Laserfiche WebLink
05/1412013 11:30 Advanced GeoE amental Inc. '`Q 09 467 1118 P.0011001 <br /> ■ <br /> ■ <br /> ■ <br /> r DATE RECEIVED " EHD LOG NUMBER <br /> f r_--' !'Y A # SAN .10AQUIN COUNTY. a, <br /> .� <br /> r • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAY f- Te('ephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> prt�i, i � 1� 1 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP; Stockton /CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONIC(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from data of application submittal-•Tenfatfve only,must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RgQUET-$125 F E( N K ONLY)-REQUEST PROCESSED IN 3 BU INESS DAYS <br /> SIGNATURE OF APPLICANT DATE `y <br /> Electronic Information: ❑List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 0 <br /> Street# Street Name City Unit 1 <br /> 1• 1120 E_ March Ln Stockton - <br /> 2• 4915 clowes St Stockton 0,Unit 1/1 <br /> � <br /> tt � <br /> 3. 1206/I• l E. March Ln Stockton - / 1 <br /> 4. 4 _ r rN`� G � .'Unit 3 <br /> 5. s���� <br /> 6. In It 4 <br /> 7. <br /> $• 0 Unit S <br /> 9. <br /> 10, p unit e <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTx❑SOLID WASTE FACILITY/VEHICLE /UQ <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY D WASTE TIRE <br /> Q UNDERGROUND TANK(MDNITORINGIREMOVAL) ❑Doe KENNELx❑DAIRY <br /> X❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ©LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:,MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the apace 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 lndlcated 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 buslnese 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 flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that le actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file 19 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$123 deposit prior to review. <br /> EHD UH ONO <br /> EHo 4a-05 611111 <br /> Received Time May- 14, 2013 11 :26AM No- 3101 <br />