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h 1 a use, <br /> 'At -5 EHD LOG NUMBER <br /> DATE RECEIVED <br /> 7,ti( SAN JOAQUIN COUNTY 6 <br /> Sh y ENVIRONMENTAL HEALTH DEPART M T VlJ <br /> V y C11 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Zq <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <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 /> i <br /> SIGNATURE OF APPLICANT ,/),'` !,';I,vy(� �-/r C� �(IY iti✓ etc. DATE 5/ <br /> Electronic Information: v <br /> ❑ List❑ Map-'Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 7 <br /> 1. 3131,2901 ARCH AIRPORT STOCKTON N✓ 5 I US ( (�(-I owA u <br /> 2. 2750/E ARCH AIRPORT co ❑Unit <br /> 3. 4728,4805 QANTAS r n CNl A SIT- �v <br /> 4. 47331S HWY 99 FR pn VIl 5 LkSl nit 3 <br /> 5. 4812,48741 S HWY 99 FIR I✓f l- SITE MITIGATION <br /> 6. 49091S HWY 99 FR Nf 1= --tlnit4 <br /> 7. 2922 TRANSWORLD 1vFR I1 <br /> 8. 3012 TRANSWORLD k/F[ N,,W (�UNrn401Unit s <br /> 9. 1 3066 TRANSWORLD Vt=(= %V-1 �(} <br /> 10. 1 3104 TRANSWORLD IF &R- &-LA45 ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F-1MEDICALWASTE FACILITY -1 SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ® UNDERGROUNDTANK(MONrrORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ® ABOVEGROUND TANK ❑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 /> ❑TATTOO/BODY 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 un 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. ***BOXED AREA-EHD USE ONLY*** <br /> neo e <br /> i <br /> ;L1, +-7� � (y� nl(� <br /> 7T t..p InVI�CC- ` i 77Lq (2w <br /> �•{'ot � ,., YtIG VYtr'1 <br /> rovucl tl5 lPt` M C 3 / 31 l (4r h arl � (. GSM Vt A COW102M <br /> 1& y5 in 1(Q <br /> )-tv Fl le r- LA73 R 'A. prr,`dIX R 1?.40,- 47A Qw )A,, CO "W44 (ASTf4le 4�vr H?3 I{ <br /> ❑ Records provided by-Staff-PPR Complete. sraffName: U1atL <br /> 5/77H5 <br /> EHD 48-06 <br />