Laserfiche WebLink
• n XIVL <br /> �� Dal RSC IVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> OCT 0 4 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1East Hazelton Avenue, Stockton, CA ww 8232 <br /> ENVIRONdiIENTALHEALTH Telephone:: (2(209)468-3420 Fax: (209)464-0138 Web:b:wWW.sjgov.orglehd <br /> PERMIT(SERVICES PUBLIC RECORDS RELEASE APPLICATION 8q1q'q <br /> • APPLICANT: Lifa Freeman BUSINESSIAGENCY: Green Environmental Management <br /> ADDRESS: 1420 E Roseville Pkwy,Suite 140-262 CITYISTATE/ZIP: Roseville,CA 95661 <br /> PHONE(1); 916-677-9897 PHONE(2): FAX OR E-MAIL: Ita reeman gmal.com <br /> Please allow 10 business days from date of application submittal(or 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 _, L'r�"" DATE 10-3-2016 <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 mail to the address indicated above Address <br /> ranges will not be accepted.Applications received atter 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 /> d. 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) st;w#—T street Name City <br /> • <br /> CLEANUP SIM(LOP) 95 Woot 11 th Street Tracy L ❑coNeuMER 11�� <br /> O OTHER CL IJP SITE(NON LQP) t t O p'� 09 <br /> ❑r. HAZARDOUS WASTE 103 West 11 th Street Tracy LZ)PI.-/Ku(>;� _(ID ❑Daav <br /> ❑TIERED PERMITTED FACIUTY 2 f ../ <br /> ®AeovEGROUND TmK <br /> OUST (MONrrORiNG/Re.Ov ) vwa <br /> HATRDOUS MATERIAIH <br /> A❑SPJWRELEASE RESPONSE i��Ul l'fA 60) <br /> ❑SOLID WASTE FACILITY/VEHICLE < I ^"� WATFROWDIT <br /> ❑Fo FAclu <br /> n POOL/SPA SrtE MIIICAT9N <br /> ❑�� 5 <br /> LANG USE APRICATIDN SITE- <br /> ❑SEPTIC Pl1MPER TRUCK/ Nous,ac <br /> 8 <br /> YARD/CHEMICAL TaLcrs <br /> ❑WAETEwATER TREATMENT VLAArr <br /> HOUSING A64T!WtNT T COPA <br /> n MO UROTEL <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> x❑MEDICAL WA M FACIUTY B <br /> TAI"I GUra(YIY PIERCING <br /> ❑WASTE TIRE SOMo Wn v <br /> B <br /> ❑COMPLAIryT <br /> ❑01HER(PLEASE SPECIFY): AccCUNrnG <br /> 10 <br /> -*§OnD AREA-END USE ONLY— <br /> provided by Staff-PPR Complete. Sall Na..; <br /> Received Time=Oct. 3, =2016=1 1 :42PVt No. 0092 <br />