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DATE RECEIVED EHD LOG NUMBER <br /> � f j�)lj ,2;, Yea tit SAN JOAQUIN COUNTY �; <br /> �( ENVIRONMENTAL HEALTH DEPARTM <br /> U i Cti Lail / 1868 East Hazelton Avenue, Stockton, CA 95205-6232 r I <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd Z <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSSELL PATERSON BUSINESS/AGENCY: AECOM _ <br /> ADDRESS: TWO CITY CENTER, SUITE 200 CITY/STATE/ZIP: PORTLAND, ME 04101 <br /> PHONE (1): 207-613-5110 PHONE (2): FACSIMILE: 207-761-0963 <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 .' i, t i DATE <br /> Electronic Information: ❑ List❑ Map-'Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 3131,2901 ARCH AIRPORT STOCKTON 1n5-(1(00-1 OKp-LbA G <br /> 2. 2750/E ARCH AIRPORT r(= ❑Unite <br /> 3. 4728,4805 QANTAS Nn C«t J}5 i- Iq <br /> 4. 4733/S HWY 99 FR t KW S laST-lWnit 3 <br /> 5. 4812,4874!S HWY 99 FR SITE MITIGATION /ty <br /> 6. 4909/S HWY 99 FR Nr 1= M-ffnit 4 <br /> 7. 2922 TRANSWORLD I✓Ft` <br /> B. 3012 TRANSWORLD A/Fr P(D\W t�f8e5 Gn�Q1 unit ,1� <br /> 9. 3066 TRANSWORLD VF1' %V_1 Lt <br /> 10. 3104 TRANSWORLID -Li-k*5 ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT F]WASTE TIRE <br /> ® UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ® ABOVEGROUNDTANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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$125 deposit prior to review. -p***BOXED AREA-EHD USE ONLY*** <br /> SI-h co"ye&.0,Ce- 1 �6r 4 7�t(6 (2 C ' P(r ObYn <br /> l= Co,. '+r co31 f -5174 l R, h ark JK CO. C0%°04.4 CO C701 0,1i 514 <br /> )-lv Flle LAa3 (-e 'lM. prw°akJ, A @_4r 471(6 Qwk, 0,,CD VNV61ek (A4-r OCS {o '0.3 Kl <br /> ❑ Records provided by-Staff-PPR Complete. Staff Name: V)cq00 <br /> EHO 48-06 5/t 1175 <br />