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160San Joaquin Page 1 of 1 2015-09-01 00:37:33(GMT) 18183500014 From: Lee Comer <br /> I <br /> i� DATE RECEIVED RECEIVED EHD LOG NUMBER <br /> ®° SAN JOAQUIN COUNTY <br /> ® ENVIRONMENTAL HEALTH DEPARTMENT VXT <br /> SEP ®� pj 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> elephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lce Comer BUSINESS/AGENCY: Acer Environmental <br /> ADDRESS: 11693 Sheldon St. 43 CITY/STATE/ZIP: Sun Valley, CA 91352 <br /> PHONE(1): 818-839.2237 PHONE (2): FACSIMILE: 818.-350, 0014 <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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 8-30-15 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> FILE ADDRESS <br /> y ....._- EHO USE ONLY <br /> Street# Street Name Cit <br /> 1. 2651 S. Airport way Stockton A5-jtutiTt Ao% i.NrArnP—00 <br /> 2. 60 Q Unit 1 <br /> 3. <br /> t� \, , Unit 2 <br /> 4• 1 t'OV IFW ❑ Unit 2H <br /> 5. j (ee�r7 <br /> Unit <br /> 7. <br /> Unit 4 <br /> 8' SITE MITIGATION <br /> 9. <br /> 10. <br /> Unit 5 <br /> Specific Date Range of Information Requested: From Jan 1940 to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACIUTYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ©ABOVEGROUND TANK E]CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBDDY PIERCING O COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-5:00PM(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 /> /DJ 1Av- m P,ti L/ 4,. tA 1X11 r ASI A',,rAtia ItiGQ. C 11At5 CO t66" <br /> 61 )- 14 t✓ le ter 265'1 Nirpyt wsn.to uq <br /> it lot 26TI A1r v <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> 7/t/t5 <br /> Received Time Aug. 31. 2015 5:37PM No. 9452 <br />