Laserfiche WebLink
DATE IRECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> QG ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Vol? PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Curtis Payton BUSINESS/AGENCY: ERAS Environmental <br /> ADDRESS: 121735 Street CITY/STATEIZIP: Sacramento,CA 95816 <br /> PHONE(1): 916-267-1246 PHONE(2): FACSIMILE: <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 REQUES 125 EE( LC E K ONLY -REQUEST PROCESSED.IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 15 May 2013 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City I <br /> 1, 2735 Teepee Drive Stockton V41 <br /> 7 2, 2826 Teepee Drive Stockton (Q ❑Untt z <br /> 3. <br /> 4• Unit 3 <br /> 5. <br /> 8• LXunit4 <br /> 7. <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SnE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE .YZ <br /> ®OTHER CLEANUP SnE(NON-LOP) ❑HOUSING ABATEMENT El WASTE TIREC �J- �ttAI12/ <br /> ®UNDERGROUND TANK(MONrrORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> F-1ABOVEGROUNDTANK ❑CHICKEN RANCH/DOG KENNEL [:1 WASTEWATER TREATM NTP <br /> ®HAZARDOUS WASTSHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPERTRUCK/YARDICHEMICALTOILETS <br /> ❑TIERED PERmarm FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIFRCING ❑COMPLAIRTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un 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(2091464-0138 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. r_BOXED AREA-EHD USE ONL <br /> oL- 1 9'UV <br /> ❑ Records provided by.Staff-PPR Complete.Staff Name: - - <br /> EHD 40-06 914)12 <br />