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nal"i 25410340 04:54:30 p.m. 07-11-2016 - 111 <br /> a �F�a <br /> U DATE PA . <br /> ' - � '� _ SAN JOAQUIN COU(�ITY EHD LOGNUMBER <br /> r r p <br /> JULENVIRONMENTAL HEALTH DEPARTMENT /l <br /> Uam Q� <br /> 1 1 2016 1868 East Hazelton Avenue, Stockton,CA 95205-6232 ® f <br /> .Telephone: (209)468-3420 Fax: (209)464-0138 Web:wvvw,sjgov.org/ehd <br /> • EPl MENTAL <br /> RERfAj1tRI=2sQ LTFI PUBLIC RECORDS RELEASE APPLICATION <br /> PFF2RAITl.`��0�€0 <br /> APPLICANT: Conor Darrow BUSINESSIAGENCY: RPS Gaia T ech <br /> ADDRESS: 135 S LaSalle Ste 3500 CITY/STATE/Z[P: Chicago IL 60603 <br /> PHONE(1): 312-262-4387 PHONE(2): FAX OR E-MAIL: con or.darrow(y rpsq roup.com <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 reviewthe requested records. <br /> -_. _ - <br /> ❑;CHECKBOXTO EXPEDITBREQUEST-5130 FEE(CASH OR CHECK ONLY) REQUESTPROCESSED IN 3 BUSINESS DAYS_ <br /> SIGNATURE OF APPLICANT Conor Darrow DATE 7/11/2016 - - <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-01338 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILE$ <br /> ®UNDERGROUND TANK(UST) Street Street Name City <br /> CLEANUP SITE(LOP) T 50 Thurman St Lodi A�/ 711,1�Y/ CONSUMER <br /> OTHER CLEANUP SITE(NON-LOP) <br /> HAZARDOUS WASTE oaRy <br /> ®TIERED PERMITTED PACILT' 500 Beckman Road Lodi <br /> ®ABOVEGROUND TANK <br /> ® <br /> UST (MONITORING/REMOVAL) PWS <br /> ®HAPARDOUS MATERIALS S <br /> ®SPILURELEASE RESPONSE WATER Q WATY <br /> SOLID WASTE FACIUTY/VEHICLE 4 ' <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA VITE MITIGATION <br /> DAIRY <br /> ®LAND USEAPPLICATION SITES —1 1 <br /> HDusIHD <br /> ❑SEPTIC PUMPER TRUCK( S <br /> YARD/CHEMICAL TOILETS <br /> ®WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT T <br /> MOTEUHOTEL _ <br /> Ij CHICKEN RANCH/DOG KENNEL GUPA 1/I S <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING SOLI.WASTE <br /> ❑WASTE TIRE 9 <br /> ))'COMPLAINT <br /> OTHER(PLEASE SPECIFY): El Ax.oHnNG <br /> ID <br /> "•BOXED AREA-EHD USE ONLY`•• <br /> U <br /> 0 1 0 A� 1 -2101-9- e <br /> ❑ Records provided by Staff-PPR Complete. start Name: <br /> Rec'i5ed T16e Jul,;-11, 2016 2: 54PM No. 0957 <br />