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o NOV, L4. LV 17 IV: 93RIVI IVO. VIOV r. I <br /> Q <br /> E I��I�N � SAN'.1OAQUIN'COUNTY EHD LOG NUMBER <br /> NOV 21 2Q15 ENVIREALTH DEPARTMENT <br /> 1668 East DHa eltHazelton AvenNTAL ue, Stockton, CA 95205-6232 <br /> llljjj �� c <br /> ENVIRONMENTALH&jgphone: (209) 468-3420 [ fix: (209)_464!0.138 Web: www.sjgov.orglehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Randy !_. Wheeler BUSINESSIAGENcY: Ninyo & Moore <br /> ADDRESS: 1401 Halyard Drive, Suite 110 CITYISTATEIZ(P:West Sacramento, CA 95691 <br /> PHONE(1): 916-317-3284 PHONE (2): FACSIMILE:,916-373-9792 <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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11/24/15 <br /> Electronic Information. ❑ Llst❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroet# Street Name city Unit1 <br /> 1. 245 Elm Avenue Manteca <br /> 2• 1222 Frontage Road Ripon ❑Unit2 <br /> 3•. 22402 S. State Hwy 99 Ripon 1'1" fAi?/Ctte%,A/CL) ` <br /> 4 fia Unit <br /> n /1 rr l I <br /> rte= <br /> 6. 111-.114 <br /> 7. <br /> 8 unit S <br /> 10. p'YnH.s- <br /> 6peclfic oafe Range of Infomiatlon Requested: From 1950'S to 2015 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FACILITYIVEHICLE <br /> X[]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑ <br /> ®OTHERCLEANUP SRE(NON•LOP) ❑HOUSING ABATEMENT E]WASTE TIRE <br /> (]UNDERGROUND TANK(MONWORINGIREMOVAL) ❑F000 FACILITY ❑DAIRY <br /> ©ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> X❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑X TIERED PERMITTED FACILITY ❑POOL/SPA ❑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-5:00PM(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 selocted. Fax to(208)4$4 0138 or mall to the adlress 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 END will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately fen(10) <br /> days after receipt of application. The files will behold 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. ""BOXED AREA•EHD USE ONLY`." <br /> YVl C yLemimosi-I0 S <br /> 13 Records provided by Staff-PPR Complete.Staff Name: <br /> d/29/14 <br /> END <br /> AD-ee <br /> Received Time Nov. 24. 2015 10: 56AM No. 0067 <br />