Laserfiche WebLink
F.am: <br /> ATI �f.N®461 To;2094640138@rcfax.con Fax: (209)464-0138 Page 2 of 2 01232017 10:21 AM <br /> p SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JAN 25 2017V ENVIRONMENTAL HEALTH DEPARTMENT <br /> V� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEALTH Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd q5 4 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> "APPLICANT: Jackie Hyman BUSINESSIAGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 3335 E. Miraloma Ave. #142 CITY/STATE/ZIP: Anaheim, CA, 92806 <br /> PHONE(1): 800-511-9300 PHONE(2): FAXORE-MAIL: ihvman advgeoenv.com <br /> Please allow 10 business days from date of application submittal fort he 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 r-\DC^nI IccT_$139 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i� DATE 23 January 2017 <br /> 1. List up to ten addresses in the space below. Select the type(s)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 mall 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 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. Anyfile 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-5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL ``�, - r) <br /> HEALTH DEPARTMENT FILE ADDRESS 1 EHD co.UE ONLY <br /> FILES <br /> ®UNDERGROUNDTANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) Sig /�,/10 000NNMER <br /> OTHER CLEANUP SITE IN ON-LOP) ' 504 Charter Way Stockton No ( E/ <br /> ®HAZARDOUS WASTE DMR, <br /> ®TIMED PmxaT FACILITY 2 518 Charter Way � � Stockton No q9r <br /> Ao <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) Elms <br /> ®HAZARDOUS MATERIALS 3 <br /> 1400 California St. Stockton <br /> ®SPILL/RELEASE RESPONSE <br /> F-1S OLID WASTE FACIUUY/VEHICLE 4 IA .Peo��ll�a wRM14lUNITV <br /> 1410 California St, Stockton fL <br /> M FOOD FACILrtt <br /> TF1 POOL/SPA SME MmOAnon <br /> Ej DAIRY 6 <br /> ®LAND USE APPLICATON SIR'S <br /> SEPTC PUMPER TRUCK/ 0 HOUBINO <br /> 6 <br /> YnnD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT <br /> CUPA <br /> HWSINGASATEME T <br /> ❑M.LMmEL <br /> C HCKEN RANCH/DOG KENNEL CUPA-UST <br /> MEDICAL WASTE FACILITY e <br /> ❑TATTOOBODY PIERCING <br /> WASTE Tim CI SOLID WASME <br /> 9 <br /> COMPLAINT <br /> F1 OTHER(PLEASE SPECIFY): ❑AOOOU.N. <br /> 10 <br /> "'Ii AREA-EHD USE ONLY— <br /> ❑ Records provided by Staff-PPR Complete. staff Nacre: <br /> Received Time—Jan. 23. —2017-10: 17AM—No. 0721 <br />