Laserfiche WebLink
C <br /> $ V' 4ED <br /> Advanced Gechvironmeflaa] No. 2125EHT-NL— NUMBER <br /> rl C� i SAN JOAQUIN COUNTY _ <br /> EN'V11�ONMENTAL I9EALTH DEPARTMENT <br /> JUL 23 200$ 600 East Main Stfeet, Stockton, CA 952023029 <br /> Telephone.: (209)468-3420 Fax, (209)464-0138 Web:rwww,sjgo _ C6 <br /> SAN JOAOUiN COUNTY <br /> ENVIPONMENTAL PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT, ,Robert Marty SUSINESS/AGENCY: Advanced CeoEnvironmental, In <br /> ADDRESS: 937 5haW Road, Stockton, CA <br /> 209-467-1006 21)9-323-6499 249w467-1y1B <br /> PHONE(1): ,-r PHONE(2). - FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-"Tenfaflve only-must be confirmed) <br /> E 6HECK BOX TO EXPEDITE RE8T- (CA5H O K ONLY)-REQUE=ST PROCESSED IN 3 SUSINE DAYS <br /> SIGNATURE OF APPLICANT r DATE <br /> Electronic Information: E] List ❑ Map - Description:. <br /> FILE ADDRESS._. ONLY <br /> Street 9 Street Name city d 501 rl" As ❑ Unit 1 ; <br /> 1617 West Fremont Street Stockton 5a�� <br /> 2. 522 North Buena Vista Stockton Qom}() 35a/ 96 17/ [] unit <br /> 3. 1414 West: Fremont Street Stockton r� 77'_ 100 / <br /> [4. 6Ol Easc Main Street Stockton S 7. Unita <br /> Unit 4 <br /> 6. <br /> 7. iY <br /> _ ❑ Unit 5 <br /> 8. <br /> El Unit 6 <br /> , <br /> Specific Date Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES „ /4101 <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) In HOUSING ABATEMENT ❑ SOLID WASTE FACILITY/VEHICLE <br /> ® OTHER CLEANUP SITE(NON-LOP) <br /> ©FOoo FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINW7REMOVAL) ❑DOG KENNEL C3 DAIRY <br /> ® HAZARDOUS WASTE GENE BATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEM TOILETS <br /> ❑ TATTOO/BODY PIERCING ❑POOLlSPA t,AND DISE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS AEtE AvAiLABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00pM - EXCLUDING HOLIDAYS. <br /> 'List List Up to tan addresses In the space above. Selectthe 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—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 EHi]Staff the exLense olthe appilc�lnt,, ,,.. -_.._.- <br /> Futia'ie gle`rev` laws by- e samQ applicant may require a$98.40 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 49-09 WFO 9!8/2007 <br />