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RECEIVEDSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL 11 2697 A% 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: infoloiIsicehd.com <br /> ENVIRON;t4ENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> •PERM`T!>FRtnrFc 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 infona 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. 7/11 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) t <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD U E ONLY <br /> ❑UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) 0 CONSUMER <br /> ❑OTHER CLEANUP SITE(NON-LOP 26460 S SCHULTE RD TRACY SM A r <br /> ❑ <br /> HAZARDOUS WASTE Y—� E]DAIRY <br /> ❑� TIERED PERMITTED FACILITY 2 <br /> Z /7 <br /> ABOVEGROUND TANK 1 l/ <br /> ❑UST (MONITORING/REMOVAL) E]PWS <br /> 3 <br /> ®HAZARDOUS MATERIALS <br /> ❑SPILLIRELEASE RESPONSE WATER DUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 4/ I ❑ <br /> ❑ <br /> FOOD FACILITY / <br /> ❑POOL/SPA ❑SITE MInG ORON <br /> ❑DAIRY 6 <br /> ❑LAND USE APPLICATION SITES HOUSING <br /> ❑SEPTIC PUMPER TRUCK/ 11 <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT ®CUPA <br /> ❑HOUSING ABATEMENT T <br /> MOTEL/HOTEL <br /> CUPA-UST <br /> F1 CHICKEN RANCH I DOG KENNEL ❑ <br /> B <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOOBODY PIERCING SOLID WASTE <br /> ❑WASTE TIRE 9 <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTING <br /> tD <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 />