COMPLIANCE INFO_2012-2018 - Laserfiche WebLink

Home Browse Search

12/26/2012 15:57 8052399309 SIERRA DELTA CONSULT PAGE 01/01 DATE RECEIVED EHD LOG NUMBER SAN JOAQUIN COUNTY ritUENEW ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main St. Stockton, CA 95202-3029 DEC 2 6 2012 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 7 EMvPEI�� TIiS R� CES R PUBLIC RECORDS RELEASE APPLICATION APPLICANT: JA' (.-�►-yAsmtoh- BUSINESS/AGENCY: 16W01, W L ADDRESS: V5 e1�'.tve-vtJ4 . Ar CiTY/STATEMP: •bks 3 �So PRONE(1): tf35_;)- PHONE (2)1- 9DS•6_t3g ?%?. FACSIMILE: CD5 ASSCI) TENTATIVE* APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal . *Tentative only . must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST - s125 FE A R C�+ K ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT DATE g(A Electronic Information: ❑ List ❑ Map - Description: 1) LL FILE ADDRESS EHD USE ONLY IP ,� ENVIRONMENTAL HEALTH DEPARTMENT FILES ,�I UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILRYNEHICLE ❑ OTHER CLEANUP SITE (NON -LOP) El FOOD Elu577FOOD FACILITY WASTE TIRE / e S Or UNDERGROUND TANK (MONrroRiNG/REMOVAQV, [IDOG KENNEL ❑ DAIRY 1,& ❑ HAZARDOUS WASTE GENERATOR E1 CHICKEN RANCH ❑ WASTEWATER4"63, PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS ❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8;00 AM=5:00PM EXCLUDING HOLIDAYS 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. x (209) 464-0138 or moll _to the address IndIS&A above Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be proces$ed the next business day. 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be submitted when the file Is available. 4. Any file not returned In the same condition as released will be reorganised by END staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. J I ► �_ /��.� ` l{ill S �fTrsl __ Received Time Dec.26. 2012 2:59PM No.1958 811M Street E Street Name city_0 Unit 1 ink O U`JT, wm � () VIn it 3 bo/7 2. 3. nit 3 4. 5. nit 4 6. 7El . Unit 6 8. 9. ' Unit 6 Date Range of Information Requested: From: 10. Specific ,� ENVIRONMENTAL HEALTH DEPARTMENT FILES ,�I UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILRYNEHICLE ❑ OTHER CLEANUP SITE (NON -LOP) El FOOD Elu577FOOD FACILITY WASTE TIRE / e S Or UNDERGROUND TANK (MONrroRiNG/REMOVAQV, [IDOG KENNEL ❑ DAIRY 1,& ❑ HAZARDOUS WASTE GENERATOR E1 CHICKEN RANCH ❑ WASTEWATER4"63, PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS ❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8;00 AM=5:00PM EXCLUDING HOLIDAYS 1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. x (209) 464-0138 or moll _to the address IndIS&A above Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be proces$ed the next business day. 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be submitted when the file Is available. 4. Any file not returned In the same condition as released will be reorganised by END staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. J I ► �_ /��.� ` l{ill S �fTrsl __ Received Time Dec.26. 2012 2:59PM No.1958 811M