Laserfiche WebLink
VI/ 1Y/ LVID i —v�vV rtfnwry r+ivrrvrri.ivr. P reyisi'. J VI' J <br /> "icull <br /> V � <br /> DATEe- VE-D�w J EHD LOG NUMBER <br /> '� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> EW;R06ENTALHEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 G f <br /> EHVIRURNWI.A5rone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.org/ehd <br /> PERiN6TPaERACES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Amanda Benbow BUSINESS/AGENCY: PM Environmental Inc. <br /> ADDRESS: 3400 Douglas Blvd Suite 200 - CITY/STATEMP: Roseville, CA 95661 <br /> PHONE(1): ((916) 472-2870 PHONE (2): FACSIMILE: <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-$1 0 FEE H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE July 14, 2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> P7. <br /> Street Name city nit 1 <br /> rth Pershing Ave Stockton �( (� Z 1 NU —0'q'0%05 <br /> rth Pershing Ave Stockton ��5D�5'S(p 0(�U ' �! <br /> Oh Pershing Ave Stockton U]f P2D Z3f73.3, rt 1:J /�/ it Z �`�.%4. <br /> rth Pershing Ave Stockton j_ PQ0Z51153 Ai ccL® unit 3 <br /> ❑Unit 5 <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIL VEHICLE , n/� <br /> ❑OTHER CLEANUP SITE(NON-LOP) E:1 HOUSING ABATEMENT ❑WASTE TIRE G' �) .�a fd/ u '17 <br /> ®UNDERGROUND TANK(MONnORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY 0157T - <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATIMENNT PLANT (� <br /> X❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> F-1TATTOOIBODY PIERCING [—] 2 J L.COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) O 1` ' <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> 1. List up 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 (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 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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Jul. 14. 2016 2:58PM No. 0974 0810114 <br />