdrrr0Ejh Telephone:(299)468-3420 Fax:(209)464-0138 Web:WWw.sjgov.orglehd 5102. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 4bel+ Mck BUSINESSIAGENCY: fNC,6c2.�-116, <br /> ADDRESS: 2p/p C>"aIAI C4nYo>1 )0Y. 1)25o CITYISTATEIZIP;Sin RR an C4 9y5S 3 <br /> PHONE(1): _LZ5 570 S i f D PHONE(2): g2-5 3q5 2-5,g3 FAX OR E-MAIL: &eG,kp?en�le o a Cort <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 /> CHEIC_BOX Tly•EXPEDIt ISE _ 1r` 519 F GHECIC:ONL`t")` REt�[3EST;.PROSSi D IN 3?BEJStNESS D[tYS <br /> SIGNATURE OF APPLICANT DATE 1-11-2017 <br /> 1. List up to ten addresses in s a e aw. Select the types)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 notifythe 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 fife 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:DOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ hist[] Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRO-NMENTAL <br /> HEALTHOTMENT FILE ADDRESS EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street# Street Name city <br /> LL��rr CLEANUP SITE(LOP) //1 5 .I}/7 P 7 � 7 ❑CONSUMER <br /> OTHER CLEANUP SITE(NCN-L G--� Ai l V ^f-T/I lex Dr, <br /> HAZAROODS WASTE DAIRY <br /> TIERED PERMITTED FA.._ l -L-7t}^ -1 <br /> k0l <br /> AaovkeROUNOTANK 2 A �y— 3�J[ ` <br /> ®HAZLIST(3OSMATE I REMOVAL) r Z1 h0 Aafo I la ' ` •� Ta4C- WN <br /> �M. /mo <br /> PWs <br /> HAZARDDU9 MATERUILS �-VfiU '�'{i/SPILLIRELAASE RASPONSE <br /> Q <br /> SOLID WASTE PACILIiYI VEHICLE91 I WATER O[IALITY <br /> FDOD FAcvrLY <br /> ©POOL I SPA _ SITE MMGATKIN <br /> DAIRY <br /> I i <br /> LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK! ❑Howw <br /> 8 <br /> YARD/CHE rAL ToLETS <br /> I]WASTEWATER TREATMENT PLANT C:IPA <br /> Cj HOU39NG ABATEMENT r <br /> MGTEUHOTEL <br /> CHICKEN Rmf;H I 00G KENNEL CUPA-UST <br /> MEDICAL WA57E FACILrrY B <br /> TATTCodBonY P;rRcING <br /> WASTE TIRE "SOLID WASTE <br /> C _k../ G <br /> a <br /> COMPLAINT �-71 �L7 . <br /> F1 OTHER(PLEASE SPECIFY): 11 <br /> jl ❑ACCOUNTING <br /> 10 <br /> "'BOXHD AREA-EHD USE ONLY— J <br /> Records provided by Staff-PPR Complete, staxNarne! <br /> EHU 48-06 <br />