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RECEIVEDSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL 11 2617 '1* ENVIRONMENTAL HEALTH DEPARTMENT 86672 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sicehd.com Email:info a�sicehd.com <br /> ENVIROWEN TAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> • PERMIT1SFRxnCFc <br /> APPLICANT: ANGEL RODRIGUEZ BUSINESS/AGENCY: WALTON ENGINEERING <br /> ADDRESS: PO BOX 1025 CITY/STATE/ZIP: WEST SACRAMENTO, CA 95691 <br /> PHONE (1): 916-373-1165 PHONE(2): FAX OR E-MAIL: <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 EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PROCESSED VIA PHONE BY STAFF. DOM M DATE July 11,2017 <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 list <br /> 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 above, or email to info(&sicehd.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 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. 7/19 <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( P y g accepted) EWDUE ONLY <br /> FILES S ecifc addresses onl address ran es will not be acre ted❑UNDERGROUND TANK(UST) Street# Street Name CityCLEANUP SITE(LOP) EI CONSUMER <br /> OTHER CLEANUP SITE(NON-LOP 25460S SCHULTE RD TRACY � <br /> ❑HAZARDOUS WASTE E]DARY <br /> ❑TIERED PERMITTED FACILITY 2 ^ /7 <br /> /17 <br /> ®ABOVEGROUND TANK j [/ <br /> El PWS <br /> ❑UST (MONITORING/REMOVAL) <br /> 3 <br /> ® <br /> HAZARDOUS MATERIALS <br /> SPILL/RELEASE RESPONSELU <br /> WATER QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 <br /> O <br /> F-]FOOD FACILITY <br /> ❑POOL/SPA SITE MITIGATION <br /> ❑DAIRY S <br /> ElLAND USE APPLICATION SITES <br /> HOUSING <br /> ❑SEPTIC PUMPER TRUCK/ B <br /> YARD I CHEMICAL TOILETS <br /> ❑WASTEWATERTREATMENT PLANT ®CUPA <br /> ❑HOUSING ABATEMENT T <br /> ❑MOTELIHOTEL <br /> ❑CUPA-UST <br /> ❑CHICKEN RANCH/DOG KENNEL <br /> 8 <br /> ❑MEDICAL WASTE FACILITY <br /> TATTOO/BODY PIERCING SOLID WASTE <br /> WASTE TIRE B <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> 70 <br /> "'BOXED AREA-EHD USE ONLY" <br /> 7/11/2017—APP REQUESTED ADDITIONAL INFO FOR PREVIOU PRRA. DOM M <br /> 0 Records provided by Staff-PPR Complete. staff Name: <br />